Vital Signs Volume 8, Issue 1 | Page 4

Keeping Our Children Safe Dr. Wright: Everybody needs to understand that crying is normal. It’s not a pleasant thing to hear for anybody for any length of time, but it’s the only way a child is able to communicate with us that she is hot or cold or hungry. Crying does not mean the child is angry at or upset with someone. If you study the science of crying, the incidence of crying goes up in the first 2-3 months and then starts tapering off. About 95 percent of crying is soothable – you change the diaper, you feed the baby. There’s a small percentage that is not, and those are often the times when people get frustrated. So what can you do? It is OK to get frustrated, but the solution is not shaking or abusing the baby in any way. Parents and caregivers should develop a game plan: If X happens, I’m going to do Y. If the baby cries and I can’t settle her down and I get frustrated, then I’m going to put the baby down in a safe place, step outside to get a breath of fresh air and count to 100. Or I’m going to lay the baby in a safe place in the middle of the room, walk into the kitchen and get a drink of water. Or I’m going to call a family member or friend on the phone – something to diffuse the situation. DAILY CRYING AT DIFFERENT AGES 300 MINUTES CRYING PER DAY How should parents and other caregivers handle long bouts of crying in babies? The 3 hours per day line 240 180 120 60 0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 AGE IN WEEKS A quiet baby Colicky for 6-8 weeks Average crying Colicky for 13 weeks Why is potty training another common period for abuse? Dr. Wright: People often have unrealistic expectations surrounding potty training. The body must have certain neurological development to be able to control bowels and bladder. When a child turns 2 or 3, there is not a switch that is suddenly turned on. Are there 2-year-olds who can have bladder and bowel control? Yes. But to have that expectation of all children is unrealistic in terms of normal development. Spanking a child, punishing a child or berating a child is not going to help him be able to gain that bladder or bowel control. People are better off taking the child to the doctor to make sure there aren’t some medical reasons preventing the child from gaining that control. What should I do if I suspect child abuse? Dr. Wright: Legally, anyone in Kentucky who suspects child abuse is required to report it to authorities. That can be difficult. What if you suspect your spouse or a grandparent? Your married son who has a child? Your neighbor? The most common question people ask is “What if I’m wrong?” However, the more important question to be asking is “What if I don’t report this and I’m right?” Keep in mind what’s best for the child. Children are the most vulnerable citizens of our society and depend on us to keep them safe. We need to remember that if we don’t report it, there could be lifelong implications. What should parents teach older children about abuse? Dr. Wright: Parents should make sure their child feels comfortable discussing any issue with them. That requires longterm interaction and development in the relationship. Send a message to your children from a very early age: that they can trust you with any concern, that if they are uncomfortable about anything at all that happens to bring that to you, that they should not listen to friends who ask them to hold secrets from their parents. Many abusers, particularly sexual abusers, will convince children not to tell their parents about the abuse. Parents need to define what constitutes inappropriate touching and discussions. To contact the Partnership to Eliminate Child Abuse, call 502-629-8092 or email [email protected]. Visit the partnership online at www.pecakyin.org. 4 Vital Signs Volume 8 • Issue 1