Indications that Munchausen by proxy syndrome stems from a variety of reasons.

Most people would never dream of inflicting pain on themselves or their loved ones in an attempt to gain the attention and sympathy of others, but people with Munchausen by Proxy Syndrome (MSBP) do just that. Someone who has this mental illness is a parent, most often the mother, who fabricates illnesses in their children, subjecting them to numerous medical examinations and tests. Scientific studies have been unable to establish a clear psychological profile of …

…to escape the responsibilities of parenthood. At it's very core Munchausen by proxy is a life threatening abuse, as the mother has a deep underlying psychological need for the child to be sick and will distort information or create symptoms to play that scenario out again and again. As a result, hospital staff and doctors need to be made aware of this disease and the symptoms so they can properly diagnose parents instead of children.