Concerns After Baby Falls from Bed: What Parents Should Know

Q: Concerns After Baby Falls from Bed: What Parents Should Know

Hello Akane： Infants should not be placed on beds or tables without guardrails, or any other surfaces where they might fall. <br>If your child experiences vomiting, altered consciousness, or motor impairment, you should seek medical attention immediately. <br>Based on your curren

A 70-day-old infant fell from a height of 47 cm off the bed?

After giving the baby a bath, I placed him near the bed close to the electric heater to get him dressed.
Unexpectedly, I went to answer a phone call, and he managed to kick his legs and fell off the bed.
He has a swelling on his right cheek near the ear that is larger than a 50 NT dollar coin.
Two hours later, we urgently went to see a pediatrician, who took two X-rays of his head.
The skull is fine, and the doctor advised us to apply ice and monitor for any vomiting.
Now, 16 hours after the fall, he hasn't vomited, but his behavior has changed significantly.
He used to cry loudly and struggle a lot, but now he cries softly and has become more cheerful.
He hasn't cried for food at the usual feeding times, which makes me very worried.
Doctor, is the baby okay? Will he become less intelligent?

Worried Mother, 30~39 year old female. Ask Date: 2007/03/03

Dr. Wang Jiayi reply Pediatrics

Hello Akane: Infants should not be placed on beds or tables without guardrails, or any other surfaces where they might fall.
If your child experiences vomiting, altered consciousness, or motor impairment, you should seek medical attention immediately.
Based on your current description, it seems that close monitoring is sufficient.
The Pediatrics Department at Hualien Hospital is here to support you!

Reply Date: 2007/03/03

More Info

It’s understandable to be concerned after your baby has fallen from the bed, especially given the visible injury and the changes in behavior you’ve described. First and foremost, it’s important to recognize that falls are relatively common in infants and toddlers, and while they can be alarming, many children recover without any long-term effects.
From what you’ve shared, it seems that your child has been evaluated by a pediatrician, and the X-rays showed no fractures or serious injuries to the skull. This is a positive sign. The recommendation to apply ice and monitor for symptoms such as vomiting is standard practice after a head injury. Vomiting can indicate increased intracranial pressure or a concussion, so it’s good that your baby has not experienced this symptom.

However, the behavioral changes you’ve noted are concerning. A significant alteration in behavior, such as becoming less vocal, less active, or more subdued, can sometimes be a sign of a concussion or other neurological issues. While it’s common for children to be more clingy or irritable after a fall, a drastic change in personality or a lack of interest in usual activities (like eating or playing) warrants further observation.

Here are some steps you can take to ensure your child's well-being:
1. Monitor Behavior Closely: Keep an eye on your child’s behavior over the next few days. Look for any signs of lethargy, confusion, persistent crying, or any other unusual behavior. If your child continues to show signs of being unusually quiet or unresponsive, it’s important to seek medical attention.

2. Watch for Physical Symptoms: In addition to vomiting, be aware of other symptoms such as excessive sleepiness, difficulty waking up, seizures, or any unusual eye movements. If any of these occur, contact your pediatrician immediately.

3. Provide Comfort and Reassurance: After a fall, children may feel insecure. Providing extra comfort, cuddles, and reassurance can help them feel safe. Engage in gentle play or read to them to help restore a sense of normalcy.

4. Consult a Pediatric Specialist: If you remain concerned about your child’s behavior or if the changes persist beyond a few days, consider consulting a pediatric neurologist. They can perform a more thorough evaluation to rule out any underlying issues.

5. Follow Up with Your Pediatrician: Keep your pediatrician informed about any changes in your child’s behavior. They may recommend a follow-up appointment to reassess your child’s condition.

6. Prevent Future Falls: To prevent future accidents, consider using safety measures such as bed rails or placing the mattress on the floor until your child is older and more stable on their feet.

In conclusion, while it’s natural to worry after such an incident, many children recover well from minor falls. However, your child’s well-being is paramount, and if you have any lingering concerns, don’t hesitate to reach out to a healthcare professional for further guidance. Your attentiveness to your child’s behavior is crucial in ensuring their safety and health.

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