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A journey into the shaken baby syndrome/abusive head trauma controversy

cambridgeblog.org

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Re: A journey into the shaken baby syndrome/abusive head trauma controversy

#261
post #241
post #33

TLDR: There are issues with the way/how quickly we diagnose shaken baby syndrome without exploring other potential diagnoses, and with how severely/quickly we take kids away from their parents once we "think" we have a shaken baby

It's much worse. There's no evidence of any baby shaking. At all.

Well, I was very surprised to discover that shaking appears to be a highly common and widespread form of child abuse in the world [1]. It may affect 2-3% of all babies in the US and other developed countries, and the rate may be 10x or more higher in other countries.

I think it's reasonable to say that billions of babies may have been shaken in the past, yet the vast majority (of the order of 99.9% or even much more? [2]) are not diagnosed with shaken baby syndrome, since this diagnosis has an incidence of ~1/3,000 among children 50%, it is striking to note that the SBS diagnosis actually does not exist, i.e. doctors are not trained to diagnose it.

On the other hand, actual cases of severe inflicted head injuries probably affect In other words, I've come to the likely conclusion that the intersection of babies who are effectively shaken, and babies who are labelled with "shaken baby syndrome", is an abysmal proportion of the first set, and a small proportion of the second.

[1] https://www.sciencedirect.com/science/article/pii/S074937970...

[2] Excerpt from the paper above: "the ratio of children hospitalized or dying from inflicted neurotrauma compared to the numbers of reported shaken children may be estimated at 1 to 152."

Re: A journey into the shaken baby syndrome/abusive head trauma controversy

#262

This always scared me because I don't even know what counts as shaking. Can you accidentally shake a baby? Can my 2 year old daughter get shaken baby syndrome when older children on an inflatable castle with her jump and bounce too wild around her (she can't jump yet but loves the bouncing)? I've also often seen parents throw their children a bit in the air and then catch them. The children like it and laugh. I'm not…

The article as I interpreted says that there is no recorded case where you can get shaken baby syndrome and the sharking was recorded on tape or declared in front of the police, that being said, if your child has some pathology, they might be at risk with even a minor fall

You misread the article. The article states that there aren’t any SBS cases with only “isolated subdural and retinal hemorrhage.”

Re: A journey into the shaken baby syndrome/abusive head trauma controversy

#263

Earlier quoted context omitted.

I've been made to watch a similar video here in The Netherlands. It's not bunk though. Violently shaking a baby will lead to trauma which can cause death. What this book is about is that there are other causes that can lead to the same symptoms. The video is right. Shaking a baby leads to AHT. But the reverse isn't. AHT does not mean that the baby has been shaken. There are many other causes for AHT.

Didn't the article state that is actually unlikely it leads to AHT?

I think the article says that shaking a baby will give you lots of different symptoms, including bruises etc. And you can't really get AHT from shaking without also getting bruises etc.

That means if you see 'AHT' without bruises (etc) it was probably not actual shaking.

Re: A journey into the shaken baby syndrome/abusive head trauma controversy

#264

Once my kid cut his butt cheek falling off his bike (to this day I don't know how). I brought him to the hospital for sutures, and was asked to live the room while he was questioned. I felt very uncomfortable, and almost guilty, while this lasted for all of 5 minutes. I cannot imagine losing custody of your child while he's in an emergency situation for a couple months. This must be a nightmare.

> was asked to live the room while he was questioned

Is that even legal ?

Anyone trying to get between my kids and I is going to have a very bad day.

Re: A journey into the shaken baby syndrome/abusive head trauma controversy

#266
post #251

Earlier quoted context omitted.

In the article it clearly states that shaking does not cause the hemorrhage that's currently considered "shaken baby syndrome". It literally says there aren't documented cases where the shaking was captured on tape/testified and the symptoms present at the same time. It's more likely that a fall (or being thrown) would cause the symptoms.

I read it as no cases where shaking caused ONLY the retinal/subdural haemorrhage, without any other trauma.

That's indeed what I said, but I was cautious. I'd have to dig into the latest literature to be sure, but I don't remember seeing even 1 case where shaking with no impact was independently witnessed or videotaped, and was shown to cause retinal/subdural haemorrhage, with or without any other form of trauma.

In any case, these situations are extremely rare, much more than those involving any kind of head impact.

Re: A journey into the shaken baby syndrome/abusive head trauma controversy

#267

This always scared me because I don't even know what counts as shaking. Can you accidentally shake a baby? Can my 2 year old daughter get shaken baby syndrome when older children on an inflatable castle with her jump and bounce too wild around her (she can't jump yet but loves the bouncing)? I've also often seen parents throw their children a bit in the air and then catch them. The children like it and laugh. I'm not…

Generally throwing kids around (within reason) is absolutely safe, specially at +2yrs. Rough play is very much part of development for all mammals including us. Perhaps something to help you cope with this is that our brain although fragile has a lot of redundancy around it. On a fall or bounce our neck will decelerate our fall/bounce, there is no need to be an athlete, our muscles have a contraction reflex if they a…

My kids love it when they come running toward me and I pick them up and in one swoop throw them on to my (big) bed. I'm always holding back because I see their head snap back to land on the mattress, it's that "violent" head-moving-back thing that gives me the fear, so I stopped.

Re: A journey into the shaken baby syndrome/abusive head trauma controversy

#268
post #140

> It is the perfect combination of crap. I think that's being way too charitable. In a world where people are incarcerated on a scale unprecedented in all of human history, and where prosecutorial success is measured by number of scalps taken, the assumption that this is plain malice designed to let the state rob a few more individuals of their freedom makes much more sense than it all being just a big pile of incomp…

>designed to let the state rob a few more individuals of their freedom "The state" doesn't benefit in any way from locking people up. In fact, it costs them money (both directly and in lost taxes from the lost salaries and wages of those incarcerated). An argument could be made that prosecutors benefit from higher incarceration rates through the incentives you described. And an argument could definitely be made that…

I hate to break it to you, but the prison system has been the premiere, essential job-creation program for these United States ever since Appomattox 1865.

https://en.wikipedia.org/wiki/Thirteenth_Amendment_to_the_Un...

https://www.aclu.org/news/human-rights/captive-labor-exploit...

We got 800,000 or so right now. Fight unemployment? Lock more people up.

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