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BABY SHAKE SYNDROME
MR.KADALI SAM PRASAD
ASSOCIATE PROFESSOR
CHILD HEALTH NURSING
SHRI ANAND INSTITUTE OF NURSING
SPECIFIC OBJECTIVES
 INTRODUCTION
 DEFINITION
 INCIDENCE
 CAUSES
 PATHOPHYSIOLOGY
CONT..
 CLINICAL MANIFESTATION
 DIAGNOSTIC EVALUATION
 TREATMENT
 COMPLICATION
 PREVENTION
 PROGNOSIS
INTRODUCTION
 Shaken baby syndrome is a form of child abuse
that causes severe brain damage.
 It can result from as little as five seconds of shaking. Babies have
soft brains and weak neck muscles.
 They also have delicate blood vessels.
 Shaking a baby or young child can cause their brain to repeatedly
hit the inside of the skull.
DEFINITION
 Shaken Baby Syndrome (also known
as Shaken Impact Syndrome) is a serious form of abuse inflicted
upon a child. It usually occurs when a parent or other
caregiver shakes a baby out of anger or frustration, often because
the baby will not stop crying.
INCIDENCE
 These injuries can occur in children up to 5 years of age.
 The perpetrator is usually a caregiver or parent, with 65% to 90%
being male.
 The National Center for Shaken Baby Syndrome estimates that
each year between 1200 to 1400 children are injured or killed by
abusive head injuries annually in the United States.
CAUSES
 Unrealistic expectations of babies.
 Young or single parenthood.
 Stress.
 Domestic violence.
 Alcohol or substance abuse.
CONT…
 Unstable family situations.
 Depression.
 A history of mistreatment as a child
PATHOPHYSIOLOGY
Babies have weak neck muscles and often struggle to support their
heavy heads.
If a baby is forcefully shaken, his or her fragile brain moves back
and forth inside the skull.
This causes bruising, swelling and bleeding.
CLINICAL MANIFESTATION
 Altered level of consciousness
 Drowsiness accompanied by irritability
 Coma
 Convulsions or seizures
 Dilated pupils that do not respond to light
 Decreased appetite
CONT..
 Vomiting
 Posture in which the head is bent back and the back arched
 Breathing problems and irregularities
 Abnormally slow and shallow respiration
 Cardiac arrest
 Death
DIAGNOSTIC EVALUATION
 Shaken baby syndrome can be hard to detect because often there
aren't clear signs of abuse.
 CT scan
 MRI to look for bleeding or other injury in the brain.
 X-rays to check for broken bones
COMPLICATIONS
 Survivors of shaken baby syndrome may require lifelong medical
care for conditions such as:
 Partial or total blindness
 Developmental delays, learning problems or behavior issues
 Intellectual disability
 Seizure disorders
 Cerebral palsy
PREVENTION
 The following tips may help prevent abuse:
 Take a deep breath and count to 10
 Take time out and let the baby cry alone
 Call someone for emotional support
 Call a pediatrician – there may be a medical reason why the baby is
crying
CONT..
 Never leave a baby with a caregiver, friend or family member in
whom there is not complete trust
 Always check references carefully before entrusting a baby to a
caregiver or daycare center
PROGNOSIS
 Typically, surviving babies with this syndrome may develop any of
the following disabilities:
 Cerebral palsy
 Paralysis
 Vision loss or blindness
 Mental retardation
 Epilepsy
 Seizures
THANK YOU

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Baby shake syndrome

  • 1. BABY SHAKE SYNDROME MR.KADALI SAM PRASAD ASSOCIATE PROFESSOR CHILD HEALTH NURSING SHRI ANAND INSTITUTE OF NURSING
  • 2. SPECIFIC OBJECTIVES  INTRODUCTION  DEFINITION  INCIDENCE  CAUSES  PATHOPHYSIOLOGY
  • 3. CONT..  CLINICAL MANIFESTATION  DIAGNOSTIC EVALUATION  TREATMENT  COMPLICATION  PREVENTION  PROGNOSIS
  • 4. INTRODUCTION  Shaken baby syndrome is a form of child abuse that causes severe brain damage.  It can result from as little as five seconds of shaking. Babies have soft brains and weak neck muscles.  They also have delicate blood vessels.  Shaking a baby or young child can cause their brain to repeatedly hit the inside of the skull.
  • 5. DEFINITION  Shaken Baby Syndrome (also known as Shaken Impact Syndrome) is a serious form of abuse inflicted upon a child. It usually occurs when a parent or other caregiver shakes a baby out of anger or frustration, often because the baby will not stop crying.
  • 6. INCIDENCE  These injuries can occur in children up to 5 years of age.  The perpetrator is usually a caregiver or parent, with 65% to 90% being male.  The National Center for Shaken Baby Syndrome estimates that each year between 1200 to 1400 children are injured or killed by abusive head injuries annually in the United States.
  • 7. CAUSES  Unrealistic expectations of babies.  Young or single parenthood.  Stress.  Domestic violence.  Alcohol or substance abuse.
  • 8. CONT…  Unstable family situations.  Depression.  A history of mistreatment as a child
  • 9. PATHOPHYSIOLOGY Babies have weak neck muscles and often struggle to support their heavy heads. If a baby is forcefully shaken, his or her fragile brain moves back and forth inside the skull. This causes bruising, swelling and bleeding.
  • 10. CLINICAL MANIFESTATION  Altered level of consciousness  Drowsiness accompanied by irritability  Coma  Convulsions or seizures  Dilated pupils that do not respond to light  Decreased appetite
  • 11. CONT..  Vomiting  Posture in which the head is bent back and the back arched  Breathing problems and irregularities  Abnormally slow and shallow respiration  Cardiac arrest  Death
  • 12. DIAGNOSTIC EVALUATION  Shaken baby syndrome can be hard to detect because often there aren't clear signs of abuse.  CT scan  MRI to look for bleeding or other injury in the brain.  X-rays to check for broken bones
  • 13. COMPLICATIONS  Survivors of shaken baby syndrome may require lifelong medical care for conditions such as:  Partial or total blindness  Developmental delays, learning problems or behavior issues  Intellectual disability  Seizure disorders  Cerebral palsy
  • 14. PREVENTION  The following tips may help prevent abuse:  Take a deep breath and count to 10  Take time out and let the baby cry alone  Call someone for emotional support  Call a pediatrician – there may be a medical reason why the baby is crying
  • 15. CONT..  Never leave a baby with a caregiver, friend or family member in whom there is not complete trust  Always check references carefully before entrusting a baby to a caregiver or daycare center
  • 16. PROGNOSIS  Typically, surviving babies with this syndrome may develop any of the following disabilities:  Cerebral palsy  Paralysis  Vision loss or blindness  Mental retardation  Epilepsy  Seizures