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Venipuncture for a 1 year old?
njmomma
Posts: 531
I had a 1 year old checkup for my daughter yesterday. The pediatrician told me to go to the lab to get my daughter's blood drawn to check for lead and anemia. She told me its a standard procedure and its done for every single baby. When I asked her if its a finger stick, she said that they will take blood from her vein, not her finger.
I was not too happy about it. I don't think my daughter has anemia or lead posioning. And it seems to me that she is way too young to get her blood drawn from her vein. I can't see any of her veins, and I know it is more difficult to do a venipuncture on a young baby. Plus I have horrible veins, and according to my multiple experiences with venipunctures, techs kept on sticking and sticking me and kept on missing my veins and I always got bruises after venipunctures from multiple unsuccessful attempts.
Anyway, I still went to the lab (all shaken and scared for my baby) that was in the same building as my ped's office. The phlebotomist was not a friendly guy. He basically told me to sit in a chair with my daughter, restrain my daugher, by holding her arm still, while she will be screaming and kicking, and that he will take 2 vials of blood from her vein.
I could NOT bring myself to do it. I CAN'T keep on holding my daughter's arm, while watching another person inflicting pain on her, and restraining my daughter for that particular person. I just can't. Plus I don't think that tech had any special experience with babies, it was a lab for everyone (many other practices in that building). So when he told me that all babies have to do it, I told him that Not MY baby, then I got up from the chair with my daughter and walked out of the lab.
So we didn't get any blood drawn from her vein yesterday. I know my ped will give me a huge lecture on it, next time I will see her.
Did anyone here refuse venipuncture for a young child, if you don't think that a child have health problems? Is a venipuncture really necessary, why can't they do a finger stick instead? Is it just me that thinks that it can be a traumatic experience for a child (by getting restrained by her own mother, while some stranger hurts her by poking her vein with a needle and there is a good chance that he will poke her few times if he can't find a vein right away)? Or is it just more traumatic for a parent than it is for a child?
I was not too happy about it. I don't think my daughter has anemia or lead posioning. And it seems to me that she is way too young to get her blood drawn from her vein. I can't see any of her veins, and I know it is more difficult to do a venipuncture on a young baby. Plus I have horrible veins, and according to my multiple experiences with venipunctures, techs kept on sticking and sticking me and kept on missing my veins and I always got bruises after venipunctures from multiple unsuccessful attempts.
Anyway, I still went to the lab (all shaken and scared for my baby) that was in the same building as my ped's office. The phlebotomist was not a friendly guy. He basically told me to sit in a chair with my daughter, restrain my daugher, by holding her arm still, while she will be screaming and kicking, and that he will take 2 vials of blood from her vein.
I could NOT bring myself to do it. I CAN'T keep on holding my daughter's arm, while watching another person inflicting pain on her, and restraining my daughter for that particular person. I just can't. Plus I don't think that tech had any special experience with babies, it was a lab for everyone (many other practices in that building). So when he told me that all babies have to do it, I told him that Not MY baby, then I got up from the chair with my daughter and walked out of the lab.
So we didn't get any blood drawn from her vein yesterday. I know my ped will give me a huge lecture on it, next time I will see her.
Did anyone here refuse venipuncture for a young child, if you don't think that a child have health problems? Is a venipuncture really necessary, why can't they do a finger stick instead? Is it just me that thinks that it can be a traumatic experience for a child (by getting restrained by her own mother, while some stranger hurts her by poking her vein with a needle and there is a good chance that he will poke her few times if he can't find a vein right away)? Or is it just more traumatic for a parent than it is for a child?
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If my child had an illness where the blood was necessary to help them, then by all means I will hold my child down and keep them as still as I can so it can be over as fast as possible. I just had to do this for the first time with my own child (for H who is 3) and it is heartbreaking but not completely torturous. We went to the hospital to have it done at the lab there and requested a pediatric nurse or a NICU nurse to be sure we had the best chance of it being successful on the first attempt.
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Anyway, if it were me, I wouldn't skip it, but I would find a different place to go get it done.
4.5 years!
I have had to do it 3 times with Kate. The first at 18 months was awful of course but it was a pediatric nurse, she was great and it was over quickly. The second time was at 3 almost 4 and it was SO much worse. But the 3rd time took the cake because it was a short time (maybe a couple months) after the second time so she remembered it! THAT almost killed me, because she knew before it even started what was about to happen!
I guess I just don't think it's that big of a deal. I've had to hold my kids down before and while it's not pleasant, its usually over quickly. AND not to mention I think finger pricks hurt way more than the veins. I personally would rather have my blood drawn then tested via finger.
Also they should be able to get plenty of blood from a heel stick if you don't want it drawn from her veins. They had to take a lot of blood from R to check med levels when she was 1-4 weeks old and they always did a heel stick. It sucked, but wasn't traumatic. Then again, a 12 month old is starting to walk and using their feet more, not sure if that makes a difference as far as lingering pain. But from what everyone else on here said, it sounds like a simple finger prick should suffice. Can you do some research on how they test for the lead and why they'd need to go into a vein?
Whatever way you do it, I think it's going to be unpleasant for your baby. But calmly tell her right before the procedure what's going to happen, that it will hurt but it will be over quickly and it's important so she stays healthy. Even if you have to hold her down, at least she gets the message that it is important and that you aren't trying to hurt her. The more calm you stay, the more calm she'll feel. I always sang a little comfort/distracting song to R when she had to get her labs done and that helped me stay calm.
Haven't read the other responces, but I personally would have done the testing, and I am normally against "extras". BUT., I have lived with anemia all my life, and it would have been nice to know and treat as a child rather then discover it as a teen when I was already SO low it took IV irons to get them back up. And living in a high lead town, lead exposure can be extremely harmful for brain development. Lead exposure also doesn't show up as lead poisoning until it is far too late to treat. All three of my kids have had high blood lead levels as toddlers, but within the "normal high" range, without testing I would not have known what steps to take to keep it in the normal and even bring it back to the low range.
Need to update a ticker, Silas Anthony Jordon born Oct 11, 2013. 6th baby, so much love!
BFP- 8/9/09 at 10DPO, after 4 years TTC. Sydnee born on April 14th 2010. BFP #2 at 11DPO 9/29/12. Due 6/11/13
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Ask for numbing cream for her arm before the stick and she should be able to stare right at it and feel nothing.
I would still rather do a finger prick instead of the vein, and mainly because it is more difficult to find veins in a very young child and there is a good chance that they will have to stick her vein few or multiple times instead of just once (especially with a tech who doesn't specialize in babies), and I am absolutely NOT willing to put her through this. If anything I would just have to find a different doctor (that will agree on the finger prick), which I don't mind, since there are many other issues that my pediatrician and I disagree on anyway.
Klt86, I am so sorry your daugher had to go through this. I hope you get very good and experienced NICU or Ped nurse and it will be very quick and painless.
When I was an intern, I was drawing some blood by fingerstick and I was like "Okay, take a deep breath, IT wont hurt." Naturally, instead of pricking the patient, I pricked myself : "SON OF A BIT-- .... "Oh, well, even though I'm bleeding profusely it still doesn't hurt. Can you excuse me?" ::FAINT:: Believe me, that venipuncture might be far less traumatic.
In my life I had both, multiple finger sticks and many venipunctures. So I am very familiar with the pain that's associated with both, so the quesion was not really about that. However, I know that babies have smaller veins and their veins are much harder to find. So I asked parents here about their experiences with their babies for that particular test, and I was really glad to find out that they still do finger pricks for that kind of testing and btw as a nurse, I was glad that nurses here that replied to me agreed with me on the finger stick.
If we do use venipuncture on some one that young, there are very specific protocols we're supposed to follow. Some one that young doesn't have alot of blood in their body, so we have to be very careful how much we take and it's supposed to be documented. You could literally kill an infant child if you draw too much of their blood. Not only this but it's very easy to cause damage to the surrounding tissue around the vein. Main concern being nerve damage. These are reasons why we generally do not use venipuncture on anyone younger than two years old.
I had a 2 month old baby come into the clinic today. They ordered a bundle of tests and wanted it done by venipuncture. On a 2 month old child..... We refused to do it. Me and my coworker did a heel stick instead. Never be afraid to refuse any medical procedure. You have rights, and you can refuse any medical procedure.
So I know I necroed this thread, but hopefully some one else will see this post. If some one wants a venipuncture performed on your child younger than 2 years old, I do not recommend that you allow it. If you do, find some one who specializes in pediatrics. While a blood draw seems like a simple procedure, it can be fatal in a infant.