A baby might need a helmet if they have a moderate or severe positional skull deformity that doesn't improve with repositioning or if they are older.
Understanding Positional Skull Deformity
Positional skull deformity, also known as plagiocephaly, occurs when a baby's soft skull becomes flattened or misshapen due to pressure. This can happen from sleeping in the same position, spending too much time in car seats or swings, or other factors. According to the reference provided, it's important to note that:
- A positional skull deformity does not affect a child's brain development or cause any other medical condition.
- The primary concern is cosmetic, and helmet therapy is not always necessary.
When Helmet Therapy Might Be Recommended
While repositioning and tummy time are usually the first steps in treating positional skull deformities, a helmet might be needed when:
- Moderate to severe deformity persists: If the flattening is significant and does not improve after consistently changing the baby's position.
- Older babies: If the baby is older and the skull's shape isn't likely to correct itself through repositioning alone.
Indicators that a Helmet Might be Needed
- Visible flattening: A noticeably flat spot on the back or side of the head.
- Asymmetrical ear position: Ears may be misaligned.
- Facial asymmetry: In more severe cases, one side of the face might look different from the other.
- Limited success with repositioning: If despite attempts to reposition your baby, the deformity does not improve.
What to do if You Suspect Your Baby Needs a Helmet
- Consult a pediatrician: Your pediatrician can assess your baby's head shape and determine if a helmet is needed. They can also rule out other conditions.
- Follow recommendations: If your pediatrician recommends a helmet, they can refer you to an orthotist, who specializes in fitting helmets.
- Helmet fitting and monitoring: The orthotist will take measurements and create a custom-fit helmet. Regular follow-up appointments will monitor the progress and make any necessary adjustments.
Key Takeaway
Helmet therapy is a treatment option for positional skull deformities that don't respond to repositioning, or when the baby is older, and while positional skull deformities are common and generally do not affect brain development, it is important to consult with your pediatrician for diagnosis and treatment options.
