I think the fear comes from, as you said, the use of the child's innocence. When we think of fearful images, we are more likely to imagine something grotesque or horrific...but the idea of a child, young and innocent, isn't one that comes to mind. Then, a child is used in a way to create a scare, and it scares us even more because it is the embodiment of innocence that has been corrupted, has been turn into horror