The clinician then has to decide whether the explanation for the fall is plausible-or whether a child abuse investigation should be pursued. The child's caregiver may describe a fall from furniture, play equipment, stairs, and various other structures-or the child may have even been dropped while being carried. Anyone seeking specific neurosurgical advice or assistance should consult his or her neurosurgeon, or locate one in your area through the AANS’ Find a Board-certified Neurosurgeon online tool.Primary care and emergency physicians frequently see young children who have fractured a bone after a fall from a low height. This information is provided as an educational service and is not intended to serve as medical advice. The AANS does not endorse any treatments, procedures, products or physicians referenced in these patient fact sheets. Always check references carefully before entrusting a baby to a caregiver or daycare center.Never leave a baby with a caregiver, friend or family member in whom there is not complete trust.Call apediatrician – there may be a medical reason why the baby is crying.Take time out and let the baby cry alone.The following tips may help prevent abuse: However, it is important to remember that it is never acceptable to shake, throw or hit a baby. Taking care of a baby can present challenges, especially for first-time parents. Shaken baby syndrome is completely preventable. This syndrome is the most common cause of death and long-term disability in infants and young children who are victims of child abuse. Because there is currently no reliable method of collecting these statistics, the true incidence is unknown. The National Center on Shaken Baby Syndrome estimates that there are between 6 cases in the U.S. Those involved with domestic violence and/or substance abuse may be at higher risk of inflicting this abuse. Parents experiencing stress because of environmental, social, biological or financial situations may be more prone to impulsive and violent behavior. The perpetrator of the abuse is most often the father, boyfriend of the mother, female babysitter or the mother. However, children up to age four have been victims of this abuse. The average victim is between three and eight months old. This syndrome is primarily seen in children younger than age two, with the majority of cases occurring before the baby’s first birthday.
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