How should a blood sample for hemoglobin be collected from a child with hemophilia?

In children with hemophilia, the most appropriate method for collecting a blood sample for hemoglobin analysis is venipuncture. This technique is preferred for several reasons.

Firstly, venipuncture provides a larger volume of blood compared to other methods, which is beneficial for obtaining adequate samples necessary for accurate testing, especially in cases where multiple tests are warranted. Secondly, it reduces the risk of repeated punctures, which can cause more trauma to the child, particularly in those with bleeding disorders.

Children with hemophilia have a predisposition to bleeding; hence, techniques that ensure less chance of complications or excessive bleeding are preferred. Venipuncture is less likely to result in capillary bleeding compared to capillary finger sticks or ear lobe punctures. Additionally, it avoids the potential for bruising and collection errors that might arise from less controlled methods like heel sticks or punctures to the earlobe, which can also result in additional pain and stress for the child.

Therefore, venipuncture is the safest and most effective way to collect blood for hemoglobin testing in a pediatric patient with hemophilia, ensuring minimal discomfort while obtaining the necessary specimen safely.