Abstract
A controlled investigation of 134 battered children showed that nearly half had serious injuries and 21 died. Sixty-five had been battered more than once, 20 had permanent neurological sequelae, a quarter were low birth weight babies, and 10 had serious congenital defects. Twenty-three had been previously admitted to hospital with failure to thrive and the overlap with physical neglect was considerable. Mortality and morbidity among their siblings was also high. Difficulties with the child were attributable to interaction with neurotic mothers.
The risk of battering diminishes after a child's second birthday. The establishment of specialized hospital teams to tackle the overall problem is suggested as a method of improving management. Prevention may lie in educating mothers in the basic physical and psychological requirements of children and overcoming their reluctance to avail themselves of medical care.
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Selected References
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- ADELSON L. Slaughter of the innocents. A study of forty-six homicides in which the victims were children. N Engl J Med. 1961 Jun 29;264:1345–1349. doi: 10.1056/NEJM196106292642606. [DOI] [PubMed] [Google Scholar]
- Cameron J. M. The battered baby syndrome. Practitioner. 1972 Sep;209(251):302–310. [PubMed] [Google Scholar]
- Ebbin A. J., Gollub M. H., Stein A. M., Wilson M. G. Battered child syndrome at the Los Angeles Count General Hospital. Am J Dis Child. 1969 Oct;118(4):660–667. doi: 10.1001/archpedi.1969.02100040662025. [DOI] [PubMed] [Google Scholar]
- Gregg G. S., Elmer E. Infant injuries: accident or abuse? Pediatrics. 1969 Sep;44(3):434–439. [PubMed] [Google Scholar]
- HONZIK M. P. Developmental studies of parent-child resemblance in intelligence. Child Dev. 1957 Jun;28(2):215–228. doi: 10.1111/j.1467-8624.1957.tb05977.x. [DOI] [PubMed] [Google Scholar]
- Harcourt B., Hopkins D. Ophthalmic manifestations of the battered-baby syndrome. Br Med J. 1971 Aug 14;3(5771):398–401. doi: 10.1136/bmj.3.5771.398. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hindley C. B. Stability and change in abilities up to five years: group trends. J Child Psychol Psychiatry. 1965 Nov;6(2):85–99. doi: 10.1111/j.1469-7610.1965.tb02230.x. [DOI] [PubMed] [Google Scholar]
- KEMPE C. H., SILVERMAN F. N., STEELE B. F., DROEGEMUELLER W., SILVER H. K. The battered-child syndrome. JAMA. 1962 Jul 7;181:17–24. doi: 10.1001/jama.1962.03050270019004. [DOI] [PubMed] [Google Scholar]
- Kempe C. H. Paediatric implications of the battered baby syndrome. Arch Dis Child. 1971 Feb;46(245):28–37. doi: 10.1136/adc.46.245.28. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Klaus M. H., Kennell J. H. Mothers separated from their newborn infants. Pediatr Clin North Am. 1970 Nov;17(4):1015–1037. doi: 10.1016/s0031-3955(16)32493-2. [DOI] [PubMed] [Google Scholar]
- Klein M., Stern L. Low birth weight and the battered child syndrome. Am J Dis Child. 1971 Jul;122(1):15–18. doi: 10.1001/archpedi.1971.02110010051005. [DOI] [PubMed] [Google Scholar]
- Koel B. S. Failure to thrive and fatal injury as a continuum. Am J Dis Child. 1969 Oct;118(4):565–567. doi: 10.1001/archpedi.1969.02100040567004. [DOI] [PubMed] [Google Scholar]
- Lukianowicz N. Battered children. Psychiatr Clin (Basel) 1971;4(5):257–280. doi: 10.1159/000283183. [DOI] [PubMed] [Google Scholar]
- Mushin A. S. Ocular damage in the battered-baby syndrome. Br Med J. 1971 Aug 14;3(5771):402–404. doi: 10.1136/bmj.3.5771.402. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Richards I. D., McIntosh H. T. Confidential inquiry into 226 consecutive infant deaths. Arch Dis Child. 1972 Oct;47(255):697–706. doi: 10.1136/adc.47.255.697. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SCHLOESSER P. T. THE ABUSED CHILD. Bull Menninger Clin. 1964 Sep;28:260–268. [PubMed] [Google Scholar]
- Salmon M. A. The spectrum of abuse in the battered-child syndrome. Injury. 1971 Jan;2(3):211–217. doi: 10.1016/s0020-1383(71)80050-5. [DOI] [PubMed] [Google Scholar]
- Silver H. K., Finkelstein M. Deprivation dwarfism. J Pediatr. 1967 Mar;70(3):317–324. doi: 10.1016/s0022-3476(67)80127-6. [DOI] [PubMed] [Google Scholar]
- Simons B., Downs E. F., Hurster M. M., Archer M. Child abuse: epidemiologic study of medically reported cases. N Y State J Med. 1966 Nov 1;66(21):2783–2788. [PubMed] [Google Scholar]
- Smith S. M., Hanson R. Failure to thrive and anorexia nervosa. Postgrad Med J. 1972 Jun;48(560):382–384. doi: 10.1136/pgmj.48.560.382. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith S. M., Hanson R., Noble S. Parents of battered babies: a controlled study. Br Med J. 1973 Nov 17;4(5889):388–391. doi: 10.1136/bmj.4.5889.388. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stone N. H., Rinaldo L., Humphrey C. R., Brown R. H. Child abuse by burning. Surg Clin North Am. 1970 Dec;50(6):1419–1424. doi: 10.1016/s0039-6109(16)39298-2. [DOI] [PubMed] [Google Scholar]
- Talukder M. Q., Dawson K. P. Nutritional marasmus in an affluent society. Practitioner. 1974 Mar;212(1269):359–362. [PubMed] [Google Scholar]
- Touloukian R. J. Abdominal visceral injuries in battered children. Pediatrics. 1968 Oct;42(4):642–646. [PubMed] [Google Scholar]
- WOOLLEY P. V., Jr, EVANS W. A., Jr Significance of skeletal lesions in infants resembling those of traumatic origin. J Am Med Assoc. 1955 Jun 18;158(7):539–543. doi: 10.1001/jama.1955.02960070015005. [DOI] [PubMed] [Google Scholar]
- Whitten C. F., Pettit M. G., Fischhoff J. Evidence that growth failure from maternal deprivation is secondary to undereating. JAMA. 1969 Sep 15;209(11):1675–1682. [PubMed] [Google Scholar]
- Winick M. Malnutrition and brain development. J Pediatr. 1969 May;74(5):667–679. doi: 10.1016/s0022-3476(69)80129-0. [DOI] [PubMed] [Google Scholar]
