Many parents have differing opinions about the steps of neonatal circumcision. They can be completely against it or have mild reservations. If you are one of those parents who disagrees with the medical professionals on this matter, or if this procedure is not required in some cases for your child, you might be curious about what the steps of circumcision are. This article will give you basic information about the subject to help you make an informed choice about whether your child should be circumcised.
Circumcision is the removal of the glans penis, as well as the prepuce (the inner portion of the foreskin). In the days before this surgical procedure, doctors used a vertical slit, or a form of suction called a “dorsal clamping”. During this procedure, the surgeon made a tiny cut just above the fold where the foreskin would be placed inside the body. This method, although babies sometimes cry, was not very effective in removing foreskin. It was eventually replaced by a type of suction called “levaled clamping”.
This new method was more successful in removing the foreskin. The body had less room to swell during birth, so it was easier. The newborn didn’t feel any pain while having his foreskin trimmed. The skin of newborns is very sensitive. Most doctors recommend that newborns have their foreskin trimmed after performing a circumcision. This will allow them to continue normal skin growth. Any swelling after this point could lead to problems in the areas of the skin that have been touched.
Circumcision typically follows two procedures. First, the baby is given a local sedative. The second is a procedure where the newborn’s head is being held in a ring, with the foreskin exposed. Newborn boys are usually anesthetized before this last procedure, which takes only a few minutes.
The primary reason infants don’t cry after a new-born circumcision is the lack of blood in their placenta. Because the amount of anesthetic used is smaller than that used for adult males, a significant portion of the anesthetic drug will be administered into the placenta. A lower dose of anesthetic will result in a smaller amount in the bloodstream. This means that there will be fewer drugs in the newborn’s circulation.
Although most unanesthetized children can be safely transferred to their mother without supervision after a circumcision procedure, there are still risks to unanesthetized children. If infants were breastfed and given air during surgery, they may become allergic to the topical anesthetic. In these cases, mothers need to monitor their babies for signs of discomfort and excessive crying. They may need to be switched from breast-feeding to bottle feeding. If you continue to have these symptoms, it is a good idea to consult your doctor.
The final steps of circumcision go beyond the actual cutting or stapling. There is also a risk that the infant might administer the anesthesia, or inhale the medication through the nostrils. This can be avoided by using a disposable needle, similar to ones used during breastfeeding. The hole for the cannula should also be kept closed so that the cannula cannot be accidentally pulled out during procedure. Many hospitals have guidelines regarding the use or lidocaine with no epinephrine and any other vasoconstrictor medication. Unfortunately, these guidelines do not always account for the risks of inhaling the drug during an actual procedure.
Lidocaine without epinephrine or any other vasoconstrictor does not make sense when it comes to preventing loss of blood. Studies have shown that an infant who is given the exact same amount as normal breastfeeding for two weeks does not lose any blood. The Florida Health Science Centers recommend that doctors performing neonatal circumcisions do not use lidocaine or any other vasoconstrictor drugs. If they do, the baby can suffer dire consequences and even die!