TY - JOUR PY - 1995// TI - Analysis of child abuse cases admitted in pediatric service in Japan. I. Two types of abusive process in low birth-weight infants JO - Acta paediatrica Japonica A1 - Tanimura, M. A1 - Matsui, I. A1 - Kobayashi, N. SP - 248 EP - 254 VL - 37 IS - 2 N2 - A very high rate (43.0%) of low birth-weight (LBW) was shown in 331 abused/neglected cases reported from pediatric clinics of major hospitals in Japan. Of 87 LBW cases, 82.8% had medical problems and/or unsatisfactory reunion after non-home care and were abused at a particular age when each of the problems may have caused difficulties in caring. Two types of processes to abuse these intractable LBW were estimated: (i) abusers with psychiatric, mental problems or poor knowledge abused their children during the first 2 years, presumably because of an inability in child rearing; and (ii) abusers with neurosis or abnormal personality abused at ages over 2 years, complained of difficulties with rearing their children, and were suspected to be unable to cope with the difficulties. In both types, a combination of child and parental problems increased at risk. Obstetricians and neonatologists, who first encounter both high-risk mothers while pregnant and LBW, should give due care to the prevention of child abuse.

Language: en

LA - en SN - 0374-5600 UR - http://dx.doi.org/ ID - ref1 ER -