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Who would want to shake a baby?... Perpetrators Anyone has potential to shake a baby, but especially…
Caused by vigorously shaking/striking the head (damage greater if against surface: wall/crib) Shake baby from torso, extremities, or shoulders
Head rotates uncontrollably due to neck muscles not fully developed Baby’s brain moves back and forth inside the skull (countrecoup injury) Bleeding and bruising inside the skull
Forces of ACCELERATION & DECELERATION are very strong After shaking, swelling in brain can cause pressure in skull Which increases overall irreversible brain damage Initially, baby cries more but as brain is damaged, cry less/stop
Complications: Partial/total blindness Failure to thrive Hearing loss Seizures Developmental delays Speech & learning disorders Problems with memory and attention Mentally challenged Cerebral palsy Paralysis Coma Death
Agree with National Center on Shaken Baby Syndrome (NCSBS)
1 out of every 4 children who is shaken dies from their injuries 80% of survivors suffer permanent damage An estimated 1,000-3,000 children in the U.S. suffer from SBS each year Good thing: PREVENTABLE
Economic issue: In the U.S., costs of hospitalizations &continuing care for SBS victims can total betw. $1.2 &$16 billion each yr Contributions: Lost wages & productivity of victims who can’t work Costs of prosecuting the abuser & putting him or her in jail
According to National Center on Shaken Baby Syndrome, 50-75% of teenagers and adults surveyed did not know that shaking a baby is dangerous B/c of this, detection may be delayed May not be detected as a baby May not be detected until school age when health, learning and/or behavior problems start to arise ***Spread understanding that crying is natural part of development, not a problem that is resolved through violence.***
Rules: Any child abuse/ suspected child abuse must be reported (timely manner) You CANNOT be held liable for reporting You CAN be held liable if you did not report & something wrong happens HELP: National Child Abuse Hotline 1-800-4-A-CHILD Call 911 right away! Emergency medical care could prevent permanent brain damage, or even save the baby’s life.
Given the absence of national and state registries, no firm statistical data exists, which results in little publicity and funding. Estimates are rough b/c children with SBS often do not show outward signs of abuse (makes dx difficult) HCP often miss indicators of SBS Lack of funding: ultimate barrier to educate the public Resources limited Underreported
More programs PURPLE Crying program Peak pattern Unpredictable Resistant to soothing Pain-like face Long bouts Evening cry
Yes: Car seat/Car travel Strollers BLS/CPR Some perpetrators of SBS didn’t mean to hurt the child, and did not realize that their actions could have this effect BE CAREFUL! When in doubt, REPORT!
Kristen Vital Nur415 – Selected Health Problems of Women & Children Shaken Baby Syndrome
Nur415 - Shaken Baby Syndrome
Shaken Baby Syndrome
Nur415: Selected Health Problems
of Women & Children
What is Shaken Baby Syndrome
Also known as:
Abusive head trauma (AHT)
Shaken impact syndrome
Inflicted head injury
Whiplash shake syndrome
SBS used to describe the injuries that can result if an infant or
small child is violently shaken.
Most common cause of non-accidental head injury
Majority are < 1 yrs of age
Can occur up to 5 y/o
Highest rate is 6-8 wks old
In U.S., annual incidence: 20-
Higher risk: Males
More prevalent: Whites,
1/3 no long-term effects
1/3 significant injuries
Inconsolable, frequent crying
Young or single parents
Unstable family situations
Alcohol or substance abuse
Hx of parent being
mistreated as a child
Low education level
Low socioeconomic status
Easily frustrated/poor impulse control
Unable to handle stressful situations
With aggressive behavior
SBS/AHT significant problem in U.S.
Child abuse issue
Need more awareness & prevention
Educate parents and caregivers
Must be reported!
Never shake a baby!
Why do you think there is
a lack of awareness of
What do you think we can
do to raise awareness &
prevention of SBS?
Can you think of any
cases where SBS is not
Goulet, C., Frappier, J., Fortin, S., Déziel, L., Lampron, A., &
Boulanger, M. (2009). Development and evaluation of a shaken
baby syndrome prevention program. JOGNN: Journal Of Obstetric,
Gynecologic & Neonatal Nursing, 38(1), 7-21. doi:10.1111/j.1552-
March, P., & Cabrera, G. (2015). Shaken Baby Syndrome.
Reynolds, A. (2008). Shaken baby syndrome: diagnosis and
treatment. Radiologic Technology, 80(2), 151.
Stoll, B., & Anderson, J. K. (2013). Prevention of Abusive Head
Trauma: A Literature Review. Pediatric Nursing, 39(6), 300-308.