What to Do About Flat Head Syndrome in Babies

As new parents, one of your top priorities is making sure of your baby’s health and well-being. So, it’s natural to feel concerned if you notice a flat spot forming on your baby’s head. Known as Flat Head Syndrome or Positional Plagiocephaly, this condition can make the back or side of a baby’s head appear flattened. The good news is that it’s common, and in most cases, it’s temporary and treatable with the right steps. 

This blog will guide you through the causes, treatments, and prevention methods for Flat Head Syndrome, helping you ensure your baby’s head develops naturally and beautifully. 

What Causes Flat Head Syndrome? 

Babies are born with soft, flexible skulls, which allow their heads to pass through the birth canal and accommodate rapid brain growth in the first year of life. However, this also makes their skulls more susceptible to flattening. 

The most common causes include: 

1. Prolonged Pressure on One Spot:

   Babies often lie in the same position for extended periods, especially during sleep. This can result in flattening on the back or side of the head. 

2. Torticollis:

   A condition where neck muscles are tight, causing the baby to favour turning their head to one side. This can lead to uneven pressure on the skull. 

3. Premature Birth:

   Premature babies have softer skulls and spend more time lying in one position in the NICU, increasing the risk of developing a flat head. 

4. Use of Baby Gear:

   Spending too much time in car seats, swings, or bouncers can also contribute to flat spots by limiting a baby’s movement. 

Signs to Look For-

Flat Head Syndrome can appear as early as 6 to 8 weeks of age. Here are the signs to watch out for: 

• Flat Spot:

  A noticeable flat area on the back or side of your baby’s head. 

• Asymmetry:

  The ears may seem uneven, or the face may appear slightly uneven. 

• Head Preference:

  Your baby may always turn their head to one side when lying down. 

If you notice these signs, it’s best to consult your paediatrician for advice and further evaluation. 

How to Treat Flat Head Syndrome 

In most cases, Flat Head Syndrome improves as your baby grows, becomes more mobile, and spends less time lying down. Here are some effective ways to address it: 

1. Tummy Time

   Tummy time is one of the best ways to prevent and treat Flat Head Syndrome. Placing your baby on their tummy while they’re awake helps strengthen their neck, shoulders, and back, encouraging them to lift and turn their head.
   Start with short sessions, like 3-5 minutes, a few times a day, and gradually increase the duration as your baby gets used to it. Always supervise tummy time to ensure your baby’s safety.  

2. Repositioning

   Repositioning your baby’s head during sleep and play can help distribute pressure evenly on their skull. Try these tips:
   Alternate the direction your baby faces in the crib each night.
   Encourage your baby to turn their head to the less preferred side by placing toys or sounds on that side.
   Limit time spent in car seats, swings, and bouncers when not travelling.  

3. Using a Mustard Pillow

   A mustard pillow, commonly used in Indian households, is an age-old remedy for preventing and treating Flat Head Syndrome. Filled with mustard seeds, these pillows are soft and moldable, helping to support the baby’s head evenly while preventing flat spots. Additionally, they provide gentle cushioning that allows the baby’s head to naturally shape over time.
   
   

1. Physical Therapy

   If Flat Head Syndrome is caused by torticollis, your paediatrician may recommend physical therapy to stretch and strengthen your baby’s neck muscles. A therapist can also teach you simple exercises to do at home, making it easier to improve your baby’s head mobility. 

2. Helmet Therapy

   In severe cases, your doctor might suggest helmet therapy. This involves wearing a custom-fitted helmet that gently reshapes the baby’s head over time. While this is usually reserved for extreme cases, it’s a safe and effective option when recommended by a specialist. 

How to Prevent Flat Head Syndrome 

Preventing Flat Head Syndrome is easier than treating it. Here are some tips to keep in mind from the start: 

1. Encourage Movement:

   Regularly change your baby’s position throughout the day, encouraging them to move and turn their head naturally. 

2. Limit Time in Baby Gear:

   Avoid keeping your baby in car seats, swings, or bouncers for long periods. 

3. Promote Active Play:

   Use tummy time and floor play to encourage movement and head control. 

4. Use Supportive Pillows:

   A mustard pillow can help prevent flat spots while offering your baby the right kind of support. 

5. Monitor Sleeping Position:

   While it’s important to put your baby to sleep on their back to reduce the risk of SIDS (Sudden Infant Death Syndrome), you can gently reposition their head to alternate sides. 

When to Seek Professional Help 

Most cases of Flat Head Syndrome improve with time and simple interventions, but there are instances where professional help may be needed. Consult your pediatrician if: 

• The flat spot worsens despite your efforts. 

• You notice severe asymmetry in your baby’s head or face. 

• Your baby struggles to turn their head or seems to have a tight neck. 

Early intervention can make a big difference, so don’t hesitate to reach out if you’re concerned. 

Conclusion 

Addressing Flat Head Syndrome isn’t just about fixing a flat spot—it’s about supporting your baby’s overall development. Remember, every baby develops at their own pace, and with your love and attention, they’ll thrive. 

So, take it one step at a time, enjoy these precious moments with your baby, and know that you’re doing a fantastic job. After all, a happy and healthy baby starts with small, thoughtful choices that show just how much you care.