The effects of domestic violence on children have a tremendous impact on the well-being and developmental growth of children witnessing it. Children who witness domestic violence in the home often believe that they are to blame, live in a constant state of fear, and are 15 times more likely to be victims of child abuse. Close observation during an interaction can alert providers to the need for further investigation and intervention, such as dysfunctions in the physical, behavioral, emotional, and social areas of life, and can aid in early intervention and assistance for child victims. Symptoms children may have while witnessing In general, children who witness domestic violence in the home can suffer an immense amount of physical symptoms along with their emotional and behavioral state of despair. These children may complain of general aches and pain, such as headaches and stomach aches. They may also have irritable and irregular bowel habits, cold sores, and problems with bed-wetting. These complaints have been associated with depressive disorders in children, a common emotional effect of domestic violence. Along with these general complaints of not feeling well, children who witness domestic violence may also appear nervous, as previously mentioned, and have short attention spans. These children display some of the same symptoms as children who have been diagnosed with attention deficit hyperactivity disorder (ADHD). On the reverse, these children may show symptoms of fatigue and constant tiredness. They may fall asleep in school due to the lack of sleep at home. Much of their night may be spent listening to or witnessing violence within the home. Children who are victims of domestic violence are often frequently ill, and may suffer from poor personal hygiene. Children who witness domestic violence also have a tendency to partake in high risk play activities, self-abuse, and suicide. Prenatal The physical effects of domestic violence on children, unlike the effects of direct abuse, can start when they are a fetus in their mother's womb, which can result in low infant birth weights, premature birth, excessive bleeding, and fetal death due to the mother's physical trauma and emotional stress. Increased maternal stress during the times of abuse, especially when combined with smoking and drug abuse, can also lead to premature deliveries and low weight babies. When a woman is stressed while pregnant, the baby can be born with stress and anxiety and can sometimes have problems with growth. Infants