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Newborn flat head

 

First of all, a hearty congratulations to all the new moms who have just delivered a cute little bundle of joy. The first cry of the baby will always make the mother smile and cry with happiness. Don't know how those feelings come out all by themselves. Maybe because we nourished him inside our stomach for 9 months and felt his movements and kicks. Since the day our pregnancy test shows a positive result, we make sure that our baby is growing in a healthy way. We make frequent visits to doctors, ask elders, join pregnancy courses and learn so much about the redevelopment of a baby in the womb. We love our kids so much that even a small tiny thing can bother us more than them. We panic a lot whenever our babies get unhealthy. 

When the baby is born, there is so much to do around him. They get unhealthy very often as they are trying to adjust to the environment around them. They may get a high fever, full cold and cough, jaundice, loose motions, etc. This is very common and your baby will be healthy soon. Just like this is the flathead which develops after one month or some babies have it from day 1. There is nothing to worry about it. It will go away on it's after a few months. So don't panic and enjoy yourself with your baby. 



What is Flathead?

This flat head syndrome is also called Positional Plagiocephaly. A flat spot develops on the backside of your baby's head or on the side part of the head. This doesn't interfere with your baby's growth and brain development. It doesn't hurt the baby's brain or cause damage to it. Normally, our head looks round in shape, but babies with this syndrome will not have round heads. Their head looks flat on the backside. It looks asymmetrical or uneven. There will be less hair development on that part. 

Now, this is a very common problem, every mom faces. "Newborn Flathead". This sounds dangerous and sounds like a defect in our baby. But the good news is it's completely normal. More than 50% of babies have this defect in the initial months of their life. It's the same for both boys and girls. The common cause for this syndrome is making your baby lie on the bed only in one position. Like making your baby sleep only on his back or on one side for long hours or every day in his bed, swing, crib, car seat, etc.

My baby also developed a flathead when he came out into this world. We were trying for normal delivery, but the baby was not coming out easily. His heart rate started increasing very high and hence we opted for a c-section delivery. Since it was getting late when my baby came out his right-hand palm was a little bit blue in color. If the delivery didn't happen at the right time then the baby may become completely blue and die due to lack of oxygen as the water already broke before. So since my baby was trying to come through the birth canal from the vagina, his right side of the head moved in an upward position like a peak. It looked very awkward and I was very afraid to see his head. But my doctor explained to me that this is normal and it will become normal after a few months. When my baby was 6 months old, that flathead started reducing and by one year, his head was completely normal. It got into a nice round shape. For some babies, it may take up to 2 years to get their normal round head shape. 


Symptoms of Flathead

  • A flat spot on your baby's head. Either backside, right-side, or left-side of the head.
  • Less hair in that area.
  • Baby sleeping on the flat spot area more often for comfort.
  • Asymmetrical head shape.
  • Irregular head.


When does it occur?

Your newborn's skull bones are very delicate and are not hard enough as a toddler or adult. Their bones are soft and pliable for easy passage through the mother's birth canal at the time of delivery. They change their head shape according to the movement in the birth canal.  That is why newborns' heads can change shape very easily if more pressure is put on them. Some babies sleep only on one side and hence their side part of the head becomes flat. Some babies head become uneven when they try to come through the birth canal from the vagina. This is very normal and your baby's head will come back in its round shape after a few months as your baby grows and his bones become strong. It goes away on its own between 6 months to 1 year when the baby starts sitting, walking, playing, and crawling. If it doesn't go after one year then you must consult your pediatric. 

Some babies develop flathead in the womb itself if they are immature or have some problems with development. Or if you are carrying twins or triplets, there might be less space for babies to grow and hence one or two babies might get flat heads at this time. 


How to prevent Flat Heads?

  1. Let your baby have some tummy time. This will help your baby to play on his stomach and his head will not have any pressure.
  2. Massage your baby's body from head to toe.
  3. Change your baby's head position if you see him sleeping only on one side for long hours.
  4. Hold your baby in an upright position and play with him when he is awake. This will help relieve pressure on your baby's head due to sleeping in bed, cribs, swings, and carriers. 
  5. Use a mustard seed pillow for your newborn baby. Whenever you put your baby's head on this pillow, it easily accommodates according to the head shape and doesn't put pressure only on one side of the head. Mustard seeds are very flexible and move very easily whenever your baby changes position while sleeping.
  6. Let your baby sleep on his tummy during the daytime. But you should still supervise your baby. Some babies might get breathing problems if their nostrils are pressed while sleeping on their stomachs, or if there are any fluffy toys or soft pillows around their head. This is very dangerous and may cause SIDS (Sudden Infant Death Syndrome). So always keep an eye on your baby. 
  7. Switch from side to side while breastfeeding or formula feeding. Feed 15 minutes on one side and 15 minutes on the other. If you feed only on one side for a long time, your arm pressure on your baby's head can cause a flat head. 
  8. Always keep his head covered with cap or cotton cloth till he is 6 months old.
  9. If your baby's side part of the head is flat then he will sleep on that side only everyday with which it can get worse. So keep pillows on both sides of the head to avoid side flathead. There are many infant pillows available in the market today. 
  10. If the baby's head doesn't come under normal shape then your doctor might suggest helmet therapy in which your doctor will give you a small helmet for your baby that should be used according to your doctor's advice.  


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