Armelle Haquet also exercises to the emergencies of the hospital.
The pediatrician at the CHU Armelle Haquet runs the group children at risk, formalized in 2017.
Would you say that shaken baby syndrome is unknown in the mind of the public in general and that of young parents in particular ?
Many have heard of it. But I think he is misinterpreted in the sense that each has its interpretation of this may be that this syndrome. This also resonates sometimes as a problem of the game, a clumsiness, as he is a true gesture of violent, abuse.
Abuse that relates to small children of what age ?
The more often less than six months, a period during which the cries of the infant are important. The statistics show a peak at four months. This is confirmed by our experience at the CHU of Montpellier.
What are the circumstances of the occurrence ?
It is more often the father. Sometimes the mother. This can also be the guardian of the child, such as a childminder, for example. There may be several secouements, at different times. After that, there is no typical profile for parents. From my experience, compared to other forms of abuse, this can occur in all socio-economic backgrounds. But it remains difficult to discuss the abuse and then to initiate a judicial process as it applies to persons tell of good socio-economic level, which we can identify.
Would you say it is, rather, young parents ?
Yes. Because there may be a lack of knowledge of the needs of the child. Some parents have difficulty accepting that, in a physiological way, a child may cry. And sometimes several hours in a row.
What are the consequences on the health of the baby ?
The child is going to be a discomfort. When the secouements are extremely violent, we are going to find the victims in the intensive care unit. This allows to make a diagnosis, I would say, easily, that in the case of a child shaken less violently. We will then be faced with a clinical picture more upsets (vomiting, grunting etc.) in front of which, if we do not have in mind the syndrome, we will not make imaging of the brain and, therefore, we méconnaîtrons the intracranial bleed.
With what consequences on the health of the child ?
At the moment, it will be admitted to the hospital with a need for a gesture neuro-surgical. It will be necessary to evacuate the blood that compresses too much the brain. Babies can also be in a coma for several days with the event of the death (four out of sixteen cases in 2017 on the strength of CHU, editor’s NOTE). Either at home or in intensive care. Others, later, may suffer from disabilities. The lucky ones will, in the medium and long term, of language delays and educational achievement. Others may be severe with multiple disabilities.
# A day of reflection and exchange between physicians, early childhood professionals, of justice and of the police is organised this Friday at the salle Rabelais.
A multi-disciplinary team in the hospital
Formalized in 2017, the group children at risk (GED) is a multi-disciplinary team of the CHU of Montpellier, composed of pediatricians, forensic doctors, assistants to social service, emergency, paediatric, nursery nurse of the team of the child psychiatry liaison (MPA Saint-Éloi), nursery nurse of the Department. Not to mention a health framework for pediatric emergencies, and two secretaries. “We are recognized as a group resource for both physicians and external institutions”, complete the paediatrician Armelle Haquet. The GED also works well to support the suspicion of abuse, physical, sexual and psychological.
On the same subject
Montpellier : two times more cases of shaken baby syndrome in the hospital in 2017