You can help a baby's head return to a more rounded shape through repositioning techniques.
Understanding Positional Plagiocephaly
Positional plagiocephaly, also known as flat head syndrome, can occur when a baby spends too much time in one position, leading to a flattening of the skull. The good news is that this is often correctable, and you can do it by changing how your baby is positioned throughout the day.
How to Encourage a Rounder Head Shape
The key to addressing positional plagiocephaly is counter-positioning or repositioning, which involves altering your baby’s position while they are feeding, sleeping, and playing. Here's a detailed guide:
During Feeding:
- Bottle Feeding: Alternate the side you hold your baby on during bottle feeds. This prevents prolonged pressure on one side of the head.
- Breastfeeding: Change the nursing position for each feed. Try the football hold, cradle hold, and cross-cradle hold.
During Sleep:
- Alternate Head Position: Change the direction your baby's head faces each night when placing them in the crib. If they tend to turn their head to the right, gently reposition it to the left for the next sleep.
- Tummy Time: While they are awake and supervised, introduce tummy time. This not only helps the head but also strengthens the baby’s neck and back muscles.
During Play:
- Vary Positions: When your baby is awake and playing, vary their position. Use baby seats, play mats, or side-lying positions to avoid having them always on their back.
- Encourage Movement: Place toys on the side that needs encouragement to move their head towards it.
Summary
| Activity | How to Reposition |
|---|---|
| Feeding | Alternate sides you hold baby; try different breastfeeding positions. |
| Sleeping | Alternate head direction; supervised tummy time. |
| Playing | Change play positions often; place objects to encourage head movement. |
When to Seek Professional Advice
While repositioning is usually effective, consult your pediatrician if you notice:
- Significant or worsening flattening.
- Asymmetrical ear or facial features.
- Neck stiffness or difficulty moving their head.
Your doctor can assess the situation and advise if additional treatments like a helmet or physical therapy are necessary.
