For culture, looking for urine infection, traditionally midstream urine, or at least clean catch. Hard if not toilet trained.
New urine collection method –
- Feed first!
- Then hold the baby under their armpits with their legs
dangling. Another person then starts bladder stimulation – gentle
tapping in the suprapubic area at a frequency of 100 per minute for
30 s. - The third step is stimulation of the lumbar paravertebral zone in
the lower back with a light circular massage for 30 s.
Repeat as necessary. 86% successful within 5 minutes, mean
57secs!
[ [Madrid Infanta Sofia hospital, as reported in Arch Dis Child
2013;98:27-29 doi:10.1136/archdischild-2012-301872]]