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Let the baby cry, but do not shake her

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  • Occasionally, Teresa Trojanowski hopes her son TJ played hockey or football, got his driving license or a first date. But those hopes are not to be. When he was only 29 days old, TJ was profoundly injured, with 85 per cent of his brain damaged. Eleven years later, he is wheelchair-bound, unable to see more than light and shadow, unable to speak or move his body at will. His meals are delivered by gastric tube.

    The reason: he was severely shaken as an infant by his father, who was doing most of the child care while his mother was unwell. “A lot of people ask if he was born that way or was he in a car accident,” Trojanowski says. “Nobody wants to think somebody who loved him did this.”

    Although most parents have heard that shaking a baby is dangerous, few might realise the lifelong devastation that can result from only a few seconds of shaking. “It takes less than three seconds of shaking to kill or disable a child for life,” says Karen Foley-Schain, executive director of the Connecticut Children’s Trust Fund. “New studies show that it’s not enough to tell the mothers. You have to tell the fathers and caregivers, too.” Dr Nina Livingston, director for Hartford Regional Child Abuse Services, says shaken-baby syndrome is becoming an area of great interest because this type of abuse “is among the most devastating” and “we actually have some prevention tools.”

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    Livingston says that shaking or impacting a baby’s head “is really a complex event bio-mechanically.”

    With severe shaking, a baby’s head will snap back and forth with significant force that can jostle the brain within the cranial cavity, injuring or destroying brain tissue and shearing or tearing the blood vessels around the brain. One in four babies who suffer this brain injury die, and half will have serious, lifelong disabilities, which can include severe brain damage, blindness, hearing loss, learning problems, seizure disorders, paralysis and others. One in four might appear to escape without long-term injury, but that child may suffer a subtler disability.

    About 1,200 to 1,400 babies in the US are severely shaken each year, although experts suspect many cases go undiagnosed. Statistics show that the majority of these injuries were caused by parents. Research done by Dr Ronald Barr of the University of British Columbia documents just how much crying a normal baby does.

    With research indicating that crying is the number one trigger for shaken-baby syndrome, the hope is that if more parents understand that babies might have long, uncontrollable bouts of crying, they will be better prepared to handle it.

    Doctors advise that parents should also learn that not every baby can be soothed. If necessary, parents, they say, should take a break. Do something to calm yourself — like calling a friend or the doctor for advice, and do not return to the room until you are ready to deal with the baby’s crying.

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