Advice following your baby’s circumcision
Your baby has undergone a circumcision. This is not a major procedure, but care in the first few days can prevent any problems. Bleeding is the main complication – it is rare but possible following the procedure. Significant bleeding requiring a review maybe needed in less than 10% of babies. The reason why we may ask you to stay for one hour after the procedure is to check at frequent intervals that no bleeding is occurring.
When you go home you will find that the baby’s nappy may have a few small spots of blood on it where the penis touches the nappy. If the spots are large, dark in colour or increasing then this may indicate that bleeding is occurring. We advise that you contact the 24 hour number for review.
You will be asked to bring the baby to the clinic.
You must keep the nappy area as clean as possible. Check your baby’s nappy area regularly and cleanse the area thoroughly if wet or dirty.
No bathing should take place for 24 hours following the circumcision. After this time you should bathe your baby daily. You do not need to put salt in the bath water and avoid using bubble bath for the first week.
A smearing of petroleum jelly, e.g. Vaseline, on the front of your baby’s nappy will prevent his penis sticking to it. Alternatively, you may wish to leave your baby’s nappy off or unfastened for the first few days.
Care of the Wound
You should be able to see the bell at all times. It should drop off after 7 to 10 days. If it remains on this is not a problem, however if it is still attached at 14 days we will ask you back to the clinic.
Observe your baby’s penis during every nappy change. It may be a little swollen for a few days, but this is normal. A scab will form where the foreskin was removed. Please let it fall off naturally.
Although all appropriate measures are taken to ensure the sterility of the procedure, a small number of baby’s may acquire an infection. (This is signified by the penis becoming tense and swollen and there maybe some discharge).
If you are worried about the wound please contact the telephone number supplied. Your child may need antibiotics.
Your baby has not had a general anaesthetic and therefore can feed normally. You should be aware though that he has had a slight shock and this may affect his feeding patterns during the first day or two.
Your baby received a local anaesthetic before the procedure was performed. It is wrong to think that babies do not feel pain, but they do feel it less directly than adults do.
You may find your baby a little difficult to settle. Do not be afraid of holding your baby. Rocking and cuddling him will help calm and reassure him.