The procedure for circumcision in Brasilia is typically quite different than in the United States. As such, some families who considered having it done have forgone the procedure on baby boys born here. In Brazil the procedure is more commonly done on boys once they reach the age of 4 or 5. When it is done on babies, it is typically performed when the infant is 7-10 days old, as a surgical procedure at the hospital. Surgeons require general/mask anesthesia. The procedure is performed using stitches.
One family here had the procedure done by a local doctor but have said subsequently that they wish they had not.
I know of one family who found a doctor in São Paulo willing to come to Brasilia to perform a circumcision. The doctor is Dr. Decio Blucher from Hospital San Luiz. Dr. Blucher charged R$1800 for the procedure, and the family paid for his flight to Brasilia. He performs the circumcision like it is commonly done in the United States, with no sedation, just some sugar water and a numbing shot. They were happy with the results.
DECIO BLUCHER (CRM:63233)
Especialidade: Cirurgia Pediatrica,Cirurgia aparelho digestivo; orgaos anexos e parede abdomin.
Endereço: R.PEDROSO ALVARENGA - 1245 - CJ 22
Cidade: SAO PAULO
UF: SP
CEP: 04531-012
Telefone: (11) 3071.0695
If you are unsure of the risks and/or benefits, here are a few links to help you get started with your decision.
Circumcise or Don't - Quandary For Parents - NYTimes.com
The Case Against The Case Against Circumcision - NY Magazine
Why A Growing Number of Parents Are Saying No - NY Magazine
Intact America
AIDS Prevention Inspires Ways to Make Circumcision Easier - NYTimes.com
If you know of a doctor in Brasilia that you would recommend for circumcision, or if you'd like to weigh in on the question of circumcision in general, please comment below.
Thursday, June 28, 2012
Friday, June 22, 2012
Documenting Your Brazilian-born Diplomatic Child
DOCUMENTING YOUR BRAZILIAN-BORN DIPLOMATIC CHILD
1.
Brazilian Birth Certificate
a.
Comments: Children born in Brazil to diplomatic
parents do NOT receive Brazilian citizenship. The Cartorio will register the
child as a non-citizen diplomat in the computer, but the birth certificate will
not look any different from that of a Brazilian citizen.
b.
Steps and Required Documentation:
ii. Need
the hospital certificate of live birth or two witnesses for a home birth
iii. Bring
marriage certificate
iv. Carteiras
and diplomatic passports of parents
v. Birth
certificate will be issued on site in less than an hour
2.
Consular Report of Birth Abroad (CRBA)
a.
Comments: The CRBA documents that the child is
an American Citizen. In most cases, it will serve as the child’s birth
certificate, but not always. You may still want to consider getting a certified
translation of the Brazilian birth certificate, but it is not necessarily
required. CRBAs are adjudicated at post, but no longer issued here. It could
take more than a month to get the CRBA back from the United States.
b.
Steps and Required Documentation:
ii. Brazilian
birth certificate
iii. One
passport photo (2” x 2” or 5cm x 5cm)
iv. Marriage
certificate
v. Passports
for both parents
vii. Fee:
$100
2.
Tourist Passport
a.
Comments: You should apply for a tourist
passport for the child at the same time as the CRBA.
b.
Steps and Required Documentation:
i. An
unsigned but completed DS-11 (N.B.:
The online application might not let you proceed without a social security
number. Fill out the pdf version instead.)
ii. One
passport photo(2” x 2” or 5cm x 5cm)
iii. Fee:
$105
3.
State Department EFM
a.
Comments: Your HR Tech in HR/EX can help you officially
add your child as a dependent and Eligible Family Member, but it is up to you
to know what to ask for. Children born at post are not typically added to your
current travel orders, but will be added to your next travel orders for your
onward assignment. The child does not need to be on your orders to go on
R&R with you because R&R is funded by post and not Washington.
b.
Steps and Required Documentation:
i. OF-126:
Fill out a new OF-126 on HR Online. Your HR
Tech should send you an email after the OF-126 is submitted asking for
documentation. You may typically send a scanned copy of the CRBA or the
Brazilian birth certificate with certified translation.
ii. DS-1640
(Request for Passport Services): After your OF-126 is approved by the HR Tech,
your child should appear on your Employee Profile on
HR Online. Ask your HR Tech to email you a DS-1640, which is a memo to the
Special Issuance Agency requesting passport services for you and all
dependents. Make sure your new child is on it.
iii. Travel
Orders: Your new child will not be added to your current orders if born at post.
Children born in the U.S. will be added. Your new child should automatically be
on your next orders for your onward assignment once the Medical Clearance is
finished. If not, work with your HR Tech.
4.
Medical Clearance
a.
Comments: The medical clearance is needed before
your child can be added to your next orders. So, it might not be needed right
away, but start early because Med in Washington can get heavily backlogged.
b.
Steps and Required Documentation:
i. You
should schedule an appointment in the Med Unit at about 30 days after birth.
ii. After
the appointment, the Med Unit will send the paperwork to Med in Washington for
approval, which can take several months during busy times.
iii. You
will receive an email notifying you when the medical clearance is approved.
5.
Diplomatic Passport
a.
Comments: The diplomatic passport cannot be
issued until your CRBA is back and you have the DS-1640 and/or new travel
orders.
b.
Steps and Required Documentation:
i. Schedule
an appointment with the Consular Section and bring
ii. CRBA
iii. Diplomatic
passports for both parents
iv. DS-1640
v. Your
current travel orders and next orders if available
vii. Diplomatic
passport application
viii.
One passport photo
ix. Both
parents and the child must appear
6.
Social Security Number
a.
Comments: You can apply anytime after you have
the child’s passport, CRBA, and birth certificate. Might work best to apply at
the same time as you do the diplomatic passport.
b.
Steps and Required Documentation:
ii. CRBA
iii. Brazilian
birth certificate
iv. Passport
(tourist or diplomatic) of the child
v. Apply
at Consular Section
7.
Brazilian Visa and Carteira
a.
Comments: Post’s HR office will help you apply
for a visa and carteira.
b.
Steps and Required Documentation:
Pregnancy/Delivery Panel - Feb 2012
Earlier this year a group of women got together to share their experiences being pregnant and delivering babies in Brasilia. The audio file below is a recording of the discussion. Minute notations to follow soon.
Click here to download the file.
(FYI: It's big, the meeting was 90 minutes long.)
Click here to download the file.
(FYI: It's big, the meeting was 90 minutes long.)
Thursday, June 21, 2012
Key medical phrases English-Portuguese
Portuguese - English
medical phrasebook
I am pregnant
Estou gravida
I would like to make an appointment
Eu gostaria de marcar uma consulta
I would like to have... Eu gostaria de ter ...
a natural delivery um parto natural
a cesearian uma cesariana
an ultrasound um ultrasonografia
a blood test uma prova de sangue
a glucose screening rastreio de glicose
an amniocentisis um amniocentese
an epidural um epidural
a water birth parto na água
What have I missed that you found useful to know during your pregnancy or labor?
Estou gravida
I would like to make an appointment
Eu gostaria de marcar uma consulta
I would like to have... Eu gostaria de ter ...
a natural delivery um parto natural
a cesearian uma cesariana
an ultrasound um ultrasonografia
a blood test uma prova de sangue
a glucose screening rastreio de glicose
an amniocentisis um amniocentese
an epidural um epidural
a water birth parto na água
What have I missed that you found useful to know during your pregnancy or labor?
Month-by-month tips
Months 1-3
o Visit the Health Unit. They will explain your local health care options and help you make an appointment with a local OB. See English-speaking OBs.
o If your doctor requests that you get blood tests at a Sabin clinic, bring your form (pedido) to the Health Unit to be transcribed onto embassy stationary as the embassy has a much lower rate negotiated for the tests. Sabin will give you a username and password and you will be able to get the results from all your tests online.
Months 4-6
o For the Glucose Screening Test, Sabin in QI 13 near Carrefour has large recliners that make the two-hour wait more tolerable.
o Find a doula, if desired. See Midwives and Doulas.
o Write up a birth plan
o Contact HR to have a layette shipment added to your travel orders
Months 6-9
o Brazil requires that you are tested for several Strep-B and several STDs within 4 weeks of your due date. If you do not have these test results with you at the hospital you will be tested on site and/or given an antibiotic during your labor.
o Choose a local pediatrician
o Attend 3-day antenatal class at Hospital Santa Lucia. You must call on the first day of the month to reserve a spot in that month’s course.
After the baby is born
o Decide if you will do a blood screening for your newborn. The local one is offered through Sabin (teste do pezinho), or you can mail a blood sample to the US through the Med Unit. Blood needs to be drawn in the first week after birth. If you choose the local test, a specially-trained Sabin phlebotomist will come to your house and collect the sample from your newborn. Results are available in about a week. Call 3329-8081 to schedule an appointment (coleta em domicillo). [I highly recommend this service. The phlebotomist was a total pro.]
o You will need to get a certificate of birth abroad (CRBA) and passport for your baby. See “Documenting Your Brazil-born Baby” for details.
o Visit the Health Unit. They will explain your local health care options and help you make an appointment with a local OB. See English-speaking OBs.
o If your doctor requests that you get blood tests at a Sabin clinic, bring your form (pedido) to the Health Unit to be transcribed onto embassy stationary as the embassy has a much lower rate negotiated for the tests. Sabin will give you a username and password and you will be able to get the results from all your tests online.
Months 4-6
o For the Glucose Screening Test, Sabin in QI 13 near Carrefour has large recliners that make the two-hour wait more tolerable.
o Find a doula, if desired. See Midwives and Doulas.
o Write up a birth plan
o Contact HR to have a layette shipment added to your travel orders
Months 6-9
o Brazil requires that you are tested for several Strep-B and several STDs within 4 weeks of your due date. If you do not have these test results with you at the hospital you will be tested on site and/or given an antibiotic during your labor.
o Choose a local pediatrician
o Attend 3-day antenatal class at Hospital Santa Lucia. You must call on the first day of the month to reserve a spot in that month’s course.
After the baby is born
o Decide if you will do a blood screening for your newborn. The local one is offered through Sabin (teste do pezinho), or you can mail a blood sample to the US through the Med Unit. Blood needs to be drawn in the first week after birth. If you choose the local test, a specially-trained Sabin phlebotomist will come to your house and collect the sample from your newborn. Results are available in about a week. Call 3329-8081 to schedule an appointment (coleta em domicillo). [I highly recommend this service. The phlebotomist was a total pro.]
o You will need to get a certificate of birth abroad (CRBA) and passport for your baby. See “Documenting Your Brazil-born Baby” for details.
Things to take to the hospital
This list was compiled with the input of several women who gave birth at Santa Lucia Hospital.
Check-in: Your spouse or partner will check you in, and depending on how far advanced your labor is, you will be taken to a recovery room (to labor) or the delivery room.
- Bring the guarantee of payment (garante o pagamento) from the embassy to avoid up-front deposit requests
- A paper with your name, address, phone number, CPF, etc in portuguese
Bring the following because it can be difficult (or impossible) to obtain from the nursing staff:
o Robe
o Birthing ball
o Gatorade or Agua de Coco
o Fruits and snacks (hospital meals are spartan and heavy on rice and beans)
o Clothes for the baby in the delivery room (they only provide a diaper and thin blanket)
o Tylenol/Ibuprofen
o Ice-pack pads for perineal swelling or tears
o Heavy-flow disposable absorbent pads (kotex)
o Pillow from home
o Lots of cash - bills start coming immediately
o Food for spouse or partner (meals are only provided for the mother)
Check-in: Your spouse or partner will check you in, and depending on how far advanced your labor is, you will be taken to a recovery room (to labor) or the delivery room.
- Bring the guarantee of payment (garante o pagamento) from the embassy to avoid up-front deposit requests
- A paper with your name, address, phone number, CPF, etc in portuguese
Bring the following because it can be difficult (or impossible) to obtain from the nursing staff:
o Robe
o Birthing ball
o Gatorade or Agua de Coco
o Fruits and snacks (hospital meals are spartan and heavy on rice and beans)
o Clothes for the baby in the delivery room (they only provide a diaper and thin blanket)
o Tylenol/Ibuprofen
o Ice-pack pads for perineal swelling or tears
o Heavy-flow disposable absorbent pads (kotex)
o Pillow from home
o Lots of cash - bills start coming immediately
o Food for spouse or partner (meals are only provided for the mother)
Midwives and Doulas
Midwives
Paloma Terra, CPM (homebirth, fluent English)
Tel: 8547-2222 (cell) 3046-0198 (home)
Email: paloma_terra@hotmail.com
Provides complete prenatal-postnatal care; Dra. Carla, Dra. Rachel or Dra Caren can serve as backups for Paloma's clients; Teaches Prenatal/Lactation Education
Marilia Largura, CNM (homebirth, some English)
Tel: 61-3233-9389
Email: mlargura@ajato.com.br
Doulas
Rita Pinho (English)
Tel: 9966-2294
Email: ritadoula@gmail.com
Prenatal, Labor and Postnatal Doula; Childbirth Education; Prenatal Yoga; Prenatal Support Group;
Debora Amorim (some English)
Tel: 61-8423-0525 (Oi); 61-8589-7300 (TIM)
Online: www.deboraamorimgravidas.blogspot.com ; www.parirsorrindo.blogspot.com Labor Doula; Pregnancy and birth photography; Acupuncture
Dawn Chaloux (Native English Speaker)
Tel: 7816-0459
Email: ladysk8r@gmail.com
Massage Therapist (prenatal, swedish, lymphatic, deep tissue, reflexology); Prenatal and Labor Doula
Paloma Terra, CPM (homebirth, fluent English)
Tel: 8547-2222 (cell) 3046-0198 (home)
Email: paloma_terra@hotmail.com
Provides complete prenatal-postnatal care; Dra. Carla, Dra. Rachel or Dra Caren can serve as backups for Paloma's clients; Teaches Prenatal/Lactation Education
Marilia Largura, CNM (homebirth, some English)
Tel: 61-3233-9389
Email: mlargura@ajato.com.br
Doulas
Rita Pinho (English)
Tel: 9966-2294
Email: ritadoula@gmail.com
Prenatal, Labor and Postnatal Doula; Childbirth Education; Prenatal Yoga; Prenatal Support Group;
Debora Amorim (some English)
Tel: 61-8423-0525 (Oi); 61-8589-7300 (TIM)
Online: www.deboraamorimgravidas.blogspot.com ; www.parirsorrindo.blogspot.com Labor Doula; Pregnancy and birth photography; Acupuncture
Dawn Chaloux (Native English Speaker)
Tel: 7816-0459
Email: ladysk8r@gmail.com
Massage Therapist (prenatal, swedish, lymphatic, deep tissue, reflexology); Prenatal and Labor Doula
Sidsel Alhaug Thomas
Email: octhomasfamily@gmail.com.
A Norwegian doula in Europe and Brazil for the last 35 years.
Speaks Norwegian, English and Portuguese, and have a basic understanding of other European languages.
Tatiana Antunes Barbosa (English)
Tel: (61)8511-9825/3562-5632
Email: tatiana.doularte@hotmail.com
Prenatal, Labor and Postnatal Doula; Nursing Student
Helena B. Oliveira (English)
Tel: (61) 3364-2224 / 8146-7065
Email: sydneyaustraliah@gmail.com
Prenatal and Labor Doula
Marianna Nereu (speaks English)
Tel: 61-9333-2680
Email: mari.nereu@gmail.com
Prenatal and Labor Doula; Massage therapist
Renata Beltrão (some English)
Tel: (61) 8414-3343
Email: renatasousabeltrao@gmail.com
Prenatal, Labor and Postnatal Doula; Childbirth Educator; Lactation Counselor
Rachel Bessa Rodrigues (Spanish and Portuguese, no English)
Tel: (61)9152-8110
Email: potirachel@gmail.com
Labor and Prenatal Doula; Therapeutic Reikiana
Tatiana Santos (some English)
Tel: (61)8173-0153
Email: tsantosacupuntura@gmail.com
Doula (Prenatal, Labor, Postnatal); Prenatal Acupuncturist; Childbirth Educator
Lilian Peters (No English)
Tel: (61) 8179-6471
Email: liriopeters@hotmail.com
Doula; Nurse
Vanja Mendes (no English)
Tel: (61) 8172-1722
Online: http://vanjadoula.blogspot.com Email: vanjabsb@gmail.com
Prenatal, Labor and Postnatal Doula; Physiotherapist; Pilates Instructor
Eliane da Silva
Tel: (61) 99757277, (61)30332731
Email: eliane.pequeno7@gmail.com
Volunteer doula
Support Groups
ISHTAR- Pregnancy/Perinatal Support Group
Tels: (61) 8160 7623 (Sabrina) / (61) 8108 2161 (Sylvana)
E-mail: ishtarbrasilia@gmail.com Site: http://ishtarbrasilia.blogspot.com
Monthly meetings about various birth topics
Aleitamento Solidario Brasilia
Online: http://www.facebook.com/AleitamentoSolidarioBrasil
Human milk sharing network; Brasilia's Human Milk 4 Human Babies chapter
FIND MORE PROFESSIONALS and ORGANIZATIONS (Including Local Milk Banks): http://avalarini.blogspot.com/p/doulas_28.html
A Norwegian doula in Europe and Brazil for the last 35 years.
Speaks Norwegian, English and Portuguese, and have a basic understanding of other European languages.
Tatiana Antunes Barbosa (English)
Tel: (61)8511-9825/3562-5632
Email: tatiana.doularte@hotmail.com
Prenatal, Labor and Postnatal Doula; Nursing Student
Helena B. Oliveira (English)
Tel: (61) 3364-2224 / 8146-7065
Email: sydneyaustraliah@gmail.com
Prenatal and Labor Doula
Marianna Nereu (speaks English)
Tel: 61-9333-2680
Email: mari.nereu@gmail.com
Prenatal and Labor Doula; Massage therapist
Renata Beltrão (some English)
Tel: (61) 8414-3343
Email: renatasousabeltrao@gmail.com
Prenatal, Labor and Postnatal Doula; Childbirth Educator; Lactation Counselor
Rachel Bessa Rodrigues (Spanish and Portuguese, no English)
Tel: (61)9152-8110
Email: potirachel@gmail.com
Labor and Prenatal Doula; Therapeutic Reikiana
Tatiana Santos (some English)
Tel: (61)8173-0153
Email: tsantosacupuntura@gmail.com
Doula (Prenatal, Labor, Postnatal); Prenatal Acupuncturist; Childbirth Educator
Lilian Peters (No English)
Tel: (61) 8179-6471
Email: liriopeters@hotmail.com
Doula; Nurse
Vanja Mendes (no English)
Tel: (61) 8172-1722
Online: http://vanjadoula.blogspot.com Email: vanjabsb@gmail.com
Prenatal, Labor and Postnatal Doula; Physiotherapist; Pilates Instructor
Eliane da Silva
Tel: (61) 99757277, (61)30332731
Email: eliane.pequeno7@gmail.com
Volunteer doula
Support Groups
ISHTAR- Pregnancy/Perinatal Support Group
Tels: (61) 8160 7623 (Sabrina) / (61) 8108 2161 (Sylvana)
E-mail: ishtarbrasilia@gmail.com Site: http://ishtarbrasilia.blogspot.com
Monthly meetings about various birth topics
Aleitamento Solidario Brasilia
Online: http://www.facebook.com/AleitamentoSolidarioBrasil
Human milk sharing network; Brasilia's Human Milk 4 Human Babies chapter
FIND MORE PROFESSIONALS and ORGANIZATIONS (Including Local Milk Banks): http://avalarini.blogspot.com/p/doulas_28.html
English-speaking OB/GYNs
Dra. Rachel Costa dos Reis
Tel: 3245-1322 cell: 9982-8600
Santa Lucia Hospital - SHLS 765 (Asa Sul) Sala 306
Dr. Camila Lueneberg
Tel: 3245-7513 or 9229-8157
Address: SHLS 716, Bloco F, Lote 10, Sala 601 Edificio Osvaldo Cruz
Tel:3364-0052
Address: SHIS QI 15, Victoria Medical Center (across the parking lot from Hospital Brasilia)
Dra. Carla Daher
Tel: 3447-2579/9167 0693
Address: 704/705 Asa Norte Bloco E, Entrada 52, sala 103
Dr. Frederico Luis Felipe Coelho
Tel: 3245 2003 cel. 9982 2155
Address: SHLS 716 conj.A, Sala 303 Ed Unimed
Dra. Vera Lúcia Coimbra
Tel: 3345-7777 consultório
Dra. Geovana Mendonça de Melo
Tel: 3245 6337
Address: SEP/Sul 715/915 Centro Clínico Pacini Bloco “D” – Sala 224
Dra. Jussara Pasquali
Tel: 3328-0489; 9975-6333, 3335-0188, 3233-0064
Dra. Caren Vanessa Cupertino
Tel: 3325-4300, 3325-4313 3325-4313
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