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Child Abuse and Infants

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Child abuse and neglect, or child maltreatment as it is referred to in the current literature, is one of the most devastating and disturbing situations encountered by those who care for children. According to the Department of Health and Human Services (DHSS, 2013), the number of children reportedly abused in the United States in 2012 was 686,000. An estimated 1640 children died as a result of child maltreatment in the same year. Although these statistics have improved over recent years, these preventable incidents and deaths remain at an intolerable level.

The most vulnerable age group is infants less than one year of age. DHHS reports that 21.9/1000 infants were abused in 2012 and infants comprised 44.4% of child deaths resulting from child abuse and neglect; the highest incidence of fatal injuries compared to other age groups. The types of abuse sustained by infants include neglect (63%), physical abuse (24%), psychological mistreatment (21%), and sexual abuse (< 3%). Many infants were victims of more than one form of abuse. Of the physical abuse types, Shaken Baby Syndrome is, by far, the most common form of abuse at more than 50,000 cases per year according to Gutierrez, et al (2004) and accounts for 45% of infant deaths by abuse (DHHS, 2013). Other forms of physical abuse include: head trauma by beating, kicking, or throwing, suffocation, and immersion-type burns.

In assessing infants for signs of abuse, it is important to have a keen awareness and knowledge of risk factors and warning signs. Risk factors must be identified as they relate to the victim and the perpetrator. Risk factors for infants include: presence of disability (physical, developmental, mental), prematurity or low birth weight, feeding problems, colic or inconsolable crying, male gender, and twins. Risk factors related to caregiver situations include: maternal age,

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