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Are Flat Heads Normal?

Published in Baby Health 3 mins read

Yes, flat heads, also known as plagiocephaly or brachycephaly in babies, are quite common. Affecting approximately 1 in 5 babies, they are often not a major cause for concern.

Understanding Flat Head Syndrome

Flat head syndrome refers to a flattening on one side of a baby's head (plagiocephaly) or a flattening on the back of the head (brachycephaly).

Causes of Flat Head

Several factors can contribute to a baby developing a flat head:

  • Position in the womb: Limited space in the womb can put pressure on the baby's head.
  • Premature birth: Premature babies have softer skulls and spend more time lying in the same position.
  • Torticollis: Tight neck muscles (torticollis) can make it difficult for a baby to turn their head, leading to prolonged pressure on one area.
  • Sleeping position: Babies who spend a lot of time on their backs (as recommended for safe sleep to prevent SIDS) may develop a flat spot.

Why It's Usually Not a Major Concern

  • No brain impact: Flat head syndrome typically doesn't affect brain development.
  • Often self-correcting: In many cases, the head shape will improve on its own as the baby grows and starts spending more time sitting, crawling, and standing.

What to Do If You Notice a Flat Spot

While often not serious, it's always best to consult with a pediatrician if you notice a flat spot on your baby's head. They can assess the severity and recommend appropriate steps, such as:

  • Tummy time: Encouraging supervised tummy time when the baby is awake can help relieve pressure on the back of the head.
  • Varying positions: Change the baby's position frequently during playtime and feeding.
  • Physical therapy: If torticollis is present, physical therapy can help loosen the neck muscles.
  • Helmet therapy: In more severe cases, a helmet may be recommended to reshape the head.

In summary

While the presence of a flat spot on a baby's head is common, it's important to consult with a doctor for evaluation and guidance on appropriate management strategies. Most cases are mild and resolve on their own or with simple interventions.

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