An Ultrasound Technician Shares Her Approach to Delivering Difficult News

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I vividly recall my first ultrasound experience. I lay on that exam table, with my partner beside me, trying to balance my focus between the vibrant image on the monitor and the expression of the ultrasound technician. My excitement surged and waned, influenced by what I thought were subtle cues from her—though she maintained a professional demeanor throughout.

I asked if everything was alright, holding my breath for her response. The relief flooded in when she confirmed that all looked well, smiling as she began to explain the images.

After the appointment, I didn’t spare a thought for the technician. I was oblivious to the emotions of others who had come before or would follow me.

That changed after watching a poignant Facebook video by Emma Hughes, a diagnostic medical sonographer. Set to Mika’s “Grace Kelly,” Hughes shared her experiences, describing the joys and heartbreaks of her role.

“Until days like today,” she wrote.

On the day she posted the video—which has since garnered over 2.3 million views—Hughes faced the heart-wrenching task of scanning a 38-week fetal demise. She was the first to uncover the tragic news.

Hughes recounted, “Today I comforted a mother engulfed in sadness. I reassured her that she was not at fault. I held back tears until she left, then took a moment to steady myself before greeting the next expectant mother who was eager to learn her baby’s gender.”

Her words encapsulate the emotional duality faced by those in her profession, who must navigate between grief and elation in rapid succession. Embracing a stranger’s sorrow, then shifting to celebrate another’s joy, demands an emotional resilience that often goes unnoticed.

It’s easy to overlook that the same rooms where joyful news is shared are also where devastating news is delivered, and the technicians delivering both are tasked with a heavy emotional load. Hughes highlighted the emotional breadth that her job requires.

In an interview with TODAY Parents, she explained her response to detecting abnormalities on an ultrasound. “I almost switch into robot mode,” she said, emphasizing the need to gather essential data without revealing her emotions. Patients often scrutinize the technician’s expressions, searching for signs of hope. A single fleeting look could trigger deep distress, complicating the technical task at hand.

Once the technical part is complete, Hughes connects with the mother. “I’ll touch her gently. It’s a way of showing I care, then I say, ‘Things don’t look quite the way I anticipated, so I’ll fetch the doctor.’”

“I want them to know I’m human and I genuinely care,” Hughes shared. “These mothers stay in my thoughts long after I leave the room.”

In the era of social media, even the most heartfelt intentions can be misunderstood, and Hughes faced criticism for supposedly judging a mother who was excited about the baby’s gender. However, she clarified, “I have to quickly recompose after delivering difficult news. I need to enter the next room upbeat, despite my heartache for the grieving mother.”

Her approach isn’t about judgment; it’s about creating a safe space for the next mother to celebrate. Had Hughes entered with visible sorrow, it would have overshadowed the joy of the second mom.

Most professionals in Hughes’ field don’t last long, but she has committed to this path for a decade. “You’re the first to know when things go terribly wrong,” she told TODAY Parents. “It’s emotionally taxing, but I’ve found my calling.”

Having faced challenging news myself in medical settings, I hold a special appreciation for the compassion shown by technicians, doctors, and nurses who support patients through their grief, treating them with genuine care rather than as mere tasks on a checklist. The kindness exemplified by Hughes is unforgettable, and it’s crucial that those in her role recognize the profound impact their empathy can have.

For more insights into the journey of home insemination, you can check out other articles on our blog, such as this one.

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In summary, ultrasound technicians like Emma Hughes play a vital role in navigating the emotional landscape of their patients, balancing the delivery of both good and bad news with remarkable compassion. Their ability to switch between mourning and celebrating highlights the emotional complexity of their profession.

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