Document Detail

Parent education by maternity nurses and prevention of abusive head trauma.
MedLine Citation:
PMID:  22025587     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: A consortium of the 19 community hospitals and 1 tertiary care children's hospital that provide maternity care in the New York State Hudson Valley region implemented a program to teach parents about the dangers of shaking infants and how to cope safely with an infant's crying. This study evaluated the effectiveness of the program in reducing the frequency of shaking injuries.
METHODS: The educational program, which was delivered by maternity nurses, included a leaflet explaining abusive head trauma ("shaken baby syndrome") and how to prevent it, an 8-minute video on the subject, and a statement signed by parents acknowledging receipt of the information and agreeing to share it with others who will care for the infant. Poisson regression analysis was used to compare the frequency of shaking injuries during the 3 years after program implementation with the frequency during a 5-year historical control period.
RESULTS: Sixteen infants who were born in the region during the 8-year study period were treated at the children's hospital for shaking injuries sustained during their first year of life. Of those infants, 14 were born during the 5-year control period and 2 during the 3-year postimplementation period. The decrease from 2.8 injuries per year (14 cases in 5 years) to 0.7 injuries per year (2 cases in 3 years) represents a 75.0% reduction (P = .03).
CONCLUSIONS: Parent education delivered in the hospital by maternity nurses reduces newborns' risks of sustaining an abusive head injury resulting from shaking during the first year of life.
Robin L Altman; Jennifer Canter; Patricia A Patrick; Nancy Daley; Neelofar K Butt; Donald A Brand
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2011-10-24
Journal Detail:
Title:  Pediatrics     Volume:  128     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-02     Completed Date:  2012-01-24     Revised Date:  2013-08-19    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1164-72     Citation Subset:  AIM; IM    
Department of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
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MeSH Terms
Child Abuse / prevention & control,  statistics & numerical data
Child, Preschool
Craniocerebral Trauma / epidemiology,  prevention & control*
Cross-Sectional Studies
Health Education / organization & administration*
Health Knowledge, Attitudes, Practice
Infant, Newborn
Maternal-Child Nursing*
New York
Nurse's Role
Parent-Child Relations
Parents / education*
Program Development
Program Evaluation
Risk Assessment
Shaken Baby Syndrome / epidemiology,  prevention & control*
Comment In:
Pflege Z. 2013 Aug;66(8):483   [PMID:  23951683 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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