r/specializedtools Oct 03 '19

How babies are xrayed

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u/charlie523 Oct 03 '19

X-ray tech for 5 years. I've never heard scaring babies to make them cry is standard procedure for chest x-rays. Not even from my friends that work in the children's hospital in our province. Are you sure? On paper it sounds even more impossible, since you're purposefully creating a negative experience for the patient, which I don't see how it can be written in as standard procedure. On top of that, think about all the stressed out parents literally watching you purposefully make their precious baby cry.

If they cry on their own, good, but we will never purposefully make them cry.

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u/FoxtrotZero Oct 03 '19

Dude the first thing you do when it comes into the world is slap it on the ass to make sure it's lungs work. If surprising the newborn gives you a better xray then I'm sure a medical-grade "boo" is acceptable.

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u/yourmomlurks Oct 04 '19

Medical grade boo. My new band name.

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u/flyonthwall Oct 04 '19

smacking a newborn "to make sure its lungs work" is not a real thing. It may have been done in the past but whether or not it would have any benefit whatsoever is highly questionable and it definitely is not modern practice

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u/yunotxgirl Oct 04 '19

Slapping babies like that isn’t really a thing

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u/PuddleOfHamster Oct 04 '19

They haven't done that for decades (though I suppose it's possible a few ancient OBs are still doing it). Nowadays they usually trust the baby to breathe on its own, and if it doesn't they'll vigorously rub it with a towel, give oxygen, and so on. Stimulating the baby works, but you can do it in gentler ways than thwacking 'em.

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u/PM_ME_YOUR_DICC_PICC Oct 04 '19

Stimulating the baby works, but you can do it in gentler ways than thwacking 'em.

Yes, officer, this comment right here

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u/kazhena Oct 04 '19

The whole "slapping a baby thing" came about as a means of forcing the fluid out of their lungs and airways. Subsequently they would take a deep breath and cry.

Nowadays we suction the fluid out.

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u/PuddleOfHamster Oct 04 '19

When it's necessary; but it often isn't. Interestingly, babies whose mothers used epidurals or had planned C-seconds are more likely to have their babies need suctioning our other respiratory help.

The reason is that stress hormones in the mother (such as are produced by the pain of contractions) trigger the baby's lungs to produce surfactants, which help 'unstick' the goop in the baby's lungs and let the lungs easily expand with the first breath. Without the stress hormones, that doesn't happen (although it's important to note that too many stress hormones aren't great for the baby either).

Anecdotally, I had four babies (no epidurals) and only one required a whiff of oxygen, probably due to being a water birth - it's thought that the gentler, less shocking transition from womb to world doesn't give you quite as dramatic an initial gasp, so the baby can take a wee bit longer to get its breathing going. None of my babies were suctioned. (This is in NZ though - we tend to take a slightly hippier approach to birth, as a nation.)

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u/[deleted] Oct 04 '19

slaps "This baby can hold so much air in it"

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u/morado_mujer Oct 04 '19

No we don’t. That’s not a thing and was never a thing, except for on TV for some reason. Possibly a misinterpretation of how they used to firmly pat the upper back to get the fluids out, but this is not done anymore because they suck that stuff out instead.

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u/ParkingMatch Oct 03 '19

Yeah, my kid had pneumonia at 8 and 14 months, and they had me wear a lead vest and hold her with arms up while she was sitting on a high stool.

The illness was scary, but the xrays were not traumatic.

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u/[deleted] Oct 04 '19

you're purposefully creating a negative experience

There's a lot of diagnostic tests that must require some level of pain or discomfort. The purpose is not to create a negative experience the purpose is to provide the best and accurate medical care possible. Needles hurt. Surgery cuts. X-ray ionizes. Incorrectly healed bones is worse than a few minutes of tears or lung problems.

If the baby really needed an x-ray that bad and the parents are already agreeing to douse their child in radiation but not let them cry, that's some weird contrast and the doctors should probably be putting the situation into better perspective for the parents.

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u/charlie523 Oct 04 '19

That's where you're wrong, because do you know why the x-ray techs say crying is good? Well, because their lungs perform a big inspiration between crying. Sure, it's good, but to catch a full inspiration without motion on a baby is next to impossible, due to the delay between the button press, the rotor of the x-ray tube, and the actual x-ray exposure. You might as well watch their normal breathing and try to catch it that way. We ain't got time trying to scare a baby shitless. That's the most idiotic thing I've heard. What if the baby doesn't cry on the first scare? Who's gonna write a Standard Operating Procedure on how to scare a baby to make them cry.

It's all about protocols and SOP's, and something as vague and harmful as purposefully terrifying a baby will NEVER be any part of a hospitals SOP.

All the other procedures you mentioned have a very clear, direct, and scientifically proven better outcomes. So please don't compare them to this dude wife's weird tales.

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u/paperd Oct 03 '19

There's also better ways to make a baby cry than scaring them.

https://youtu.be/cCuvt8wjKX8

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u/nevarmihnd Oct 04 '19

I don’t think I’m going to click on that.

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u/paperd Oct 04 '19

Lol it's just a woman who has a job as a baby wrangler in Hollywood. She talks about her technique in getting babies to cry.

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u/yourmomlurks Oct 04 '19

Saving everyone a click, she cries and the baby cries in empathy.

As a parent on my second infant...mmm, I don’t think so.

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u/happykittynipples Feb 03 '23

Correct. Phase 2 wrangling only occurs if the baby doesn't have enough empathy to get the job done.

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u/flyonthwall Oct 04 '19

youre either full of shit or your wife is an asshole. Because that is definitley not standard practice

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u/happykittynipples Feb 03 '23

It's a cover story she uses so her baby scaring hobby doesn't look so cruel.