A Review on Medical Child Abuse and Child Protection


  • Mustafa Hussein Ajlan Al-Jarshawi Department of Internal Medicine, College of Medicine, University of Baghdad, Iraq
  • Ahmed Al-Imam College of Medicine, University of Baghdad




Fabricated illness, factitious disorder, induced illness, medical child abuse, Munchausen syndrome by proxy, paediatric condition falsification



Medical child abuse describes a child receiving unnecessary, harmful, or potentially harmful medical care at the caretaker's instigation.


To focus on medical child abuse as an entity and emphasize its epidemiology, clinical presentations, prevention, and management.


In the UK, the annual incidence of medical child abuse in children below one year increased to 3:100,000, while its prevalence in Arabs, including Iraq, is ambiguous due to lack of evidence and improper clinician's awareness. The mean age at diagnosis is 14 months to 2.7 years. Female caregivers are the most common offenders. Clinically, medical child abuse could fit into three stages; falsification of illness story, falsification of illness story and physical signs' fabrication, or induction of illness in children. A successful diagnosis mandates a comprehensive review of medical records to identify discrepancies between caregivers' stories versus clinical findings or investigations. Management requires recognizing abuse, halting it, securing the child's safety, maintaining the family's integrity when possible, and aborting unnecessary lateral referrals within the healthcare system.


Reported cases of medical child abuse are increasing steadily, while less severe ones go unrecognized. No diagnostic tool can help other than the physician's high index of suspicion. The management follows the same principles applied for other forms of child abuse, while good medical practice ensures its prevention.


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How to Cite

Ajlan Al-Jarshawi MH, Al-Imam A. A Review on Medical Child Abuse and Child Protection. JFacMedBagdad [Internet]. 2021 Sep. 26 [cited 2021 Dec. 4];63(3). Available from: https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1836