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Why Do Some Babies Have Long Heads?

Published in Head Shape in Babies 3 mins read

A baby's head shape can vary significantly due to several factors. The most common reason for a long or oblong head shape is the pressure experienced during a vaginal delivery.

Pressure During Birth

During a head-first birth, the pressure from the birth canal can mold the baby's soft skull bones into an elongated shape. This is often temporary and resolves itself within a few days after birth. This temporary deformation is known as newborn head molding. Mount Sinai and Mayo Clinic both confirm the role of birth pressure in shaping a newborn's head. The soft spots (fontanelles) in a baby's skull allow for this molding to occur, enabling the baby's relatively large head to navigate the birth canal.

Other Factors Affecting Head Shape

While birth pressure is a significant factor, other conditions can also contribute to a long head shape:

  • Premature babies: Premature infants who spend time in the Neonatal Intensive Care Unit (NICU) are more susceptible to developing a long, narrow head. This is sometimes called NICUcephaly. (HealthyChildren.org)

  • Positional Plagiocephaly: Prolonged positioning of a baby's head in one direction can lead to flattening on one side and elongation on the other. This is often preventable by regularly changing the baby's position. (Caring for Kids)

  • Craniosynostosis: This rare condition involves the premature fusion of the skull bones, resulting in an abnormally shaped head. It often requires surgical intervention. (NHS, HealthyChildren.org)

  • Benign Familial Macrocephaly: In some cases, a larger-than-average head size is inherited and is a harmless variation. (Cleveland Clinic)

When to Seek Medical Attention

While many long head shapes are harmless and resolve on their own, it's crucial to consult a pediatrician if you have concerns about your baby's head shape. They can assess the situation and rule out any underlying conditions.

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