Heritage Centers E-Learning:

Who's Watching the Baby? Preventing Shaken Baby Syndrome

 

Credits as 1/2 hour course (GO 120)

Upon completion of this session, submit the Evaluation to Training Deptartment to receive credit.

 

Contents:

·        What is Shaken Baby Syndrome?

·        Symptoms

·        Who Would do this and Why?

·        Soothing a Crying Baby

·        Summary and Closing

·        References

 

What is Shaken Baby Syndrome?

 

SBS is the resulting physical and mental damage in a baby who has been violently shaken.  This shaking causes the baby's head to whip back and forth on its weak neck resulting in the brain ricocheting against the inside of the skull and pulling apart causing blood vessels to tear away and blood to pool in the skull.  It is the leading cause of severe head injuries in infants and causes permanent disability or death.

 

Most victims of Shaken Baby Syndrome are under the age of 6 months.  However, it can occur in children up to age three and in rare cases, children up to age 5.

 

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Symptoms

 

Click here for symptoms of SBS.  

 

Symptoms may not show up immediately and developmental disabilities created by shaking the baby may not show up until after age 6.  These disabilities may never be associated with an incident of shaking that took place during infancy, especially if there was no physical injury noted at the time.

 

In mild cases with no immediate symptoms, the baby may not get medical care or they may be misdiagnosed with illness or colic.  Unfortunately, these babies are at risk of being shaken again, worsening any injury or brain damage.

 

Shaken Baby Syndrome can lead to:

•         Broken ribs

•         Eye damage, possible blindness

•         Hearing impairment

•         Speech impairment

•         Developmental delays

•         Cerebral palsy

•         Behavior disorders

•         Seizures

•         Spinal cord damage, possible paralysis

•         Brain damage

•         Death

 

Some of our consumers and students may very well be here because they were shaken as babies.  25% of victims die. Of the ones that survive, almost all have severe injuries, brain damage, or developmental disabilities, and may require lifelong medical care.

 

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Who would do this and why?

 

Mothers are the smallest group of perpetrators of shaken baby syndrome.  Families living at or below the poverty level are at increased risk for SBS.  Below are more statistics on who would shake a baby.

•         The baby’s mother- 13%

•         The baby’s father/stepfather- 37%

•         Mother’s boyfriend- 21%

•         Babysitter/caregiver- 21%

•         80% of perpetrators are male

•         60% of victims are male

 

The number one reason that babies are shaken is for inconsolable crying.  Other primary reasons include toilet training difficulties and feeding problems.  Some babies have been shaken because they were not breathing.  Performing infant CPR and calling 911 are the proper steps to take for an infant who is not breathing.  Shaking them will not help revive their breathing

 

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Soothing a Crying Baby

 

The average baby cries between 2-3 hours per day, some even more.  This is normal.  Shaking a baby will not calm it down.  All caregivers need to realize this and remember to never shake a baby. 

 

Click here to see suggestions for soothing a crying baby.

 

If you believe a baby has been shaken, seek immediate medical attention for the baby.  Call 911 and tell the medical personnel that the baby was shaken so that precious time will not be wasted on their looking for other conditions.  Prompt medical attention can reduce injuries, brain damage and may even save the baby's life.

 

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Please print and complete the Review Exercise.

 

Summary and Closing

 

Shaken Baby Syndrome is the condition that results from an infant being shaken rough enough for his/her neck to whip back and forth resulting in the brain being damaged against the skull.  Symptoms can be mild, moderate, or so severe that death results.  Often times the condition is overlooked until years later when a developmental disability is diagnosed.  The primary reason that babies get shaken is inconsolable crying.  The primary perpetrator of the shaking is the father/stepfather (37%), followed by a caregiver or mother's boyfriend (21%) and finally the mother (13%).  Alternative actions must be taken to deal with the crying besides shaking the baby.  Some suggestions include: addressing all basic needs (food, dirty diaper, teething etc) then remaining calm and soothing the baby through methods mentioned above.  When these suggestions do not help, seek assistance from others or put the baby safely in another room and work to calm down.  Medical attention should be sought as soon as you know or suspect the baby has been shaken.  Prompt medical attention may reduce the injuries and brain damage, saving the baby's life.

 

To complete this course you must submit a completed Evaluation.

 

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References

 

 

National Exchange Club

 

Shaken Baby Syndrome

 

National Center on Shaken Baby Syndrome

 

KidsHealth

 

Prevent Child Abuse

 

National Institute of Neurological Disorders

 

Caring for Kids

 

Upstate New York Shaken Baby Syndrome Education Program

 

The Ounce of Prevention Fund of Florida

 

Last Revised 11/29/2007

 

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