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My 7 months baby fell from the bed yesterday on her back. I couldn't notice how she fell but we heard a sound and we ran to her only to find here lying on her back crying. The height of the bed is about 50 inch from the floor. She seems to be OK now playing but still I am very scared whether she might have internal injury. How to know whether she had any injury at home ?

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How to know whether she had any injury at home? Take her to the doctor's immediately. –  Facebook Answers Feb 22 '13 at 8:15
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Incidentally, surrounding a bed with pool noodles under the sheets (or any similarly high barrier) can make it dramatically harder for a baby to fall off. –  Rex Kerr Feb 24 '13 at 15:13
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"50 inch from the floor" that's a crazy-high bed. As for the question, you need to speak to a doctor, which I'd do ASAP given a fall from that height. –  DA01 Oct 20 '13 at 23:55
    
I've fallen from the same height and it did not harm me - now, did it? First look into her eyes, if the pupil is unusually big take her to a doctor. All the best! –  Thorsten Staerk Jan 13 at 17:34
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3 Answers

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Firstly, if you're really worried for any reason or even have a shadow of a doubt take her to a doctor.

Generally babies and toddlers aren't injured in falls as they have softer bones and don't tend to tense up while falling until they've experienced the pain of a few falls. Unless your baby is showing pain or a side effect from the fall such a losing consciousness, it's unlikely you have anything to worry about.

I have five children and you tend to become more relaxed and less worried unless you can see something is wrong or unusual (such as refusing food for more than 2 normal feeds) with the baby after a fall or bump. Babies and toddlers are extremely resilient.

Here is a good page about falls including warning signs to look out for: http://www.babycenter.com/0_falls_397.bc

Call 911 if your child experiences any of the following after a fall:

  • A loss of consciousness. If your child isn't breathing, have someone call 911 while you administer infant cardiopulmonary resuscitation (CPR) (if your child is younger than 12 months) or cardiopulmonary resuscitation (CPR) (if your child is 12 months or older) until help arrives. If you're alone, give your child CPR for two minutes, then call 911 yourself.
  • Bleeding that you're unable to stop with pressure.
  • A seizure.
  • If your child is breathing but not responsive — he's unconscious after the fall or you're unable to wake him up after he goes to sleep, for example.

Take your child to the emergency room or talk to his doctor immediately if you notice any of the following:

  • Signs of a broken bone, including an obvious deformity, like a wrist that's bent awkwardly, or an arm or a leg that seems out of alignment
  • Signs of a possible skull fracture: A soft, swollen area on the scalp, especially on the side of the head (above or behind the ear); blood showing in the whites of his eyes; or pinkish fluid or blood draining from his nose or ears
  • Signs of a concussion, such as persistent vomiting or excessive sleepiness. Depending on your child's age, look for a change in how he crawls or walks; headache or dizziness; weakness or confusion; or problems with speech, vision, or motor skills
  • Signs of a possible brain injury, such as changes in pupil size and unusual eye movements
  • Prolonged crying or screaming, which could indicate a possible internal injury such as abdominal bleeding
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@sdjaws Thanks! for your wonderful link. –  Namshum Feb 22 '13 at 17:53
    
The page you link to is very useful. We generally request that answers include a minimal summary of such pages so that the core information is not lost if that other site changes its links or goes offline. Could you please edit your answer accordingly? –  Torben Gundtofte-Bruun Feb 23 '13 at 7:58
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Answer updated. –  sjdaws Feb 23 '13 at 10:29
    
My son fell out of a shopping cart onto his head when he was about a year and a half old. I took him to the DRs and this is pretty much what the DR told me. Babies are more resilient than what we might think. –  BillyNair Feb 24 '13 at 2:23
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We've had two children who experienced broken bones from falling before the age of 18 months.

The first was with a 7 month old, about a 24 inch fall from a bed. Symptoms were that the baby refused to place any weight on, or use one of his feet, and gentle foot manipulation caused the baby obvious distress (crying, clinging, stop paying attention to what he was doing at the time). XRays showed a small fracture in the end of the tibia (calf bone, end closest to the ankle) which didn't require a cast. This was a significant adventure because it was initially thought that the fracture went through the growth plate, which can be very serious in children.

The second was with a 14 month old at the climbing stage, with a 18 inch fall while trying to climb a chair. Symptoms were largely the same, but with the arm. This resulted in fractures of the ulna and radius (both bones in the forearm). As others have mentioned, due to the spongy/soft nature of bones at these ages the fractures were compression fractures, rather than breaks. A cast was used for a few weeks not because the breaks required it, but because it was expected that the child wouldn't be able to understand not to use that arm until it healed, and indeed he was again climbing on things with the cast and a sling in place, the next day.

A 50 inch fall is a significant drop, even onto a carpeted, padded floor. Note that both of the above fractures occurred with a less than 2 foot drop onto padded carpet. I would strongly suggest that regardless of the symptoms you take your child in to be examined. Some types of injuries aren't apparent without careful examination.

However if your child has changed in behavior - additional sleep, eating habits change, crying more (or less) frequently, avoiding activities she used to enjoy, or increased clinginess, go see the doctor regardless of the height of the fall.

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And before you dial CPS we have 7 children, and yes both of these injuries were seen by competent medical professionals with training to identify abuse. Now that I think about it, if I add all the ages together we have over 50 years of children (7 boys, ranging from 13 years old to 13 months old). None of them have experienced broken bones except the two mentioned above. I wonder if one broken bone per 25 years of childhood is above or below the national average? –  Adam Davis Jan 14 at 19:45
    
Ok, so one study indicates that for one year there was an incidence rate of 180 fractures per 10,000 children. So that's about 55 child-years per fracture (or, assuming childhood extends until one is 18, about 1 in three chance of having a fracture as a child, assuming no one ever has more than one). This is half my rate (2 fractures per 55 child years, vs my 2 fractures per 50 child-years), but if none of my children receive any further fractures, then it's just below average (2 out of 7). Maybe just design the house so everything is no more than 6 inches off the ground? –  Adam Davis Jan 14 at 19:52
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Usually babies as more resistant to all kind of injuries as their bones are more flexible and less fragile than the adult ones. Also they regenerate faster as they are still developing and have a really young tissues.

But it's still better to go to doctor. You'll lose couple of hours but will be sure that everything is fine

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+1 for "But it's still better to go to doctor." –  Beofett Feb 22 '13 at 14:43
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I tend to agree with "go to doctor" almost always, but depending on where you life and how circumstances are there is also a risk in going to the doctor, e.g. other sick child in the waiting room. If your child is not vaccinated yet someone bringing in measles or another thing like that is a realy concern. –  Erik Oct 21 '13 at 15:00
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