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The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation,
advice, diagnosis or treatment by a healthcare professional.
(Infant test/procedure preparation)
Test/procedure preparation - infant; Preparing infant for test/procedure
For older children, research has shown that preparation may reduce crying or resistance of the procedure. Prepared children
report less pain and show less distress. Proper preparation for a test or procedure may reduce an older child's anxiety, encourage
cooperation, and help develop coping skills.
Given the developmental level of your child (0 - 1 year), pre-test preparation will be of little benefit, but some considerations
may ease your anxiety.
Before the test, know that your child probably will cry, and restraints may be used. The most important way you can help
your child through this procedure is by being there and showing you care.
Crying is a normal response to the strange environment, unfamiliar people, restraints, and separation from you. Your infant
will cry more for these reasons than because the test or procedure is uncomfortable.
Knowing this from the onset may help relieve some of your anxiety about what to expect. Having specific information about
the test may further reduce your anxiety. For more information please see the appropriate test.
WHY RESTRAINTS?
Infants lack the physical control, coordination, and ability to follow commands that older children and adults usually
possess. Restraints may be used during a procedure or other situation to ensure your infant's safety. Your infant may be restrained
by hand or with physical devices.
For example, if your infant needs an x-ray, clear test results require there be no movement. Furthermore, in radiological
and nuclear studies, all staff briefly leave the room while the films are taken. In these situations, restraints are used
for your infant's safety.
If a venipuncture is performed to obtain a blood sample or start an IV, restraints are important in preventing injury
to your infant. If your child moves while the needle is being inserted, trauma could damage the venous system, bone, tissue,
or nerves.
Most tests and procedures require extreme accuracy to obtain the desired outcome, whether to place an IV correctly, ensure
accurate test results, or to avoid injuring the infant.
Your provider will use every means to ensure the safety and comfort of your baby. Besides restraints, other measures include
medications, observation, and monitors.
DURING THE PROCEDURE
Your presence helps your infant during the procedure, especially if the procedure allows you to maintain physical contact.
If the procedure is performed at the hospital or your health care provider's office, you will most likely be given the opportunity
to be present.
If you are not asked to be by your child's side and would like to be, ask your provider if this is possible. If you think
you may become ill or anxious, consider keeping your distance, but remaining in your infant's line of vision. If you are not
able to be present, leaving a familiar object with your infant may be comforting.
OTHER CONSIDERATIONS
* Ask your provider to limit the number of strangers entering and leaving the room during the procedure, since this
can raise anxiety.
* Ask that the provider who has spent the most time with your child perform the procedure.
* Ask that anesthetics be used where appropriate to reduce the level of discomfort your child will feel.
* Ask that painful procedures not be performed in the hospital crib, so that the infant does not come to associate
pain with the crib. Many hospitals have special treatment rooms where procedures are performed.
* Imitate the behavior you or your health care provider need the infant to do, such as opening the mouth.
* Many children's hospitals have child life specialists who are specially trained to educate patients and families
and advocate for them during procedures. Ask if one is available.
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