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Everything you need to know about your baby’s plagiocephaly helmet

We knew our son's head shape was “not quite right" when he was born. He was born at 35 weeks, and he had a moment of performance anxiety during the birth, which resulted in him getting stuck.

That was fun.

The combination of his early arrival (and even softer head than a full-term newborn) and his period of “stuckness" resulted in him being born with a flat head, or if you want to be fancy about it, “Plagiocephaly." We didn't know it at the time, but he was also born with “Torticollis" which is a stiff neck muscle. It meant he could only turn his head to one side.

Because we are avid rule abiders in this house, we followed all the safe sleeping guidelines. We put bubs to bed on his back for every sleep and nap. So slowly over the first weeks of his life, his soft little head pressing down on his firm little mattress got progressively flatter and flatter—not only on the back, but on the one side that his head naturally turned to.

It now turned this way not only because of his stiff neck (we'd started doing stretches, so that was improving), but also then because of the flat spot. Think of it as cutting a segment out of an orange – the orange is always going to roll towards the flat surface and stay there.

I am a Googler (aren't all of us new parents?), so I was pretty reassured when I saw that flat spots were pretty common and that “Plagiocephaly" is the most common craniofacial problem today (partly due to the safe sleeping guidelines—though it is infinitely better to have a baby with a flat head than one who can't breathe, so I am definitely not advocating going against the guidelines).

When I started attending a community “Mother's Group" they covered Plagiocephaly. This was also reassuring, as a few other mums in the group raised their hands with similar concerns to me. So, I was feeling pretty good until the midwife caught sight of the side of my son's head while we were having tea and biscuits after the meeting and said, “that's actually a really remarkable case," turning his head this way and that. Remarkable, really? I appreciated her candor, but I definitely started worrying again then.

She gave me a card of an Orthopedist who could assess my son and perhaps prescribe a “Plagiocephaly Helmet."

The helmet's purpose is to alleviate pressure from the flat spots, allowing the skull to grow into the spaces provided inside the helmet—they make a cast of your baby's head first, so the spaces in the helmet match the flat spots in your baby's head.

She said she wasn't supposed to give out the contact information, because some doctors in our area did not agree with the helmets and thought they were a waste of time and money (they thought the problem would fix itself with time). I'll never know, because my anxious personality propelled me towards this Orthopedist's office as fast as my legs could take me (not that fast actually, as I was also dragging along a 4-month-old).

The Orthopedist certainly did prescribe a helmet. He made the cast right there during the first appointment, and I've made a list of things to expect if you, too, find yourself in the position of being prescribed one for your bundle of joy.

1. They are not super cheap, considering they are mostly foam

Our helmet set us back $500. I guess this is why some doctors will advise against them if they do feel the problem will correct itself in time. I felt it was worth it for us, for the peace of mind of knowing we were doing everything we could at the time. Also, this cost included all follow-up appointments and adjustments to the helmet every month (as his head changed shape) so it is actually pretty reasonable when you look at it like that.

2. It is not about cosmetics

You may think it is a little over the top for me to have gotten so worked up about the fact that my baby would have a bit of a flat head. My main concerns were not cosmetic (though of course I don't want him to look funny!) – I was thinking about stuff like him not being able to wear glasses comfortably (both hubby and I do, so it is pretty likely he will need them), or even sunglasses. Or not being able to wear safety helmets or hard hats without having specially made ones. This may not be an issue if the flat spot was just on the back, but because his head was asymmetrical (the flatness was on the back and one side) it would have been.

3. They are not as uncomfortable as they look


I have to go by observation on this one, because my 4-month-old didn't actually turn around to me and say "Hey, this isn't so bad." He wore his helmet 23 hours a day. It was only off to clean it and to give him a bath. He slept in it, and his sleep did not change or regress. He was a happy, giggly baby, and didn't really even seem to have a major adjustment period to it. It was really, truly, so fine. And when he got it off, he adjusted well to that too.

4. The earlier the better

The earlier the helmet is on, the shorter time period it needs to be on and the more effective it is. My son was in his helmet from four months old until about 8 months old. This is around the earliest it can go on. Helmets are believed to work best between approximately the ages of 5 months and 8 months.

There was another young boy who came to the office who had gotten his helmet on much later, and it was on for ages longer and didn't end up working as well. This is apparently to do with how fast our son's skull bones fuse together and the head being more malleable at an earlier age.

5. You may get some looks

Everywhere I went during the months of the helmet, I felt like I was being stared at. I tried to give people the benefit of the doubt, and assume they were staring because it looks so damn cute (it really does). They were also probably wondering what it was for, as the helmets aren't super common where I live. Strangers were nice to me—they offered to let me go first in queues, asked how I was doing, or asked to carry things for me.

Sometimes people would ask what was "wrong" with my son. My usual answer was that "it's just on to reshape his wonky head." I would play it cool, but sometimes my feelings were quite hurt when they said that. Some people told me that they thought my son had a mental disability, or a developmental disorder and it was on for protection (for head banging). I'll admit, it made me feel a bit self-conscious.

6. You do miss the unrestricted snuggles and nuzzling against your baby's head

This was the main thing I was excited for when I learned he could take his helmet off—the head nuzzles! Until then, we did lots of head nuzzling at bath-time, and at other times we snuggled him through the sometimes uncomfortable feeling of a hard block of foam on your face. He still felt cozy, warm, and snuggly, I'm sure. It was just us who were a tad more uncomfortable! Worth it!

7. If you don't clean the helmet every day, it will smell

All you have to do is wipe it down using rubbing alcohol and a cotton wool ball once a day (before bath time, so it has that half an hour to dry before he gets back into it). Leave it for a day and suffer the stench!

8. You will get creative with tummy time

Even though the helmet is on, which relieves the pressure off the flat spots, we are still told to pay attention to positioning. So, stretches to help move his heads both ways, repositioning his head on their mattresses, and tummy time—lots of tummy time!

If the child doesn't like it (ours didn't at first) this can be a challenge. We had to think of lots of ways to make it —think plastic sandwich bags filled with paint for him to squish, mirrors, music, blow up balls, and lying down with him making funny faces. It is actually quite fun to think of ways to extend the time they spend on their belly. And you get to lie down for a minute too!

9. You will miss it when it's gone—a bit

This is similar to when you see someone you are close to without their glasses on. It just doesn't look like "them" for a while, as you get used to its absence. Sure, we saw the "real him" every night at bath time, but he always looked just a little bit naked (that's a bad example because he was in the bath, but you get the idea). It probably took a good two weeks for us to not feel like something was "missing."

10.  It isn't so bad

It's just a few months, which pass by in the blink of an eye in infancy. It's a bit of a cost, but that includes everything. The babies aren't affected by it physically or emotionally, and it really doesn't affect their mood or sleep or anything (at least in our experience, and in talking to other helmet parents).

The best part: It worked! My son now has a perfectly asymmetrical, round head. He is none the worse for wear.

Who said motherhood doesn't come with a manual?

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Toxic masculinity is having a cultural moment. Or rather, the idea that masculinity doesn't have to be toxic is having one.

For parents who are trying to raise kind boys who will grow into compassionate men, the American Psychological Association's recent assertion that "traditional masculinity ideology" is bad for boys' well-being is concerning because our kids are exposed to that ideology every day when they walk out of then house or turn on the TV or the iPad.

That's why a new viral ad campaign from Gillette is so inspiring—it proves society already recognizes the problems the APA pointed out, and change is possible.

We Believe: The Best Men Can Be | Gillette (Short Film) youtu.be

Gillette's new ad campaign references the "Me Too" movement as a narrator explains that "something finally changed, and there will be no going back."

If may seem like something as commercial as a marketing campaign for toiletries can't make a difference in changing the way society pressures influence kids, but it's been more than a decade since Dove first launched its Campaign for Real Beauty, and while the campaign isn't without criticism, it was successful in elevating some of the body-image pressure on girls but ushering in an era of body-positive, inclusive marketing.

Dove's campaign captured a mainstream audience at a time when the APA's "Guidelines for Psychological Practice with Girls and Women" were warning psychologists about how "unrealistic media images of girls and women" were negatively impacting the self-esteem of the next generation.

Similarly, the Gillette campaign addresses some of the issues the APA raises in its newly released "Guidelines for the Psychological Practice with Boys and Men."

According to the APA, "Traditional masculinity ideology has been shown to limit males' psychological development, constrain their behavior, result in gender role strain and gender role conflict and negatively influence mental health and physical health."

The report's authors define that ideology as "a particular constellation of standards that have held sway over large segments of the population, including: anti-femininity, achievement, eschewal of the appearance of weakness, and adventure, risk, and violence."

The APA worries that society is rewarding men who adhere to "sexist ideologies designed to maintain male power that also restrict men's ability to function adaptively."

That basically sounds like the recipe for Me Too, which is of course its own cultural movement.

Savvy marketers at Gillette may be trying to harness the power of that movement, but that's not entirely a bad thing. On its website, Gillette states that it created the campaign (called "The Best a Man Can Be," a play on the old Gillette tagline "The Best a Man Can Get") because it "acknowledge that brands, like ours, play a role in influencing culture."

Gillette's not wrong. We know that advertising has a huge impact on our kids. The average kid in America sees anywhere from 13,000 to 30,000 commercials on TV each year, according to the American Academy of Paediatrics, and that's not even counting YouTube ads, the posters at the bus stop and everything else.

That's why Gillette's take makes sense from a marketing perspective and a social one. "As a company that encourages men to be their best, we have a responsibility to make sure we are promoting positive, attainable, inclusive and healthy versions of what it means to be a man," the company states.

What does that mean?

It means taking a stance against homophobia, bullying and sexual harassment and that harmful, catch-all-phrase that gives too many young men a pass to engage in behavior that hurts others and themselves: "Boys will be boys."

Gillette states that "by holding each other accountable, eliminating excuses for bad behavior, and supporting a new generation working toward their personal 'best,' we can help create positive change that will matter for years to come."

Of course, it's not enough for razor marketers to do this. Boys need support from parents, teachers, coaches and peers to be resilient to the pressures of toxic masculinity.

When this happens, when boys are taught that strength doesn't mean overpowering others and that they can be successful while still being compassionate, the APA says we will "reduce the high rates of problems boys and men face and act out in their lives such as aggression, violence, substance abuse, and suicide."

This is a conversation worth having and 2019 is the year to do it.

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Teaching a young child good behavior seems like it should be easy and intuitive when, in reality, it can be a major challenge. When put to the test, it's not as easy as you might think to dole out effective discipline, especially if you have a strong-willed child.

As young children develop independence and learn more about themselves in relation to others and their environment, they can easily grow frustrated when they don't always know how to communicate their feelings or how to think and act rationally.

It's crucial that parents recognize these limitations and also set up rules to protect your child and those they encounter. These rules, including a parent's or caregiver's follow-up actions, allow your child to learn and develop a better understanding of what is (and what is not) appropriate behavior.

Here are a few key ways to correct negative behavior in an efficient way:

1. Use positive reinforcement.

Whenever possible, look to deliver specific and positive praise when a child engages in good behavior or if you catch them in an act of kindness. Always focus on the positive things they are doing so that they are more apt to recreate those behaviors. This will help them start to learn the difference between good and poor behavior.

2. Be simple and direct.

Though this seems like a no-brainer, focus your child using constructive feedback versus what not to do or where they went wrong. Give reasons and explanations for rules, as best as you can for their age group.

For example, if you're teaching them to be gentle with your pet, demonstrate the correct motions and tell your child, "We're gentle when we pet the cat like this so that we don't hurt them," versus, "Don't pull on her tail!"

3. Re-think the "time out."

Many classrooms are starting to have cozy nooks where children are encouraged to have alone time when they may feel out of control. In lieu of punishment, sending a child to a "feel-good" area removes them from a situation that's causing distress. This provides much-needed comfort and allows for the problem-solving process to start on its own.

4. Use 'no' sparingly.

When a word is repeated over and over, it begins to lose meaning. There are better ways to discipline your child than saying "no." Think about replaying the message in a different way to increase the chances of your child taking note. Rather than shouting, "No, stop that!" when your toddler is flinging food at dinnertime, it's more productive to use encouraging words that prompt better behavior, such as, "Food is for eating, what are we supposed to do when we're sitting at the dinner table?" This encourages them to consider their behavior.

The above methods help create teachable moments by providing opportunities for development while making sure the child feels safe and cared for. It is important to mirror these discipline techniques at home and communicate often with your child care providers so that you're always on the same page.

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To the mamas awake in the middle of the night,

If you are one of the many moms with a little darling who doesn't sleep through the night, I feel your pain. I really do.

Having been blessed with two wonderful sleepers (aka my first and second babies), my third baby has been a shock to my system. He hasn't slept through the night since he was born and he's now 16 months. I do everything "right." I put him down sleepy but awake so he can settle himself to sleep. I keep the room dark and quiet.

But one simple fact remains: When my son wakes up in the night, he wants me. And he'll scream the house down if he doesn't get me.

Last night my 1-year-old woke at 3:30 am. He was stirring a bit at first, then started to really let it rip, so I got him up out of his crib and brought him into bed with me. We cuddled for a while. Then suddenly, he wanted to get off the bed and I said no. Then he started to scream and throw himself around on the bed before eventually being sick everywhere.

It was now 4:30 am. I dutifully changed the sheets, changed my son, changed myself, and then we climbed back into bed, the smell of vomit still lingering.

I tried to put him back in his crib around 5 am but he woke right up. I brought him back into bed with me, but quickly realized this wasn't what he wanted either. He was thrashing around again, trying to figure out a way off of the bed.

Finally, close to 6 am he decided he wanted to go to sleep. After about 10 minutes of watching him sleep, I felt brave enough to try to put him back in his room. I gently lifted him up, placed him in his crib and quietly crept back into my bed.

This left me with just enough time to fall back into a deep sleep, which meant I felt exhausted when my alarm went off just after 7 am.

Sadly, last night wasn't a one-off. This is a fairly frequent occurrence for me (although dealing with vomit is luckily quite rare!). Which means that when I say I understand what it's like to have a baby who doesn't sleep, I really mean it.

So here's what I want you to know, mama.

If you are awake in the night because your baby needs you then you are not alone. Despite what you might read, it's common for babies to wake up through the night. So if you're sitting in bed feeling like you're the only mother in the world awake, trust me, you're far from it.

There are mamas like us all over the world. Sitting there in the dark. Cuddling babies or soothing them to sleep again. Some, like me, might be changing sheets or abandoning any hope of getting sleep that night at all. Others might be up and down like a yo-yo every few hours. The rest might just be up once and then will be able to go back to sleep.

There will, however, also be mamas who are sound asleep. Mamas who have older children who no longer wake in the night. And they would want you to know that it will be okay. It won't be forever. One day, you'll realize that your baby no longer needs or wants you in the night.

And while you'll be so glad for your sleep you'll probably also be a little sad that there are no more night time cuddles.

It's hard to cope with a baby who doesn't sleep well at night. Really hard sometimes. You may feel like you can't deal with it anymore or you may be wishing that this phase would just stop already so you can get some rest.

Exhaustion often means that you struggle to get through the day. It can mean that you find it hard to drag yourself out of bed. Or if you're anything like me, you might be irritable and snap at the people you love. Or maybe it means relying on caffeine, sugar and Netflix to get you and your kiddos through the day.

But here's the amazing thing about mothers—no matter what has gone down during the night, we get up as usual. We go about our day just like everyone else. We care for and love our children, without giving them a hard time for disrupting our sleep. We don't moan, we don't complain. We just get on with it.

And when night comes, we go to bed knowing that there's every chance we'll be awake in the middle of the night again...

We get up without fail when our babies need us and we do what we need to do for them. Because we are the nighttime warriors. We are mamas.

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No one decides to be a stay-at-home mom for the paycheck—but if we were to earn one, it would put us in league with some CEOs. Although it doesn't do much for the bank account, a survey that calculated what the average salary would be for a stay-at-home mom is mighty validating. (Remember this next time anyone asks what you do all day.)

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