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The Cause: Friction Alopecia

Published in Baby Hair Loss 2 mins read

Why Are Babies Bald in the Back?

Babies often develop bald spots on the back of their heads due to friction. This is a very common occurrence and usually nothing to worry about.

The primary reason for bald patches at the back of a baby's head is friction alopecia. This happens because babies spend considerable time sleeping on their backs. The constant rubbing of their delicate scalp against the mattress or crib surface causes hair breakage and tangling. This leads to thinning hair or bald patches, particularly in the occipital area (the back of the head).

  • Mechanism: The pressure and friction weaken the hair shafts, causing them to break off easily.
  • Location: This typically affects the back of the head, the area most in contact with the sleeping surface.

Other Contributing Factors

While friction is the most common cause, other factors can contribute to hair loss in babies:

  • Hair Type: Babies with fine or delicate hair are more susceptible to friction-related hair loss.
  • Sleeping Position: Prolonged time spent sleeping on the back exacerbates the issue. However, some amount of rubbing is unavoidable.
  • Hair Pulling: In rare cases, babies might unintentionally pull out their own hair, although this often presents differently than friction alopecia.

Is it Something to Worry About?

In most instances, these bald patches are entirely normal and temporary. The hair typically grows back on its own as the baby grows and their sleeping habits change or as they spend less time on their back. Consult a pediatrician if you notice other symptoms or are concerned about the cause.

Promoting Hair Regrowth

While usually unnecessary, parents can try to:

  • Vary Baby's Position: Increase tummy time to reduce constant pressure on the back of the head.
  • Use Soft Bedding: Ensure that the baby's bedding is soft and smooth to minimize friction.

Remember, many resources confirm the common occurrence of this phenomenon. A bald spot on the back of the baby's head is often simply a result of sleeping position and friction, and is usually self-correcting.

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