Article Figures & Data
Figures
- FIGURE 1
Numbers of infants born in the Hudson Valley region who were treated at Maria Fareri Children's Hospital for abusive head injuries resulting from shaking, according to year of birth. A total of 16 cases of abusive head injuries resulting from shaking were treated: 14 during the 5-year historical control period (2.8 cases per year) and 2 during the 3-year intervention period (0.7 cases per year). The 75% reduction in annual frequency of cases is statistically significant (P = .03). The 4-month intervention phase-in period (January 1 through April 30, 2005) was excluded. Year 1, year 2, and year 3 refer to consecutive 12-month intervals beginning May 1, 2005. Gray and black dots denote cases from the control and intervention periods, respectively. The control period was from January 1, 2000, through December 31, 2004 (N = 14); the intervention period was from May 1, 2005, through April 30, 2008 (N = 2).
- FIGURE 2
Annual numbers of deliveries and number of hospitals that provide maternity care in New York State. The success of 2 regional initiatives for the prevention of abusive head injuries resulting from shaking, involving the Hudson Valley and western New York, prompted a statewide expansion to all 154 hospitals that provide maternity care and account for 250 000 deliveries per year. For each hospital in the Hudson Valley region, the approximate annual number of deliveries is shown in parentheses. a Unshaded regions.
Tables
Question Yes Responses, n (%) 1. While you were in the hospital after the birth of your baby, do you remember receiving information about how to care for your baby if he or she cries a lot? 283 (88.4) What information were you given? (open-ended follow-up question after “yes” response [no choices offered]) Video 104 (32.5) Written material 79 (24.7) Other information related to coping with cryinga 36 (11.3) Other information related to general child care 35 (10.9) Do not recall or no response 66 (20.6) 2. Do you remember anyone speaking with you about the dangers of shaking your baby? 263 (82.2) 3. Do you remember receiving any written material about preventing shaken baby syndrome? 284 (88.8) 4. Do you remember watching a video about shaken baby syndrome? 313 (97.8) 5. Do you remember signing a form acknowledging that you had received information about shaken baby syndrome? 303 (94.7) 6. Since you left the hospital, have you seen or received any other materials or information about shaken baby syndrome or what to do when your baby cries a lot?b 43 (13.4) 7. Can you think of any situation where your baby cried a lot and the information you received about shaken baby syndrome was helpful to you? 178 (55.6) 8. Have you shared the information about shaken baby syndrome with others who care for your baby? 173 (54.1) ↵a Examples of information recalled are as follows. “If the baby cries a lot, walk away.” “Put him down and walk away.” “Don't shake—ask for help.” “Put her down and vacuum to cover the noise.” “Walk away and come back when you are calm.” “Check the baby's needs—no shaking.” “Shaking causes brain hemorrhage.” “Be patient, pick them up, rock them gently, never shake them.” “Walk away and leave the baby in a safe place.” “Make sure anyone who cares for your baby is aware of shaken baby syndrome.”
↵b Sources included the following: pediatrician (n = 15), magazine (n = 7), Supplemental Nutrition Program for Women, Infants, and Children (n = 4), television/radio (n = 3), Internet (n = 2), brochure (n = 2), Early Intervention or Healthy Start program, spouse, health insurance company, Pampers/Gerber, preschool, Teenage Services Act program (for teen parents), parenting class, or unspecified source (n = 10).
- TABLE 2
Characteristics of 16 Infants Born in the Hudson Valley Region Who Were Treated at Maria Fareri Children's Hospital for Abusive Head Injuries Resulting From Shaking
Age, mean ± SD (range), mo 5.2 ± 2.7 (2.0–10.2) Gender, n (%) Male 9 (56.3) Female 7 (43.7) Race, n (%) White 4 (25.0) Black 2 (12.5) Unspecified 10 (62.5) Presentation, n (%) Loss of consciousness 8 (50.0) Vomiting 8 (50.0) Lethargy 7 (43.8) Apnea 7 (43.8) Irritability 6 (37.5) Limpness 6 (37.5) Cyanosis 4 (25.0) Cough 3 (18.8) Seizure 3 (18.8) Othera 14 (87.5) Injuries, n (%) Subdural hemorrhage 14 (87.5) Retinal hemorrhage 14 (87.5) Skull fracture 5 (31.3) Rib fracture 3 (18.8) Upper extremity fracture 2 (12.5) Lower extremity fracture 2 (12.5) Epidural hemorrhage 1 (6.3) Deaths, n (%) 4 (25.0) Infants were born during the 5-year historical control period (January 1, 2000, to December 31, 2004) or the 3-year intervention period (May 1, 2005, to April 30, 2008). The 4-month intervention phase-in period (January 1 through April 30, 2005) was excluded.
↵a Includes bruises (n = 2), shaking of extremities (n = 2), pallor (n = 2), cardiac arrest (n = 2), lacerated/bleeding lip, grunting, nasal flaring, weakness, increase in head circumference, labored breathing, oral thrush, tense anterior fontanelle, and subconjunctival hemorrhage.
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