Biomedical subjects

I Gelbaum

Publications and source records attributed to I Gelbaum.

2 recordsLinked to original sources

PubMedDate not supplied

Circumcision. To educate, not indoctrinate--a mandate for certified nurse-midwives.

Presented is a model of providing parents with honest, unbiased education toward informed participation and consent relative to neonatal circumcision. Historical perspective and current understanding of medical benefits, risk, possible complications, alternatives, and expected after-care is explored. Particulars of how and why parents, who have the legal right and responsibility, decide about circumcision are discussed. Whether that decision is based on interpretation of medical opinion, parenting values, cultural mores, or religious beliefs, certified nurse-midwives (CNMs) must be able to advocate for families who make choices different from their own. For those CNMs incorporating circumcision into their practice, a survey revealed that 85% of California ACNM members support this. The 10-year experience of one midwifery service is detailed.

Circumcision, Male↗

PubMedDate not supplied

Circumcision. Refining a traditional surgical technique.

Circumcision is a practice that dates back to the Stone Age, when flint knives were used to perform this delicate task. Since that time, different implements and techniques for their use have been employed. In 1935, an instrument that reduced the incidence of hemorrhage and infection, which continued to complicate circumcisions, was first described in the medical literature of this country; for nearly 60 years, the Gomco clamp has met and exceeded expectations despite the emergence of other clamps and devices. This article addresses refinements that have evolved in the Gomco clamp technique. These refinements combine the highest degree of safety with the least trauma to the newborn. Step-by-step detailing of this surgical skill and implications for practitioners are explored in depth.

Aftercare↗