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Shaken Baby Syndrome

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by

Jordan Gilmore

on 16 October 2012

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Transcript of Shaken Baby Syndrome

Shaken Baby Syndrome! by Jordan Gilmore, Lauren Langford, Jessi Williams A team of researchers who conducted autopsies on 35 babies in Miami, Dallas and Calgary, Alberta, report that when children die after being violently shaken, they die of neck injuries and not from brain trauma. New Theory For Shaken Baby Perpetrators of SBS come from every segment of society, but there are some characteris- tics that recur in studies of SBS—male gender, age less than 30 years, less than high-school education, illiteracy, depression, social isolation and substance abuse. One common belief is that the mother’s boyfriend (unrelated to the infant) usually commits this abuse. Who would commit the crime? Skeptics question whether it's possible to shake a baby so violently that the child dies from brain injury but without other visible marks or trauma to the neck and spine. For supporters, there's evidence that shaking alone can lead to a baby's death. But it also says skeptics were right to suggest it's not the head injury that causes death and that shaking deaths are likely rare. What is Shaken Baby Syndrome? Shaken Baby Syndrome, according to the APSAC (2011), is used to describe head injuries when shaking is the likely explanation. Please Stop Shaking ME There is evidence that the incidence of shaken baby correlates with the crying behavior in infants. Why shake a baby? Shaken Baby Syndrome:
Shaken Impact Syndrome
Abuse Head Trauma
inflicted traumatic brain injury
inflicted childhood neurotrauma
nonaccidental head injury
inflicted head injury. The spinal column has to be placed in formaldehyde for up to a month in order for the bone to soften before the pathologist can even get at those roots. How do forensics get to the bottom of the argument? Caregivers who shake their babies are often tired, lack social support, and are frustrated.

Crying is a normal part of development. We can't change that, but we can work to change the way parents respond to a baby that is upset. Prevention What Can We Do to Help? The CDC uses a four level social-ecological model in designing programs to prevent shaken baby syndrome.

1. Individual-level: work toward changing caregiver's knowledge and skill set

2. Relationship-level: changing parent's interactions in other relationships

3. Community-level: modifying the environment and characteristics of community that encourage violence

4. Societal-level: work towards changing cultural norms as well as law and policy What Can We Do to Help? Overall It Seems that Parent and Caregiver Education is the main theme of prevention.
It would be helpful to provide education in/to:
Hospitals (before the baby is brought home)
Healthcare centers and pediatric clinics
Middle and High Schools
Fathers Symptoms of SBS include, but are not limited to:
* poor feeding
* vomiting
* lethargy
* irritability
* seizures
* apnea or respiratory distress
* unresponsiveness SBS usually relies on the coexistence of three symptoms, referred to as the TRIAD Shaken Baby subarachnoid/subdural
Hemorrhaging Retinal Hemorrhaging Cerebral Edema SBS causes damage in numerous other ways as well: Bruising of the brain causes stretching, shearing, and tearing of the veins and blood vessels; leading to intracranial pressure. Rapid acceleration and deceleration via the back and forth and side to side motions of manually shaking creates sufficient force to result in injury as the brain contacts the skull. References: Meskauskas, L., Beaton, K., & Meservey, M. (2009). Preventing shaken baby
syndrome: a multidisciplinary response to six tragedies. Nursing For
Women's Health, 13(4), 325-330.doi:10.1111/j.1751-486X.2009.01442.x

Myers, J. E. B., (2011). The APSAC Handbook on Child Maltreatment. Los Angeles: SAGE Publications. pgs. 184 - 190

Shapiro, J. (2011). Autopsy Study Provides New Theory On Shaken Baby Syndrome. NPR Health Blog.
http://www.npr.org/blogs/health/2011/07/02/137553701/autopsy-study-provides-new-theory-on-shaken-baby-syndrome?ps=sh_sthdl

Orenstein, D. G. (2011). SHAKEN TO THE CORE: Emerging Scientific Opinion and
Post-Conviction Relief in Cases of Shaken Baby Syndrome. Arizona State Law Journal,
42(4), 1305-1330.

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
(n.d.).Preventing shaken baby syndrome. Retrieved from website: http://www.cdc.gov/concussion/pdf/preventing_sbs_508-a.pdf
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