Seeking advice from a pediatrian

CryBoy

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If you are a pediatrician or an M.D. please get my email from Jack. I have a question about a precedure that was done to my 13-month old daughter yesterday.
 

CryBoy

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My 13-month old daughter ran a 104.6 temperature a couple of days ago. Her pediatrician ordered a blood test and a urine test. They collected her urine using a catheter. A day later, my wife noticed that our daughter's hymen has been broken.

Question 1: Is this common in this type of urine collection?

Question 2: Why wasn't I notified that this could happen?

Question 3: Dumb question, but I will ask. Does it heal itself because she is so young?

Thanks for any insights into this matter.
 

Jamaica1997

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That could not have happened with a Urine collection. My wife was a nurse for a OBGYN for 10+ years.

The urine collection would be in the urethra tube while the hymen is located in the vaginal canal.

Hope this clears everything up for you and your daughter is fine.
 

saint

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That could not have happened with a Urine collection. My wife was a nurse for a OBGYN for 10+ years.

The urine collection would be in the urethra tube while the hymen is located in the vaginal canal.

Hope this clears everything up for you and your daughter is fine.

Maybe a resident had too much coffee that day? :)
 

saint

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Not the time for a joke Saint :nono:

Okay to make amends I called a friend who is a physician. He said it's not likely but it certainly is possible. There was some truth to my previous though. Is it a teaching hospital? That is something that is much more likely to happen with an inexperienced resident.

Good luck. I'd try contacting them and asking directly.
 

Sportsaholic

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Okay to make amends I called a friend who is a physician. He said it's not likely but it certainly is possible. There was some truth to my previous though. Is it a teaching hospital? That is something that is much more likely to happen with an inexperienced resident.

Good luck. I'd try contacting them and asking directly.


Nice comeback Saint!

Hope all is well CryBoy
 

CryBoy

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What makes your wife think the hymen was broken?
She called me at work today and cried over the phone after changing our baby's diaper. I know nothing about this subject. My wife is very cautious and attentive to our daughter's private areas. I guess she's a woman and she knows if the hymen in a girl is broken or not. I pray to god that she is wrong.

I was there holding my child down while the two nurses did the urine collection. Their hands were not steady at all. I don't know how long this sort of procedure should take, but it took these two nurses about 3 minutes to find the right place to draw the urine. Once the catheter was inserted in the right place, it took under 30 seconds for the urine to drain into the cup. My concern is their inexperience. It was done in the pediatrian's office.

I hope I can find more answers to relieve my wife's stress.
 

SixFive

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I've never catherized a baby/toddler/young child, but I have catherized thousands of adults. If your wife just saw some blood in the diaper (that's what I'm assuming), I don't think it neccesarily means the hymen was broken. If she has a bad enough urinary tract infection, there will be blood (doubtful enough to see, but possible), there could be a nick or small cut in the area that bled, the catheter could have traumatized her causing some bleeding later are some reasons I can think of.

I don't think you can visualize the hymen. I actually think you have to use a speculum to see if the hymen is intact; seems like I've read about prospective brides in some culture that used to have to undergo this procedure or maybe even still do?


Hope she gets better fast!
 

CryBoy

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If your wife just saw some blood in the diaper (that's what I'm assuming), I don't think it neccesarily means the hymen was broken. If she has a bad enough urinary tract infection, there will be blood (doubtful enough to see, but possible), there could be a nick or small cut in the area that bled, the catheter could have traumatized her causing some bleeding later are some reasons I can think of.
There was no trace of blood at all, before or after. There has never been any trace of blood. I hope my wife is wrong in identifying our baby's hymen. She is just so stressed out over this. Our daughter's temperature is down under 100 now. That's a great relief because it was hovering between 103 to 104.6 for two days.

We'd just like to know the possibility of an inexperience nurse with jittery hands can probe in the wrong place and accidentally break the hymen in a young baby girl.
 
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SixFive

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There was no trace of blood at all, before or after. There has never been any trace of blood. I hope my wife is wrong in identifying our baby's hymen. She is just so stressed out over this. Our daughter's temperature is down under 100 now. That's a great relief because it was hovering between 103 to 104.6 for two days.

We'd just like to know the possibility of an inexperience nurse with jittery hands can probe in the wrong place and accidentally break the hymen in a young baby girl.

ohhh, I was just assuming u saw blood... I really doubt it now. Hope she gets well soon with the fever and all. I remember those nights with sick little kids/babies!
 

VaNurse

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Catheterizing a 13 month-old baby girl is no piece of cake even for an experienced nurse and taking three minutes to perform it is certainly no criteria for considering a nurse incompetent. While it is possible to "miss" the urethra and enter the vaginal opening, the small, flexible catheter being used would not perform permanent damage.

With all due respect to your wife, I don't understand the concern over the presence or absence of an intact hymen in your little girl. It is a virtually useless piece of tissue that has historically and culturally had way too much emphasis placed upon it.
 

CryBoy

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With all due respect to your wife, I don't understand the concern over the presence or absence of an intact hymen in your little girl. It is a virtually useless piece of tissue that has historically and culturally had way too much emphasis placed upon it.
I agree with you, but it is a cultural thing for my wife. At any rate, I thank you all for your concerns and honest opinions. I believe SixFive is correct. No more worries.
 
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