What % would you estimate of circs are done in your facility?
It is hard to say because many of them get it done outpatient (our medicaid doesn't pay for it, and it is cheaper outpatient (without added hospital costs). I would guess maybe 50-60% but I'm not sure. We have a lot of hispanics who don't do it, in addition to some others who don't. Then of course there are some who wouldn't consider anything BUT doing it.
What % get any type of anesthesia? maybe about 50%
What is it? one doc does the lido injection/nerve block which seems to be better than the ones who do EMLA, but I have yet to notice one of the babies who wasn't screaming (but maybe I didn't notice for that exact reason...although it is done on the far side of our nursery so it's usually readily apparent for the nurses when one is being done...). We don't have sweet-ease.
Do you feel it is effective enough for the pain of the circ? no
Do babies get after circ pain meds? I don't think so; the pts I've cared for didn't.
How often do you see problems with circs? I have been at my hospital since July and I've seen one that kept bleeding for some time (it seemed like the doc was there and hour or two fixing it and making sure it was ok). I have heard about a couple of other nightmare ones there, before my time (like too much taken off - not like the penis itself but way too much; also bleeding too much).
Anything else you'd like to add? I personally didn't circ my three boys so you can guess where I stand when asked...
I can't stand to hear it when one is being done and I try to go away if I don't have to be there.