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Pediatric Deformational Plagiocephaly
Central Points about Deformational Plagiocephaly in Children
- Flat caput syndrome (deformational plagiocephaly) is when a baby'southward head develops a lasting apartment spot, either on one side or on the back of the head.
- With this condition, the skull bones don't fuse together.
- The first pace in treating this condition is to alter your baby's head position.
- Some cases crave the babe to clothing a helmet or remodeling ring.
- Mild cases frequently go away on their own with simple means to change a babe'south head position.
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The skull flattens when a baby'due south head stays in one position for long periods of time. Sometimes a baby is born with this flattening because of a tight space in the uterus. This may happen if you are having twins or other multiples. Other factors that may increase the risk for flat head syndrome include:
- Muscular torticollis. This is a trouble that is present at birth (congenital). One or more than of the neck muscles is extremely tight. And then the baby's head stays in the same position.
- Early birth (prematurity). The skull bones of premature babies are softer. And many premature babies spend a lot of time in the infirmary on respirators with their heads in the same position.
- Back sleeping. Babies who sleep on their back or in a car seat without changing positions for long periods of time can develop flat heads. Just to reduce the risk for SIDS (sudden infant death syndrome), babies should ever sleep on their back until they are i twelvemonth erstwhile.
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Flat head syndrome (deformational plagiocephaly) is when a baby'due south head develops a lasting flat spot. The flat spot may exist either on one side of the caput or on the back of the head. This happens when a babe sleeps in the aforementioned position most of the time or considering of problems with the neck muscles.
This status is different from craniosynostosis. In craniosynostosis, a baby's skull bones fuse together before they are supposed to. In deformational plagiocephaly, the skull bones don't fuse.
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A baby is more than likely to have this condition if whatsoever of the post-obit are true:
- They are the first-born child
- The baby is a boy
- The baby was born with the help of forceps or vacuum extraction
- The baby has torticollis
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This problem may non be noticeable or present at birth. It may develop during the start few months of life. A flat spot may appear on either side or the back of the head as the baby grows.
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Your baby'south wellness care provider will check your baby's head from all positions. He or she will also experience your child's head, specially forth the suture lines. Your baby's health care provider will as well have measurements of your babe's head to figure out how serious the status is.
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Treatment will depend on your infant'south symptoms, age and general health. Information technology will also depend on how severe the condition is. Some babies don't need treatment. The condition may go away when the baby begins to sit down up.
For other babies, handling may include:
- Irresolute your babe's sleep position by turning their head to the opposite side
- Having your babe spend time on their tummy (stomach) while awake and supervised
Your baby may need to wear a special band or helmet if the problem is moderate to severe and turning the infant's head hasn't helped. Helmets are often made of an outer hard vanquish with a foam lining. Gentle force per unit area helps to reform the caput. Every bit the caput grows, adjustments are fabricated. Some studies take shown that helmets weren't helpful for moderate to astringent skull deformation.
The boilerplate handling with a helmet is often three to 6 months. This will depend on the age of the infant and the severity of the condition. Your babe'southward wellness intendance provider will need to check your child carefully and often. Helmets must be prescribed by a licensed wellness care provider with craniofacial experience.
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As babies grow and develop, they will move and reposition themselves. This removes the pressure that may have caused the condition. But if the flat spot is moderate to astringent, it may not get better on its own. If treatment is not started early plenty, the head may keep to be uneven.
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This status has increased since the national Back to Sleep campaign began. This campaign was started to decrease deaths from SIDS. It has been very successful. It is of import that immature babies who can't roll over or move on their own not be placed on their belly to sleep. To help forbid a flat head:
- Permit your baby take tummy time while y'all are watching.
- Lessen the time your infant spends in auto seats and baby carriers.
- Hold your baby, giving the baby time to be upright.
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If you notice that your babe's head is misshapen or you are worried about a apartment spot, have your baby checked by their health care provider.
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