Transcript
Page 1: Shaken Baby Syndrome Prevention Training for Child Care Providers

Shaken Baby Syndrome PreventionTraining for Child Care Providers

Page 2: Shaken Baby Syndrome Prevention Training for Child Care Providers

Activity: Let’s get acquainted

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Prevent Violence Against Children Act(Shaken Baby Syndrome Act)

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Activity: Learning to relax

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Activity: Learning to relax (cont.)

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All babies cry

• Crying is normal.• Babies cry for many reasons.• ALL babies will have times when they

CANNOT stop crying.

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Babies cry to communicate

Quotes about 12-year-old 2-month-old

Hunger “When’s dinner? I’m starved.”

Discomfort “I’m not wearing these dress pants. They’re too tight.”

Over-stimulation “Leave me alone.”

Under-stimulation “I’m bored. There’s nothing to do.”

Fatigue “I’ve had a long day”

“CRY!”

“CRY!”

“CRY!”

“CRY!”

“CRY!”

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Normal infant crying

Adapted from the NCSBS and Ronald G. Barr, MDCM

The amount of crying: • Changes over time• Varies among normally-developing babies

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The period of PURPLE crying

From the NCSBS and Ronald G. Barr, MDCM

Peak pattern

UnpredictableResistant to soothing

Pain-like face

Long bouts

Evening cry

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What is colic?• “Colic” suggests intestinal distress• Is something medically wrong with the

baby?• Is the baby in pain?• Does “infant colic”

simply refer to ababy that cries a lot?

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What if the baby cries a lot?• “Colic” is extreme, but normal, crying.• Crying will greatly decrease by the time the

baby is 3 to 4 months old.• Colicky infants show no lasting harm.• Get help if the crying is a problem for you or

the baby.• Normal doesn’t mean easy!

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Same baby ─ same day

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The crying game

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Soothing a baby

• Feed baby slowly and burpbaby often.

• Make baby as comfortableas possible, for example,check temperature and diaper.

• Provide gentle motionor relaxing sound.

• Is baby hungry? Thirsty?Bored? Anxious? Sleepy?

• Understand that all babies have times when they cannot stop crying.

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Pre-anger

Heating up

Before boiling over

Don’t let yourself boil over.

Anger

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Anger workout

Accept

Name

Get it out

Energize

Resume

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A tired, frustrated caregiver and a crying baby can be a deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

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Shaken Baby Syndrome (SBS)What is it?

• SBS is a medical term used to describe the injuries that can result if a baby is violently shaken.

• The younger the baby, the greater the risk of harm.

• Violent shaking is one of the most devastating forms of child abuse.

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Shaken Baby Syndrome (SBS)What is it? (cont.)

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Early symptoms of shaking

• Irritability• Lethargy,

sleepiness• Feeding problems• Vomiting• Dilated pupils

• Poor muscle tone• Pale or bluish skin• Seizures• Not breathing• Loss of

consciousness

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Other physical signs

• Rib fractures• Fractures of long bones in the arms or legs• External wound or bruise to head

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Emergency response

Call 911 • If the child stops breathing, begin CPR.• If the child is vomiting, turn the child to

prevent choking or aspiration.• Do NOT pick up or shake the child!

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What is the result?• Even with prompt medical attention many

victims die.• Those who survive may have:

Blindness Paralysis Deafness Broken bones

Learning disabilities Coordination problems Developmental challenges Seizures

The most common reason given for shaking a baby is that the baby wouldn’t stop crying.

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Risk factors for being a victim

• Age• Gender• Greater demands for

care, for example illness, pre-maturity, or other special needs of some kind

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Anyone, but some people are more at risk:• Parents and other caregivers• Late teens and early 20s• Males• People with other risk factors – drug and

alcohol use, mental illness, lack ofself-control, inexperience with babies,high stress

Who would shake a baby?

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When a baby can’t stop crying• Try different ways to soothe the baby.• Know that a comforted baby doesn’t

always mean a quiet baby.• Know that crying isn’t always a sign that

something is wrong.• If at anytime you start feeling tense or

frustrated, it is important for you to take a break.

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It is more important to stay calm than to stop the crying

• Put the baby in a safe place.• Shut the door. Leave for 10- to

15-minutes.• If you are calm, try again to soothe

the baby.• If you are not calm, seek help.

Call someone.

Babies cry. Have a plan.

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Activity:Difficultdevelopmentalphases

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Activity: Self-calming brainstorm

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It’s okay to ask for help• Someone who can

come over right away and help

• The baby’s doctor, or nurse helpline

• Local community resources

Have the phone numbers of people who can help when the crying is too much.

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Activity: Building a support system

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“Portrait of Promise” DVD

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Babies cry.Have a plan…• To soothe the baby• To calm yourself• For who you can

call for help

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Remember… • All babies cry. • It is more important for you to stay calm

than to stop the crying.• Plan ahead for who you will call when you

need help.• Never shake a baby for any reason.

Babies cry. Have a plan.

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http:wctf.state.wi.us

A special thanks to the Alberta, Canada, Shaken Baby SyndromePrevention Network for generously sharing materials and expertise.


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