In 1992, the Back to Sleep campaign was launched to prevent
the incidence of Sudden Infant Death Syndrome. Almost 20 years later, the
rising number of babies with deformational plagiocephaly, otherwise known as "flat head syndrome," has aroused concern from pediatricians that always
putting babies on their back to sleep may have some undesirable consequences.
Deformational plagiocephaly occurs when continued pressure
is put on a baby’s head, leading to a flat spot. There is no known treatment
for the condition but some medical professionals argue that none is needed –
that it will work itself out over time. For severe cases, most pediatricians
recommend putting a helmet on the baby’s head. Helmets theoretically leave
enough space for the child’s head to continue forming even if they are lying
down, although there are no studies that support this conclusion. Not all
infants will develop deformational plagiocephaly and some are more prone to it,
such as babies born with torticollis, a condition affecting the newborn’s neck.
The bones of the skull are soft during the first year of a baby’s life and
start to harden around the one year mark, so resolving deformational
plagiocephaly is necessary before a baby’s first birthday. Studies are underway
to determine if flat head syndrome causes any neurological problems, but it’s
believed that the long-term effects are purely aesthetic.
To prevent flat heads, parents are now encouraged to
continue putting babies on their back to sleep, but advised to change the
positioning of the head once the baby is asleep. For example, if the baby has
lolled the head to the left while sleeping, the parent can simply shift the
position of the head to the right. Parents are
also encouraged to put babies on their tummies under supervision.
The Back to Sleep Campaign has been extremely effective,
lowering the rate of SIDS by 40 percent. However, deformational plagiocephaly
and a lack of tummy time are both unexpected side effects of the campaign. To
ensure your baby’s head and posture develop normally, regular supervised tummy
time is recommended.
Do you know anyone
with “flat head syndrome”?
Head Deformity Ignites Debate among Baby Experts [
Fox
News]
SIDS Rate: Decrease Seen, but More Can be Done [
KidsGrowth]
Babies Need More ‘Tummy Time’ [
PWBlog]