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Pediatricians and child health organizations agree 
that healthy babies should be placed on their backs 
to sleep for naps and at nighttime, to reduce the risk 
of Sudden Infant Death Syndrome (SIDS). But babies 
who are always on their backs can sometimes develop 
flat spots on their head (plagiocephaly). Most cases 
of positional plagiocephaly can be prevented (and 
sometimes corrected) by repositioning your baby to 
relieve pressure on the back of the head. Here are 
some tips and techniques from the experts to keep in 
mind as you care for your baby:

• 

Change the location of your baby’s sleeper or crib in 
the room, so she has to look in different directions 
to see the door, or the window, or interesting things 
going on around her.

• 

When your baby is awake, provide opportunities 
for adult-supervised “tummy time” play. Playing 
on his tummy helps take the pressure off the back 
of his head, which will help prevent flat spots from 
developing. Tummy time play also helps your baby’s 
head, neck and shoulder muscles get stronger as 
part of normal development.

Preventing Baby’s Head from Flattening

Cómo evitar que la cabeza del bebé se aplane

Como Evitar Achatamento na Cabeça do Bebê

• 

Try tummy time two or three times a day, for short 
periods of time, until your baby gets used to being 
on her tummy. Once your baby begins to enjoy this 
position, try longer periods of time or increase the 
frequency of tummy time play.

• 

Help your baby avoid resting his head in the same 
position all the time by frequently changing the 
direction he lies in the crib. For example, have your 
baby’s feet point toward one end of the crib for a few 
days, and then change the position so his feet point 
toward the other end of the crib. This will encourage 
your baby to turn and look in different directions.

• 

Try to minimize the amount of time your baby spends 
in car seats, carriers and bouncy seats while awake.

• 

Lastly, make sure you enjoy lots of “cuddle time” with 
your baby by holding her upright over your shoulder.

For additional information on positional plagiocephaly 
and the benefits of tummy time play for your baby, 
speak with your pediatrician or family physician.

National Institute of Health (NIH) Eunice Kennedy Shriver National 
Institute of Child Health and Human Development

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