Is Bouncing a Baby on the Bed Bad for Its Neck or Brain

Shaken baby syndrome is a astringent grade of child corruption caused by violently shaking an infant or child.

Shaken baby syndrome can occur from as piffling every bit five seconds of shaking.

Shaken baby injuries most oft occur in children younger than 2 years erstwhile, only may be seen in children upwardly to v years former.

When an babe or toddler is shaken, the brain bounces back and along confronting the skull. This tin can cause bruising of the brain (cognitive contusion), swelling, pressure, and bleeding in the brain. The big veins along the outside of the encephalon may tear, leading to further haemorrhage, swelling, and increased force per unit area. This tin can easily crusade permanent brain impairment or death.

Shaking an babe or pocket-size child may cause other injuries, such equally damage to the cervix, spine, and optics.

In well-nigh cases, an angry parent or caregiver shakes the baby to punish or tranquillity the child. Such shaking most frequently takes place when the infant is crying inconsolably and the frustrated caregiver loses control. Many times the caregiver did not intend to damage the baby. Still, it is a form of kid abuse.

Injuries are most probable to happen when the baby is shaken and so the babe'due south head hits something. Even hitting a soft object, such equally a mattress or pillow, may be plenty to injure newborns and small infants. Children's brains are softer, their neck muscles and ligaments are weak, and their heads are large and heavy in proportion to their bodies. The consequence is a type of whiplash, like to what occurs in some auto accidents.

Shaken baby syndrome does not upshot from gentle bouncing, playful swinging or tossing the kid in the air, or jogging with the child. Information technology also is very unlikely to occur from accidents such as falling off chairs or down stairs, or accidentally existence dropped from a caregiver's arms. Short falls may cause other types of head injuries, although these are oftentimes minor.

The symptoms tin can vary, ranging from mild to severe. They may include:

• Convulsions (seizures)
• Decreased alertness
• Extreme irritability or other changes in behavior
• Lethargy, sleepiness, non smile
• Loss of consciousness
• Loss of vision
• No animate
• Pale or blue peel
• Poor feeding, lack of appetite
• Vomiting

In that location may non be any concrete signs of injury, such as bruising, bleeding, or swelling. In some cases, the status can be difficult to diagnose and may not be plant during an office visit. However, rib fractures are common and can be seen on 10-rays.

An eye md may notice bleeding backside the baby'due south center or retinal disengagement. There are, however, other causes of haemorrhage backside the eye and they should be ruled out earlier diagnosing shaken infant syndrome. Other factors must be considered.

Call 911 or your local emergency number. Immediate emergency handling is necessary.

If the child stops animate earlier emergency help arrives, begin CPR.

If the child is vomiting:

• And you practice non think at that place is a spinal injury, turn the child'south caput to one side to forestall the baby from choking and breathing in vomit to the lungs (aspiration).
• And you exercise think there is a spinal injury, advisedly roll the child's whole body to one side at the same fourth dimension (as if rolling a log) while protecting the neck to prevent choking and aspiration.

• Do not selection upwards or milk shake the child to wake him or her upward.
• Practice not attempt to give the child anything by mouth.

Call your health intendance provider if a child has any of the above signs or symptoms, regardless of how balmy or severe they are. Besides call if you recollect a kid has shaken baby syndrome.

If you think a child is in immediate danger because of fail, you should telephone call 911 or the local emergency number. If y'all suspect that a child is being abused, report it right away. Nearly states have a child corruption hotline. You may also employ the Childhelp National Child Corruption Hotline at 1-800-4-A-Child (1-800-422-4453).

These steps can help decrease the adventure for shaken baby syndrome:

• Never milkshake a baby or child in play or in anger. Even gentle shaking tin can become trigger-happy shaking when y'all are angry.
• Exercise non hold your infant during an argument.
• If y'all find yourself becoming annoyed or angry with your baby, put the baby in their crib and get out the room. Effort to calm downwards. Call someone for support.
• Telephone call a friend or relative to come and stay with the kid if you lot feel out of control.
• Contact a local crisis hotline or kid abuse hotline for assistance and guidance.
• Seek the assist of a counselor and attend parenting classes.
• Practise non ignore the signs if you suspect child abuse in your home or in the home of someone you know.

Shaken touch on syndrome; Whiplash - shaken babe; Child abuse - shaken infant

Carrasco MM, Wolford JE. Child abuse and neglect. In: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli and Davis' Atlas of Pediatric Diagnosis. seventh ed. Philadelphia, PA: Elsevier; 2018:chap 6.

Dubowitz H, Lane WG. Driveling and neglected children. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 16.

Duhaime A-C, Christian CW. Inflicted trauma (kid abuse). In: Winn HR, ed. Youmans and Winn Neurological Surgery. seventh ed. Philadelphia, PA: Elsevier; 2017:chap 225.

Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, Academy of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, Doc, MHA, Medical Manager, Brenda Conaway, Editorial Manager, and the A.D.A.M. Editorial team.

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Source: https://medlineplus.gov/ency/article/007578.htm

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