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Purpose
The purpose of this study is to compare two commonly used circumcision clamps (Gomco and Mogen) to see which results in less neonatal pain.
Condition Intervention
Neonatal Circumcision Device: Gomco Circumcision Clamp
Device: Mogen Circumcision Clamp
Official Title: Gomco Versus Mogen: Which is Best? A Randomized Controlled Trial: The GMRT Study.
Procedural Time [ Time Frame: Participants will be followed for the duration of procedure, average 4 minutes ] [ Designated as safety issue: Yes ]
Time needed to complete the circumcision:start time from local anesthesia to end of circumcision.
Parental satisfaction [ Time Frame: Approximately 6 weeks after the procedure ] [ Designated as safety issue: No ]
Approximately 6 weeks after the procedure parental satisfaction will be assessed by a phone survey.
Need for circumcision revision [ Time Frame: Approximately 6 weeks after the circumcision ] [ Designated as safety issue: Yes ]
Approximately 6 weeks after the procedure the pediatrician's office will be contacted to see if a circumcision revision was needed.
Postoperative infection [ Time Frame: Approximately 6 weeks after circumcision ] [ Designated as safety issue: Yes ]
Approximately 6 weeks after the circumcision the pediatrician's office will be contacted regarding surgical site infection.
Detailed Description:
Objective: To compare pain levels assessed by salivary cortisol and standardized neonatal pain scale among the two most common infant
circumcision techniques in uncomplicated pregnancies after a thorough resident-wide education curriculum under attending physician supervision.
The secondary objectives are to assess the operative time, complication rates such as infection and bleeding and short term outcomes including
need for re-circumcision among treatment groups.
Hypothesis: The Mogen technique of circumcision is less painful, faster, and associated with less bleeding for newborns when compared to the
Gomco technique after a resident circumcision standard teaching curriculum.
Eligibility
Ages Eligible for Study: up to 4 Days
Genders Eligible for Study: Male
Accepts Healthy Volunteers: Yes
Criteria
Inclusion Criteria:
term infants delivered by cesarean section or vaginal delivery at Good Samaritan Hospital during the time period of the study
Infants with no blood drawn two hours prior to the circumcision
Singletons
Exclusion Criteria:
Infants with congenital anomalies and/or known chromosomal syndromes
Preterm infants defined as less than 37 / 0 weeks gestation.
Delivery secondary to non-reassuring fetal heart tracing, defined by the delivering physician
Infants of diabetic mothers.
Infants of preeclamptic mothers on magnesium sulfate within 48 hours of delivery.
Infants delivered by vacuum-assisted or forceps-assisted vaginal delivery.
Infants of mothers who took steroids for fetal lung maturity within 7 days of delivery. (This may apply to term infants if the mother had no prenatal
care and her gestational age was not known on arrival).
Infants with a 5 minutes apgar score of less than 7
Infants born to mothers with a history of drug abuse during pregnancy, currently on methadone, or with Hepatitis C or HIV.
Contacts
Locations
TriHealth Inc.
More Information
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