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Child abuse by suffocation: A cause of apparent life-threatening events

Despite decades of attention, child maltreatment is a pervasive problem that remains under-recognized 1 , 2 , leaving younger children and infants at great risk of lethal child maltreatment 3. Recurrent intentional suffocation of a child by a caregiver — termed suffocatory abuse — is a particularly deadly form of maltreatment. The present article summarizes the importance of considering suffocatory abuse as a differential diagnostic possibility, especially in infants with apparent life-threatening events ALTEs or apparent sudden infant death syndrome SIDS. Suffocatory abuse occurs when a parent or caregiver intentionally suffocates a child with their hand or an object such as a cloth, pillow or plastic wrap. Infants who have been suffocated usually present with vague, nonspecific, apparently life-threatening symptoms, such as limpness, pallor, cyanosis or apnea. As a result of the nonspecific nature of the signs and symptoms, a high index of suspicion is required to detect suffocatory abuse.
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Child abuse by suffocation: A cause of apparent life-threatening events

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