Child abuse

Dr Bronwyn Rosie discusses the prevalence of child abuse in New Zealand and dealing with an abuse or neglect case in the community.

Topics

Intro
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How common is child abuse
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Sexual abuse
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Impact of the Covid-19 pandemic
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Population risk
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Screening for child abuse
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Red flags
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What to do when concerned
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Urgent admission
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Neglect and abuse
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Self-care
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Take-home messages
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Take home messages

Any injury can be inflicted, (although most aren’t).
Unless there is a plausible history, these injuries are concerning: - ANY bruising on an immobile infant - Bruising in unusual places (ears, genitalia, neck, back, abdomen) - Patterned bruising - Burns in young children - Multiple bruises
Seriously injured children can present as non-specifically unwell irritable, poorly feeding infant.
If you are concerned about a child, consult others.
Discussing concerns about abuse with a family is difficult.
Know your organisation’s child protection policy.

Resources

Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics JAMA Network (2021)

Presenter

Bronwyn Rosie

General Paediatrician

Bronwyn is a General Paediatrician at Starship Children’s Health and has worked in paediatrics since 2002, providing care to children and young people from the Auckland, Counties-Manukau, and Waitemata District Health Board areas. She has worked at Te Puaruruhau since June 2016, a specialist team at ADHB which provides care for children and young people where there are concerns about abuse or neglect. Bronwyn is a member of the Child Protection Special Interest Group of the Paediatric Society of New Zealand.