When I was doing an internship in transitional nursery, I got to watch a few. The residents always used lido, some of their blocks weren't the best, but at least they tried.

The older MDs would say that the lido hurt as much as a quick clamp application and would do it without. After hearing the bloodcurdling screams from the 1st one I saw without lido, I checked the P&P manual and found out that local anesthesia is a hospital requirement. I filled out an incident report on each and every doc that did it without. I don't know if it did any good, but it certainly made me feel better that at least I was trying to make them accountable for what they were doing to the babies