What to Do About Flat Head Syndrome in Babies

Bringing your little one home is a truly magical experience; a moment filled with wonder, love, and countless firsts. It’s also when parents become more observant than ever, noticing every tiny expression, movement, and sound their baby makes. 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. Plagiocephaly*, and it makes the back or side of a baby’s head look a bit flattened. The most important thing to know is that it’s very common, it’s not usually serious, and parents can almost always fix it with simple steps.

This guide aims to bring reassurance to new parents by shedding light on why flat spots can occur and how simple, nurturing habits can help prevent them. It also explores the gentle support that a well-designed mustard pillow can offer in caring for your newborn’s delicate head. 

*Positional Plagiocephaly: also known as flat head syndrome, is a condition where a baby's head develops a flat spot, usually on one side of the back

What Causes Flat Head Syndrome? 

When a baby enters the world, their head is soft and malleable, much like gentle clay. This softness helps during birth and supports healthy brain growth, but it also means that continuous pressure on one area can gradually cause the head to lose its natural shape.

Common Causes Flat Head Syndrome

Babies are born with soft, flexible skulls. This flexibility makes their heads more susceptible to flattening.

The most common causes include: 

1. Lying in One Position Too Long: Since babies must sleep on their backs to be safest (to reduce SIDS risk), they spend a lot of time with their head resting against a flat surface. When a baby’s head rests in the same position too often, the constant pressure can cause a flat spot to develop.

2. Stiff Neck Muscles (Torticollis): Sometimes, a baby has tight neck muscles that make it difficult for them to turn their head equally to both sides. They favour one side, which means that side takes all the pressure, leading to a flat spot. If parents notice their baby always turning their head to one particular side or having difficulty looking in another direction, it’s a good idea to consult a doctor for guidance and early support.

3. Being Born Early: Premature babies often have even softer skulls and spend more time lying down without much movement in the hospital. This increases the risk of a flat head.

4. Too Much "Container Time": Spending too much time in gears like car seats, swings, or bouncers can also cause flat spots. These pieces of baby gear are convenient for short periods, but they keep the baby in a reclined position for too long, placing continuous pressure on the back of the head. Allowing the little one more floor time, such as supervised tummy time or play on a flat surface, helps relieve that pressure and encourages healthy head shape development.

Signs to Look For-

Parents should regularly observe their baby’s head shape during routine moments, such as diaper changes or after bath time. Signs of Flat Head Syndrome can begin to appear as early as 6 to 8 weeks, making early attention and gentle adjustments important.

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.
   
   
   

   One gentle way to support your baby’s natural head shape is by using a specially designed newborn pillow made with soft, breathable materials. For instance, a mustard seed pillow like the Somya Aakar Newborn’s Head-Shaping Mustard Pillow by Baby Forest can offer gentle support and comfort for babies from 0 to 6 months, helping maintain a rounded head shape while allowing natural movement.

   How the Mustard Seed Pillow for Newborns Helps:

   • Natural Support: Filled with organic mustard seeds, the pillow gently molds to the shape of the baby’s head, providing even support that encourages natural head rounding. This soft, adaptable base also promotes healthy blood circulation and helps reduce the risk of flat head syndrome.

   • Soothing Comfort: Infused with dried lavender, the pillow offers a calming scent that helps relax your baby and promote restful sleep. The combination of gentle support and natural aroma creates a peaceful resting environment.

   • Soft, Safe Fabric: Crafted from 100% organic cotton, the pillow cover is breathable, hypoallergenic, and exceptionally gentle on delicate baby skin. It’s also removable and washable, ensuring easy care and long-lasting hygiene.

   Usage Guidance: Introduce this supportive pillow soon after birth. It’s ideal for use when your baby is lying in a bed, cradle, or rocker. Make sure your baby’s head and shoulders rest comfortably on the pillow to help support proper neck and spine alignment.
   
   

• 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. 

• 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: 

• Encourage Movement:

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

• Limit Time in Baby Gear:

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

• Promote Active Play:

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

• Use Supportive Pillows:

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

• 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 

It’s natural for parents to feel a little concerned when they notice changes in their baby’s head shape. The good news is that mild flat spots are quite common and usually easy to manage with gentle care. Simple daily habits, like supervised tummy time, regular position changes, and using a supportive baby head pillow, can go a long way in helping your little one’s head develop naturally.

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.