Abstract
For most of this century, physicians have been performing procedures and surgeries on newborns without anaesthesia under the mistaken notion that newborns were not neurologically complex enough to experience pain. Although this myth has been dispelled, the most commonly performed surgery in the newborn period, circumcision, continues to be performed, in the majority of cases, without any attempt at pain relief. In 1994, only 4% of obstetricians under 34 years of age used an anaesthetic for neonatal circumcision. Overall, the rate of anaesthetic use was 14% among obstetricians, with 20% of the female obstetricians using anaesthetic. A subsequent survey, distributed in 1996, found that anaesthetic use had increased to 25% among obstetricians. As routine circumcision comes under attack and its frequency declines, proponents of mass circumcision have begun advocating the use of anaesthesia in an attempt to reverse the professional and popular shift against routine neonatal circumcision. Like most of the information that is used to perpetuate neonatal circumcision, the literature on anaesthesia contains a mixture of truth and hyperbole. This article will review the medical research regarding topical and local anaesthesia for neonatal circumcision and its effectiveness.
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Van Howe, R.S. (1999). Anaesthesia for Circumcision. In: Denniston, G.C., Hodges, F.M., Milos, M.F. (eds) Male and Female Circumcision. Springer, Boston, MA. https://doi.org/10.1007/978-0-585-39937-9_7
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