Child’s Play Parenting

Flat Head on Babies – Why?

Posted by: simplylife11 on: September 1, 2008

Why do some babies have flat heads? What can a parent do to prevent a flat head in their baby?

An infant’s head is very mouldable until approximately 18 months old. That means that the skull bones take on the shape of what gives it the most pressure. The bones are not soft, they are mouldable, or influenced by pressure over a long period of time. Babies that spend a lot of time on their back can develop a flattness on the back of their head, or on the sides of their head if they spend a lot of time on one side instead of the other. Since babies spend a lot of time laying down and do not have very good control over their head, the point of maximal pressure on a baby’s head is most likely the back part of it.

The shape of the skull does not affect brain function or future intelligence. It is purely cosmetic. However, there is an infrequent medical condition called craniosynostosis that can cause a similar problem with the head. It is a result of an early fusion of the skull bones and will interfere with brain growth. If you are concerned with the shape of your baby’s head, please make an appointment with your pediatric office.

Things you can do to prevent a flat head that results from persistent pressure:

  • change your baby’s sleep position so their head does not have pressure on the flat area
  • do exercises with your baby on their stomach, showing them pictures of human faces, so they will lift up on their arms & lift their head (this also strengthens the arms & shoulders)
  • hold your baby upright against your chest, keeping your baby’s head away from laying on your arm
  • if all else fails and the flattness is severe, there are craniofacial clinics that will fit your baby with a helmet that puts pressure of the opposite sides of the flattness and not on the flattness itself. This is something that must be prescribed by your doctor.

In the long run, unless the flattness on your baby’s head is from craniosynostosis, the shape of your baby’s head will not be noticed or be a problem when they get older when their hair is completely in & covering the area.

3 Responses to "Flat Head on Babies – Why?"

Actually. if a baby has plagiocephaly then there can be facial asymmetry so it will be noticiable as an adult if you do not get a corrective device.

Hi,

Actually, the cranial band (helmet) which is prescribed to help with flat spots do not put any pressure on the baby’s head. It is custom molded to your baby’s head and there is a spot that the doc leaves open for the head to naturally reposition itself.

Thank you for your clarification on the cranial band. It is something that I see only occasionally because it is used for the more severe forms of head molding. What I do see in practice on a regular basis is a mild to moderate molding of the head in full term infants from positioning once they are born. It is true that there are many infants that develop plagiocephaly but these are usually premature infants and infants that are seriously ill at birth requiring a long hospitalization. Thank you for your comments and I welcome more in the future.

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