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Monday, January 18, 2010

Instructions for After-Care

While there is still a bandage

* Before every diaper change, wash your hands with soap and water
* Prepare a gauze pad with a generous heap of vaalon, aquaphor, or A&D ointment on it.
* Open the diaper, wipe as normal – do not touch the gauze or bandage.
* Before closing the new diaper, reach under the gauze to hold the wrapped bandage in place, then gently remove the gauze pad.
* If the gauze pad sticks, either leave till next diaper change or apply a small amount of baby oil to spot that sticks, then remove.
* Replace with new gauze pad, placing center of the gauze over the glans, pinching the sides of the gauze so it forms a tent over the penis. (Take care not to pinch or squeeze the glans)
* Close diaper.

Once bandage is off (typically after the last time I see the baby)

* First twenty fours hours (up to 2 days), place vaseline (etc) on gauze as above
* After two days of no bandage, apply vaseline directly (no gauze) for two to three full days, at every diaper changing (you can dispense it directly and rub it in with your finger, or dispense onto a Q-tip and apply with the Q-tip)
* After the three or four day period, ointments should no longer be applied as the bris needs to finish healing on its own.
* Baby can bathe the following evening (24+ hours) after the bandage comes off.

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