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Bristol study into 'shaken baby' syndrome advice Bristol study into 'shaken baby' syndrome advice
(about 8 hours later)
Brain trauma, caused when a baby is hit or shaken, is the most common severe injury in babiesBrain trauma, caused when a baby is hit or shaken, is the most common severe injury in babies
New research is aiming to reduce the number of babies dying or being left with disabilities after being shaken.New research is aiming to reduce the number of babies dying or being left with disabilities after being shaken.
The University of the West of England is investigating whether giving prospective and new parents safety tips cuts shaken baby syndrome.The University of the West of England is investigating whether giving prospective and new parents safety tips cuts shaken baby syndrome.
It is assessing the impact of the NHS programme ICON, introduced in 2018 to GP and maternity care.It is assessing the impact of the NHS programme ICON, introduced in 2018 to GP and maternity care.
Dr Mark Lyttle believes lockdown increased the likelihood of babies suffering abusive head trauma (AHT).Dr Mark Lyttle believes lockdown increased the likelihood of babies suffering abusive head trauma (AHT).
The new study follows the death of Remari Collins in August 2020 - 11 days after his father Marcus Carter, 43, shook him when he would not settle at their home in Easton, Bristol.The new study follows the death of Remari Collins in August 2020 - 11 days after his father Marcus Carter, 43, shook him when he would not settle at their home in Easton, Bristol.
Carter was jailed for manslaughter but cleared of murder because the act was a "momentary loss of control".Carter was jailed for manslaughter but cleared of murder because the act was a "momentary loss of control".
Marcus Carter called 999 and tried to perform CPR after shaking his sonMarcus Carter called 999 and tried to perform CPR after shaking his son
Dr Lyttle, who is leading the research, said: "We have had reports from a number of centres in the UK that they have seen more babies with brain injuries than ever before.Dr Lyttle, who is leading the research, said: "We have had reports from a number of centres in the UK that they have seen more babies with brain injuries than ever before.
"We also know that whenever society is under stress, like we are at the minute, that that type of thing increases - we saw it in 2009 with the global financial crisis."We also know that whenever society is under stress, like we are at the minute, that that type of thing increases - we saw it in 2009 with the global financial crisis.
"We are getting reports of it now which is why we are really pushing this out and hope it is going to help bring that back down.""We are getting reports of it now which is why we are really pushing this out and hope it is going to help bring that back down."
Stressful time
Brain trauma, caused when a baby is hit or shaken, is the most common severe injury in babies, according to NHS figures.Brain trauma, caused when a baby is hit or shaken, is the most common severe injury in babies, according to NHS figures.
Dr Mark Lyttle is leading the research
This form of abuse affects around 35 in 100,000 babies and is almost completely preventable.This form of abuse affects around 35 in 100,000 babies and is almost completely preventable.
It can lead to lifelong learning, visual and hearing disabilities, and in about 20% of cases, the baby dies.It can lead to lifelong learning, visual and hearing disabilities, and in about 20% of cases, the baby dies.
However, research suggests that these brain injuries could be avoided with clear education and support messages for families about normal crying, especially if given on several occasions.However, research suggests that these brain injuries could be avoided with clear education and support messages for families about normal crying, especially if given on several occasions.
AHT is most common under the age of one, when babies cry the most.AHT is most common under the age of one, when babies cry the most.
Health visitor for Sirona, Jade Edmundson, talks to parents about how to cope in stressful moments
While it is not always possible to reduce how much a baby cries, ICON aims to cut case numbers by offering coping strategies for parents of under one-year olds.While it is not always possible to reduce how much a baby cries, ICON aims to cut case numbers by offering coping strategies for parents of under one-year olds.
Health visitor for Sirona, Jade Edmundson, talks to parents about how to cope in stressful moments
It is now used in 44 of 54 regions across England.It is now used in 44 of 54 regions across England.
The new £300,000 university study will evaluate the effectiveness of the programme and is funded by the National Institute for Health and Care Research (NIHR) Policy Research Programme.The new £300,000 university study will evaluate the effectiveness of the programme and is funded by the National Institute for Health and Care Research (NIHR) Policy Research Programme.
It will investigate whether infant head trauma has occurred less frequently since the ICON programme was rolled out, after gathering the views of managers, health care providers, parents and carers.It will investigate whether infant head trauma has occurred less frequently since the ICON programme was rolled out, after gathering the views of managers, health care providers, parents and carers.
'Crying is normal'
Health visitor for Sirona, Jade Edmundson, passes on ICON information at regular post-natal sessions in Bradley Stoke, Bristol.Health visitor for Sirona, Jade Edmundson, passes on ICON information at regular post-natal sessions in Bradley Stoke, Bristol.
'Crying is normal'
She said: "So we talk about how infant crying is normal, so that it's ok to feel stress in those moments.She said: "So we talk about how infant crying is normal, so that it's ok to feel stress in those moments.
"We talk about comforting methods that might help, so whether they have got a safety plan in place so, is there somebody else in the house that might be able to help them in those moments."We talk about comforting methods that might help, so whether they have got a safety plan in place so, is there somebody else in the house that might be able to help them in those moments.
"We also talk about skin to skin or maybe taking baby for a walk - those sort of things that are going to maybe calm baby down but also calm parents down as well."We also talk about skin to skin or maybe taking baby for a walk - those sort of things that are going to maybe calm baby down but also calm parents down as well.
"We also talk about it being okay to walk away from baby, as long as they are somewhere safe.""We also talk about it being okay to walk away from baby, as long as they are somewhere safe."
ICON is made up of four simple messages given to families by healthcare professionals on up to five occasions in the baby's early life.ICON is made up of four simple messages given to families by healthcare professionals on up to five occasions in the baby's early life.
I - Infant crying is normalI - Infant crying is normal
C - Comforting methods can helpC - Comforting methods can help
O - It is okay to walk awayO - It is okay to walk away
N - Never, ever shake a baby.N - Never, ever shake a baby.
Dr Lyttle is working in collaboration with the University of Bristol and the University Hospitals Bristol and Weston NHS Foundation Trust on the study.Dr Lyttle is working in collaboration with the University of Bristol and the University Hospitals Bristol and Weston NHS Foundation Trust on the study.
It aims to assess the effectiveness of the programme in reducing the incidence of AHT and identify barriers and facilitators to its implementation and reach.It aims to assess the effectiveness of the programme in reducing the incidence of AHT and identify barriers and facilitators to its implementation and reach.
Dr Lyttle said: "Evaluating the potential impact of the ICON programme at this stage of its growth is vital.Dr Lyttle said: "Evaluating the potential impact of the ICON programme at this stage of its growth is vital.
"Understanding whether this is beneficial, and which elements are most useful, will help policy makers make any recommendations on its use or improvements.""Understanding whether this is beneficial, and which elements are most useful, will help policy makers make any recommendations on its use or improvements."
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