What is shaken baby syndrome?

Shaken baby syndrome (SBS) is a serious type of brain injury that occurs when someone shakes a baby severely, causing the baby's brain to move inside the skull. Babies are especially vulnerable to injury because their neck muscles aren't strong enough to support their relatively large, heavy head. This form of abuse can cause serious injuries, including blindness, eye damage, developmental delays, seizures, paralysis, and permanent brain damage. It can even be fatal.

Can SBS be caused by roughhousing?

In theory that's possible, but it would have to be pretty rough play. The ordinary kind of jiggling, patting, and tickling that a loving parent does when interacting with a baby doesn't cause shaken baby syndrome. Nor do swings, vibrating bouncy seats, or being driven over rough roads. The kind of abuse that leads to SBS is deliberate and violent. It's usually caused by someone who loses control when caring for a baby.

What should I do if I know or suspect that my baby has been dangerously shaken?

A shaken baby may appear colicky or overly sleepy, may vomit or appear to have a feeding problem, may have labored breathing, or may be irritable and fussy. If you suspect SBS and any of these signs are present, call your baby's doctor or take your baby to the emergency room immediately. Your baby's condition may get worse and any brain damage may become permanent without prompt medical treatment. Be clear and honest so that the most accurate diagnosis can be made and the best treatment given.

Caring for a baby can be taxing and frustrating. Every caregiver should learn healthy, safe ways to deal with exasperation and anger, including deep breathing, taking time out for yourself, and seeking support from friends, family, your doctor, or your baby's doctor. If you find yourself getting frustrated, place your baby in a safe place such as a crib, leave the room, and let your baby cry alone while you call someone close for support.

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