You should worry about baby flat head (plagiocephaly or brachycephaly) if the flat spot or unusual head shape hasn't improved by around 2 months of age, or if your baby has difficulty turning their head.
Key Indicators to Watch For:
It's normal for newborns to have slightly misshapen heads due to the birthing process. However, certain situations warrant a consultation with your General Practitioner (GP) or child and family health nurse. Here's a breakdown:
- Persistent Flat Spot: If you notice a flat spot on your baby's head that doesn't seem to be resolving on its own by the time they are approximately 2 months old. This is a primary indicator that requires attention.
- Asymmetrical Head Shape: If your baby's head has an obviously unusual shape, and it's not getting better with time.
- Head Preference: A strong preference for always turning their head to one side. This can contribute to flat spots and may indicate torticollis (tight neck muscles).
- Limited Head Movement: Difficulty turning their head to the left or right. This could also be a sign of torticollis.
What to Do If You're Concerned:
- Consult a Healthcare Professional: The first step is always to schedule an appointment with your GP or a child and family health nurse. They can assess your baby's head shape and range of motion and advise on the best course of action.
- Tummy Time: Increase the amount of supervised tummy time your baby gets. This helps strengthen neck muscles and encourages them to turn their head in different directions.
- Vary Positioning: Alternate the direction your baby faces in the crib each night, and switch arms when you hold and feed them.
- Consider Physical Therapy: If torticollis is present, your doctor may recommend physical therapy to help stretch and strengthen your baby's neck muscles.
- Helmet Therapy (if necessary): In more severe cases, helmet therapy may be recommended to reshape the skull. This is typically considered for babies between 4 and 12 months old.
Early intervention is key to addressing flat head and preventing potential developmental delays. Don't hesitate to seek professional advice if you have any concerns about your baby's head shape.
