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Shaken Baby Syndrome Prevention Training for Child Care Providers. Activity: Let’s get acquainted. Prevent Violence Against Children Act (Shaken Baby Syndrome Act). Activity: Learning to relax. Activity: Learning to relax (cont.). All babies cry. Crying is normal.

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Shaken Baby Syndrome PreventionTraining for Child Care Providers



Prevent violence against children act shaken baby syndrome act l.jpg
Prevent Violence Against Children Act(Shaken Baby Syndrome Act)




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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

“CRY!”

“CRY!”

“CRY!”

“CRY!”

“CRY!”


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Normal infant crying

  • The amount of crying:

  • Changes over time

  • Varies among normally-developing babies

Adapted from the NCSBS and Ronald G. Barr, MDCM


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The period of PURPLE crying

Peak pattern

Unpredictable

Resistant to soothing

Pain-like face

Long bouts

Evening cry

From the NCSBS and Ronald G. Barr, MDCM


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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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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-angerHeating upBefore boiling over

Anger

Don’t let yourself boil over.


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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) deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.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) deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.What is it? (cont.)


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Irritability deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

Lethargy, sleepiness

Feeding problems

Vomiting

Dilated pupils

Poor muscle tone

Pale or bluish skin

Seizures

Not breathing

Loss of consciousness

Early symptoms of shaking


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Other physical signs deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

  • Rib fractures

  • Fractures of long bones in the arms or legs

  • External wound or bruise to head


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Emergency response deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

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? deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

  • 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 deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

  • Age

  • Gender

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


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Who would shake a baby? deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

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


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When a baby can’t stop crying deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

  • 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 deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

  • Put the baby in a safe place.

  • Shut the door. Leave for 10- to15-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: deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.Difficultdevelopmentalphases


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Activity: Self-calming brainstorm deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.


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It’s okay to ask for help deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

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

  • Someone who can come over right away and help

  • The baby’s doctor, or nurse helpline

  • Local community resources


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Activity: Building a support system deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.


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“Portrait of Promise” DVD deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.


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Babies cry. deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.Have a plan…

  • To soothe the baby

  • To calm yourself

  • For who you can call for help


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Remember… deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

  • 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 deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

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


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Participant evaluation deadly combination leading a parent or other caregiver to shake a baby in a moment of frustration.

  • Complete and hand inthe “Shaken Baby Syndrome Prevention Training for Child Care Providers Participant Evaluation”

  • Visit http://wctf.state.wi.usfor more informationand SBS materials

    • Crying cards

    • Fact sheets

    • Crying plan

  • Thank you!

This training on Shaken Baby Syndrome prevention was developed by theWisconsin Children’s Trust Fund, 110 East Main Street, Suite 614, Madison, WI 53703.