The bioethics thoughts of this article are guided to Child Abuse in general, not only to severe abuse and sexual abuse; it is directed to the most frequent form of abuse that occurs inside the family. In the first part of this article, an analysis of facts is performed, checking over epidemiologic and clinical relevant information of child abuse. In the second part, the analysis is based on values, difficulties in defining child abuse and the reasons why it should be managed as a health problem. In the last part, the discussion is maintained from an ethics perspective, regarding the problems in the attention of abused children and their families. The committee of child abuse presents a proposal for organization of health work in this subject