In order to understand the concerns of physicians about newborn circumcision, we first need to understand the major changes that occur in a newborn's body at the moment of birth.
So, why do you think we want to add circumcision trauma to the experiences of a baby who experiences all these traumas?
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This issue maintains its place in popular culture due to cultural and religious reasons, the wishes of families and the support of some studies in the medical literature.
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The general literature recommends early circumcisions.
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Determining the most appropriate time with your doctor is very important for your baby's health and future problems.
World Literature (studies)
Which Period Does It Recommend for Circumcision?
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Looking at the literature, the most recommended age group is the period from 1 week to 2 years of age, that is, the infant period.
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Children who are not considered to be circumcised for various reasons in this period, are between the ages of 2 and 6, called the phallic period; It is not recommended because it is a period of getting acquainted with the genital organs and becoming aware of them. Various psychiatric problems are observed in circumcisions performed during this period, such as disruption of the integrity of the child's body, loss of connection with the genital organ, and the development of fear of castration.
To the World First Changes in a Newborn
Heart rate is approximately 2 times that of adults! (avg. 100-160/min)
The hole in the heart, which provides oxygen to the baby in the womb, changes the direction of blood flow after birth and enters the process of closing. This process is average. It takes 3-7 days.
Newborns breathe through their nose, they cannot breathe through their mouth, their respiratory muscles are not well developed.
Newborns cannot maintain their heat, the most heat loss is It occurs from the beginning.
In the newborn, low red blood cells, called physiological anemia, are observed.
The need for iron in the fetus and newborn increases significantly, iron deficiency in this period can cause problems in brain development.
Physiological Jaundice; The lifespan of erythrocytes in newborns is short (120 days in adults, 70-90 days in babies, 60-80 days in premature babies). Short erythrocyte lifespan is the cause of physiological jaundice.
Stress hormones released at birth in newborns stimulate the thyroid gland and increase thyroid hormones. This increase returns to normal in 1-2 weeks after birth.
All newborn or premature babies should be considered immunocompromised.
With birth, blood glucose from the mother stops and the baby's blood glucose level drops significantly in the first 2-4 hours.
Newborn babies have low blood pressure values. After birth, it gradually increases to normal values.
Coagulation Levels; Newborns are born more prone to bleeding than adults.
In what cases should circumcision be postponed in newborn period circumcisions?
These must first be ruled out whether the baby has a serious co-morbidity that can be noticed in the early period, and that it must be over 24 hours at the earliest in order to adapt to all physiological postnatal changes that develop in your baby.
Familial. There should be no history of bleeding disease.
There should be no anomaly in the appearance of the penis.
The penis size should not be small.
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It must be performed in a sterile environment (operating room), accompanied by an anesthetist and in places where pediatrician support is available when necessary. A judgment that he will not hear is wrong. The baby must be calmed down with methods called local anesthesia or sedation anesthesia, and there should be no feeling of pain.
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Before anesthesia techniques, the baby must be hungry for at least 4 hours against the risk of aspiration/suffocation due to vomiting. .
It is a numbing agent applied by applying cream to the penis or by injection before circumcision. Tip
What is the Feared Effect?
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During circumcision, numbing medicines and creams applied to the root of the penis cause the so-called Toxic Methemoglobinemia and It can cause a very dangerous and fatal situation. This situation can be triggered by all local anesthetic drugs and various chemicals administered up to an average of 3 months.
How Should Post-Circumcision Care Be?
<After taking your baby from the operating room, dressed and dressed, you should feed your baby at the time recommended by your doctor.
The baby's breathing and general condition for 1.5 hours after the surgery. He must be under monitoring.
The dressing should be checked at 1-hour intervals and he should be monitored for bleeding.
Postoperative urination should be monitored. .
You should definitely talk to your doctor for painkiller treatment and recommendations after the surgery. Local anesthesia ensures that the baby is comfortable for an average of 3 to 6 hours. But remember that you may need painkillers afterwards.
The dressing is removed on the first day of the surgery. And start applying an antibiotic cream recommended by your doctor twice a day as a protective cream.
Although it varies depending on the preferences of some clinics, the crusts that develop around the penis will soften with a warm sitz bath in the 48th to 72nd hour of circumcision. A warm sitz bath is recommended for the rapid regression of penis edema.
When does complete recovery occur after circumcision?
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Since wound healing is rapid in infants (up to the age of 2), complete return to normal is observed within an average of 4 to 7 days.
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In children older than 2 years, it takes an average of 7 to 10 days. Completely normal appearance and recovery.
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