Wednesday, September 28, 2011

Care of the umbilical cord and circumcision of newborns

!9# Care of the umbilical cord and circumcision of newborns

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Umbilical cord cut and after birth. The stump deteriorates the process of dry gangrene and is 7 to 10 days. After the stump has fallen, taking the base line a couple of weeks to heal completely. The umbilical stump is an excellent medium for bacterial growth. To prevent infection, it is purely with soap and water when you bathe and dry well. Cleaning the base of the cable with an alcohol swab promotes drying. The diaper is placed under the cableto avoid trouble against the fabric.

The nurse instructs the parents on the stump of the umbilical cord and proper nutrition deterioration. Signs of infection, such as the presence of a malodorous, purulent discharge, the physician should be reported. Circumcision is the surgical removal of the front skin over the glans. in Jewish culture, circumcision is mentioned in a very meaningful ceremony berith or British, to be held on the eighth day of life. A rabbi expertthe process usually leads to circumcision. But in most cases is routinely performed in the clinic.

An argument for circumcision is prevention of penile cancer. The risk of this relatively rare form of cancer is 1:600 ​​in uncircumcised men, the risk is much greater than that provided for limited males.Circumcision usually performed at times in the nursery after birth. It should not take place immediately after birth because the baby is not stabilizedphysiological state and increased susceptibility to stress. Preoperative care includes obtaining a signed consent of the parents, the child's proper storage, clean the penis with soap and water, and draped with sterile towels for the baby to keep him warm and a septic field. Even in the absence of anesthetic is given, the child will not be allowed through the mouth before the procedure to prevent aspiration of vomit. All facilities used for the procedure, such as gloves,Tools have alcohol swabs, dressings and towels tend to be sterile.

The process involved in freeing the foreskin of the penis with a scalpel, or a Gomco clamp or Hollister Plastibell Yellen. The clamp crushing the nerve endings and blood vessels, promoting beamostasis. After the procedure, Vaseline gauze may be applied loosely for a few hours to avoid the adhesion of the diaper. If the dressing is dry, it soaked in hydrogen peroxide firstbe removed.

Once the process is completed, the nurse from the shackles of the child and comfort him. Since parents are often concerned about the welfare of the child during this time, the nurse assured her that the child recovered without complications. Once the child is calmed and stabilized, may be brought to the parents. No special care is required after circumcision, as well as regular cleaning and monitoring of bleeding, if the diaper is changed. SinceArea is tender, diaper free in order to prevent friction against the penis. Usually the second day of a yellowish-white exudate forms as part of the granulation process. This is not a sign of an infection and should not be forcibly removed. As healing progresses, the exudate disappears.

Transport after discharge

An important area of ​​consulting is the safe transport of infants from the hospital. Ideally, this consultation should take place before deliveryparents the opportunity to acquire an appropriate child restraint car seat.


Care of the umbilical cord and circumcision of newborns

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