Post-Bris 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 amount of ointment (vaseline or A&D) on it. Poke your finger in the middle of the ointment so there is ample space for the glans. 
* Open the diaper, clean the baby 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.
[* In the event the bandage comes off - if there is no bleeding there is nothing to worry about!]
[* If the bandage comes off and there is bleeding, tent the penis with a dry gauze pad and put pressure for 300 seconds (a full five minutes) and call me (This is very rare!)]
* 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)

* It is normal to see some blood “spotting” on the gauze pad for the first couple of diaper changes post bandage removal.  If you don’t see “active bleeding” there is nothing to be concerned about. 

* Use ointment on the gauze pad for 2 days (as above)
* After the two days, put ointment directly in the diaper aimed to meet the circumcision spot for another 2 to 3 days
* After the altogether four or five day period, ointments need 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.

It is normal to see a yellow granulation all over the front of the circumcision area for a full week following the last application of ointment.