Re: circumcision (controversial subject)

[Guest guest]

In a message dated 3/19/99 10:02:59 AM Eastern Standard Time,

Kemper1974@... writes:

<<

Jan..do you make your own sucrose pacifiers or purchase them? We made our own

for one physician..3 sterile cotton balls in the nipple with about 5 cc

Glucose water on it and plugged with a servo probe cover...I really didn't

notice any difference in behavior during circ. Lori >>

Yes we do, the pharmacy sends up a bottle of simple syrup (it has to be a

certain percentage or it grows bacteria, we then have a recipe for mixing. We

allow baby to suck on the pacifier for at least 20-30 minutes before the circ

and then for 20 minutes after, or if they want to nurse they go right to

breast after.

The noticable difference only comes if you allow them to suck BEFORE the

procedure for at least 20 minutes. The sucrose acts on the opiate receptors

in the newborns brain and produces a morphine like reaction in their bodies.

It takes time for the sucrose to make its way to the receptors. try letting

them suck longer before the procedure. The docs also use lots of local and

some of the docs even lubricate their instruments with lidocaine jelly as

well.

Jan

[Guest guest]

>I just don't understand why we condemn this procedure in females yet for

the

>same non-reasons do it to little boys. I don't get it. I am going to take

>'s route when I go in today....I will tell you how it goes. Thanks for

>the inspiration, .

>

YOU GO GIRL!!!!!

I find the whole circumcision debate interesting. It is such an emotional

issue, and I am glad to see that we can discuss it in this forum without the

usual mud slinging that comes with the topic.

This is a great group!

So.Cal.

[Guest guest]

In a message dated 03/19/99 16:32:49 Eastern Standard Time, FreeMexcAF@...

writes:

<< Usually

the poor guys just scream until they mercifully just pass out. >>

Your poor babes! Our PEDS docs circ our kids and I have never known one to

pass out. Only two of the 6 docs use any kind of lido or block.

Robin

Gallipolis, OH

[Guest guest]

In a message dated 03/19/99 20:22:05 Eastern Standard Time, lisa@...

writes:

<< Is anyone else bugged by the lack of preparation that women have?? >>

Yes, I have noticed it hear also. We offer childbirth classes FREE and still

can't get more than 25% of our patients to attend! I don't think they read

the information that they receive from their docs.

The most important event in their lives and they go into it blind, deaf and

dumb. They do more research before buying a car!

Robin

Gallipolis, OH

[Guest guest]

Hi, I'm new to your list today! I live and work in Los Angeles area. I've

been in L+D or NICU for 26 years. I'm lucky to be able to work part-time now.

More time for computing! Lee

[Guest guest]

Hi Robin!

>From: RLPasquale@...

>OK here I go with my opinion. First can you really compare these two

>procedures? I thought a female circ was to prevent the woman from enjoying

>sex so she would be a " good " and faithful wife.

** Ok here is my opinion. Mutilation is mutilation is mutilation, no matter

how you look at it.

>I realize that both procedures are cultural and I think that the opinions

of

>parents should be respected. Even when we don't agree with them.

** I don't disrepect any parents decision, however, I know none of my sons

would ever be circ'd.

>Second, I was one of those women who chose to circ my son. And yes, I had

>seen it done, had held the kids down myself.

** That must have been really hard for you. I have been to a few for

school, and they made me physically sick.

>Next, what is so bad about an epidural/intrathecal? Why do we think that

>women should just accept the pain of childbirth? Some women just are not,

nor

>ever could be prepared for the pain! I was luck and had very short labors

>with my children and did well with natural childbirth. But I don't

hesitate

>to offer pain relief to my laboring patients.

** I think from a Doula standpoint, I have found that women who have

experienced epidurals/intrathecal the majority of them have vocalized their

dissapointment, I think because once they agreed to accept an epidural, they

felt their bodies failed the, which isn't true, and then the interventions

start, which can cause a whole different selt of malady's.

As far as women accepting the pain of childbirth, I heard a long time ago

that birth was a natural occurence and not a medical procedure, and that

pain is a natural part of the process. Does this make it any fun? No way.

But it can and as you know a very empowering experience. I have heard

contractions described by Ina Mae Gaskin as " incredibly interesting

sensations that require all of your attention "

>Don't get me wrong I support ALL the comfort measures and I do agree that

>walking and tubbing and rubbing can do wonders but I like epidurals and

>intrathecals for my patients who want them

** I think epidurals and inrathecals have their time and place. My only

objection to them is when they are pushed on laboring mothers, when other

things could be done instead of.

Marna

[Guest guest]

Robin wrote:

>Don't get me wrong I support ALL the comfort measures and I do agree that

>walking and tubbing and rubbing can do wonders but I like epidurals and

>intrathecals for my patients who want them

Robin, I agree with you here. I have nothing against an epidural, or any

other chosen form of pain relief, AS LONG AS that mother has been taught her

options, pros and cons.

I do believe though that many moms are poorly prepared for labor, and if

they had the opportunity to be better prepared in knowing their choices,

many may not have an epidural. Maybe, maybe not. But fear and anxiety

multiplies pain.

----Jeanine

[Guest guest]

Lee wrote:

>Hi, I'm new to your list today! I live and work in Los Angeles area. I've

>been in L+D or NICU for 26 years. I'm lucky to be able to work part-time

now.

>More time for computing! Lee

Lee, welcome to the list! Jump in any time. We seem to have 2 pretty

strong threads going here recently---lots of fun.

Seems like we have quite a few Californians on the list---maybe I should

move out there. <g>

----Jeanine