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FACT
SHEET SHAKEN BABY SYNDROME 1.A
Definition
of Shaken Baby Syndrome
The term "Shaken Baby Syndrome"
(SBS) describes the consequences, which occur when a young child's head
is whiplashed back and forth during shaking. Babies can be easily injured when
shaken. Their neck muscles aren't strong enough to control head movements, and
rapid movement of the head can result in the brain being bruised from banging
against the skull wall. Bleeding
behind the eyes and in around the brain occurs and can cause serious injury.
Depending upon the shaking, consequences may include seizures, partial or total
blindness, paralysis, mental retardation, or death. In cases of less violent and
sometimes chronic shaking of a young child, long-term outcomes can include
attention deficits disorder and learning disabilities.
"Colic" or inconsolable crying precipitates most
shaking. The constant crying frustrates and angers parents or other child
caregivers until they lose control. Sometimes people shake babies out of
frustration over toilet training, feeding problems, or the child's interruption
of television viewing. Sometimes ignorance of the dangers of
shaking is a contributing factor. People realize that hitting hurts kids, but
may not be aware that shaking can be harmfully dangerous as well.
Be patient. No matter how impatient or angry you feel,
DO
NOT SHAKE THE BABY.
If you have had all you can take, take a break
and rethink your thoughts. Babies and young children are trying to communicate
certain thoughts or feelings with their emotions. It's all about communication.
Learn their language and they'll learn yours soon enough.
Some parents believe shaking a baby is a less harmful
way of coping with frustrations of caring for a fussy child than hitting or
slapping the child. But, according to several pediatric neurosurgeons, vigorous
shaking can cause the type of harm to a child that an adult might suffer in a
high-speed crash.
A baby's muscles are under-developed and, as a result,
babies cannot hold up their head. In addition the head of the baby comprise
about 10%-15% of the total body weight where as an adult head comprises only
about 2%-3% of total weight.
A baby that has been shaken may be semi-conscious or
lethargic (very slow responding). The baby may start vomiting, have difficulty
breathing or have spasms or convulsions. If
this happens the head may swell and the damage to the brain, if not fatal, can
cause mental retardation, cerebral palsy, paralysis, and blindness.
The age range of babies and children with SBS are from
less than one (1) month old to twenty-seven (27) months, with the average being
seven point six (7.6) months. 52% of these victims died as a result of being
shaken and 20% suffered blindness.
The leading reason for deaths after a baby has been
shaken is not reporting or recognizing the signs and symptoms and getting proper
medical help. 20%-25% of teenagers and Adults do not know what SBS is. The age
of the person involved in SBS cases range from 14-46 with an average age of 22.
Of these 81% had no previous
history of child abuse and 72% had no case history with drugs or alcohol.
Preliminary findings are that offenders in these cases do not fit the pattern of
the typical child abuser.
Remember the key to successful prevention is education.
Always ask and never assume. Directors and Administrators of schools and Day
Cares are well learned in early detection of child abuse. Ask for help and keep
in mind, knowledge is power and education is the way to a safer and healthy
life.
PHYSICAL
CONSEQUENCES OF SHAKING
AN
INFANT OR TODDLER
· When
shaking occurs, the brain bounces within the skull cavity, bruising the brain tissue.
·
The Brain swells, creating pressure and leading to retinal (back
of the eye) bleeding. This can cause blindness.
·
Some blood vessels feeding the brain are torn away leading to
additional brain damage or abnormalities.
·
Blood pools within the skull, creating more pressure.
· This can lead to:
| IMMEDIATE CONSEQUENCES | LONG-TERM CONSEQUENCES |
| Breathing May Stop | Learning Disabilities |
| Seizures | Physical Disabilities |
| Limp Arms and Legs | Visual Disabilities |
| Excessive Drooling | Speech Disabilities |
| Heart May Stop | Seizures |
| Death | Death |
Why:
·
Babies' heads are large and heavy, making up 25% of their total body
weight. Their neck muscles are too weak to support such a disproportionately
large head.
When:
·
Deliberately shaking an infant/child out of frustration or anger. This
most often occurs when the baby won't stop crying. Other triggering events
include toilet training difficulties and feeding problems.
FACT
SHEET SHAKEN BABY SYNDROME 4.A
·Meet
the baby's basic needs: feed, change, make comfortable, etc.
·Check
for signs of illnesses, like a fever or swollen gums. If signs
are present call your doctor or administer proper care based
on symptoms.
·Rock, walk
or dance with the baby.
·Take the
baby for ride in a stroller, or in a car seat in the car.
·Place the
baby in a wind-up swing.
·Cradle the
baby snugly in a soft, warm blanket.
·Check to
make sure that clothing is not too tight, or that fingers
or
toes are not bent.
·If
you are frustrated and need a break, put the baby in a playpen or
crib, go to another part of the house and do something to
calm down.
·Turn
up the music on the stereo, run the vacuum, turn on the dryer, or let water run
in a tub or sink for a few minutes: babies enjoy consistent, rhythmic noise.
·Sing
or quietly talk to the baby.
·Offer
the baby a noisy toy; shaker or rattler, demonstrate the noise movement
·Put
the baby in a soft front carrier close to your body and breathe slowly and
calmly; the baby may feel your calmness and become quiet.
·Give
the baby a pacifier.
·Lay
the baby's tummy down across your lap and gently rub or pat his/her back.
·If
it permits, try giving the baby a bath; the warm water might be calming.
·Massage
the baby's body and limbs gently or tickle soft circles on their face.
·Call
a friend or relative you trust to take over for a while, then get away, get some
rest and take of yourself.
·If
nothing works, put the baby on his/her side in bed, close the door and turn up
the radio or TV. Be sure to check on the baby every 10-15 minutes.
FACT
SHEET SHAKEN BABY SYNDROME 5.A
Did
You Know…
· Shaking
a baby or child can cause severe consequences such as blindness, brain damage
and even death.
· The
number one reason a baby is shaken is because of inconsolable crying.
· In
state studies more than 70% of the perpetrators of Shaken Baby Syndrome are
male, of those 42% are not the fathers of the baby.
· In
more state studies more than 60% of the victims of Shaken Baby Syndrome are
women who are under financial difficulties.
· Babies'
necks are too weak to support their heavy heads. Consequently, when they are
shaken, the head moves back and forth, side to side creating a neurological
problem in which damage cannot be fixed.
· A
baby's brain and the blood vessels connecting the skull to the brain are fragile
and immature. Therefore, when a baby is shaken, the brain moves violently
around. Blood then pools in the lower cavity of the skull.
· If
you have met the baby's basic needs and done all you can to try to calm the
crying baby, it is okay to leave the baby in a crib or other safe place and go
to another part of the house for a while and recheck on the baby every 10-15
minutes, if the baby is laying down and trying to nap remember to lay the baby on Its
side.
last updated 2-1-09