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SAN FRANCISCO -- Fewer than half of 1,814 infants undergoing circumcision received analgesia despite recommendations for its use during circumcision by the American College of Obstetricians and Gynecologists, the American Academy of Pediatrics, and the American Society of Anesthesiologists, a retrospective study has found.
"The results of several studies have clearly demonstrated that newborns who are circumcised without analgesia experience pain and physiologic stress" that can be prevented with analgesia, Praveen Kumar, M.D., said in a poster presentation at the annual meeting of the American Academy of Pediatrics.
Obstetricians performed all of the circumcisions studied at Northwestern Memorial Hospital and Children's Memorial Hospital, Chicago. Previous studies by other investigators suggest that obstetricians in general are less likely to use analgesia during circumcision, compared with pediatricians or family physicians, said Dr. Kumar, director of the newborn nursery at Northwestern.
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