Bruising / Marks in Non Mobile Infants - Practice Guidance

Infants who have yet to acquire independent mobility (rolling/crawling) should not have bruises/ marks or other injuries without a clear explanation. Numerous serious case reviews, both locally and nationally, have identified the need for heightened concern about any bruising in any pre-mobile baby. Any bruising is likely to come from external sources and should raise child protection concerns.

It is also important to be aware that serious case reviews have repeatedly shown that infants can sustain serious injuries without any visible bruising. Consider injury as a possible cause where an infant appears to be in discomfort or not using a limb.

The below documents should be used by all professionals when considering Bruising & Marks in Non Mobile Infants.

Bruising and Marks in Non Mobile Infants - Practice Guidance

Bruising and Marks in Non Mobile Infants - Flowchart

Bruising and Marks in Non Mobile Infants - Identification Tool

Bruising and Marks in Non Mobile Infants - Appendix A Skin Map

Bruising and Marks in Non Mobile Infants - Babies Under One: reducing avoidable harm by recognising risk and protective factors

Last updated: 08 February 2023