Shaken Baby Syndrome Prevention Training for Child Care Providers

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Shaken Baby Syndrome PreventionTraining for
Child Care Providers
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Activity Lets 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
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 colicsimply 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 doesnt 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-angerHeating upBefore boiling over
Anger
Dont 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)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 wouldnt 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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Who 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

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When 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.

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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- 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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ActivityDifficultdevelopmentalphases
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Activity Self-calming brainstorm
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Its 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

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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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httpwctf.state.wi.us
A special thanks to the Alberta, Canada, Shaken
Baby SyndromePrevention Network for generously
sharing materials and expertise.
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Participant 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.