Title: Shaken Baby Syndrome Prevention Training for Child Care Providers
1Shaken Baby Syndrome PreventionTraining for
Child Care Providers
2Activity Lets get acquainted
3Prevent Violence Against Children Act(Shaken
Baby Syndrome Act)
4Activity Learning to relax
5Activity Learning to relax (cont.)
6All babies cry
- Crying is normal.
- Babies cry for many reasons.
- ALL babies will have times when they CANNOT stop
crying.
7Babies cry to communicate
CRY!
CRY!
CRY!
CRY!
CRY!
8Normal infant crying
- The amount of crying
- Changes over time
- Varies among normally-developing babies
Adapted from the NCSBS and Ronald G. Barr, MDCM
9The 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
10What is colic?
- Colic suggests intestinal distress
- Is something medically wrong with the baby?
- Is the baby in pain?
- Does infant colicsimply refer to ababy that
cries a lot?
11What 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 doesnt mean easy!
12Same baby - same day
13The crying game
14Soothing 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.
15Pre-angerHeating upBefore boiling over
Anger
Dont let yourself boil over.
16Anger workout
Accept Name Get it out Energize Resume
17- 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.
18Shaken 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.
19Shaken Baby Syndrome (SBS)What is it? (cont.)
20Early symptoms of shaking
- Irritability
- Lethargy, sleepiness
- Feeding problems
- Vomiting
- Dilated pupils
- Poor muscle tone
- Pale or bluish skin
- Seizures
- Not breathing
- Loss of consciousness
21Other physical signs
- Rib fractures
- Fractures of long bones in the arms or legs
- External wound or bruise to head
22Emergency 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!
23What 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 wouldnt stop crying.
24Risk factors for being a victim
- Age
- Gender
- Greater demands for care, for example illness,
pre-maturity, or other special needs of some kind
25Who would shake a baby?
- 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
26When a baby cant stop crying
- Try different ways to soothe the baby.
- Know that a comforted baby doesnt always mean a
quiet baby. - Know that crying isnt 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.
27It is more important to stay calm than to stop
the crying
- 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.
28ActivityDifficultdevelopmentalphases
29Activity Self-calming brainstorm
30Its okay to ask for help
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 babys doctor, or nurse helpline
- Local community resources
31Activity Building a support system
32Portrait of Promise DVD
33Babies cry.Have a plan
- To soothe the baby
- To calm yourself
- For who you can call for help
34Remember
- 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.
35httpwctf.state.wi.us
A special thanks to the Alberta, Canada, Shaken
Baby SyndromePrevention Network for generously
sharing materials and expertise.
36Participant evaluation
- 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 Childrens Trust
Fund, 110 East Main Street, Suite 614, Madison,
WI 53703.