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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.

These challenges from Nike PLAYlist are exactly what my child needs to stay active

Plus a fall family bucket list to keep everyone moving all season long.

While it's hard to name anything that the pandemic hasn't affected, one thing that is constantly on my mind is how to keep my family active despite spending more time indoors. Normally, this time of year would be spent at dance and gymnastics lessons, meeting up with friends for games and field trips, and long afternoon playdates where we can all let off a little steam. Instead, we find ourselves inside more often than ever before—and facing down a long winter of a lot more of the same.

I started to search for an outlet that would get my girls moving safely while we social distance, but at first I didn't find a lot of solutions. Online videos either weren't terribly engaging for my active kids, or the messaging wasn't as positive around the power of movement as I would like. Then I found the Nike PLAYlist.

I always knew that Nike could get me moving, but I was so impressed to discover this simple resource for parents. PLAYlist is an episodic sports show on YouTube that's made for kids and designed to teach them the power of expressing themselves through movement. The enthusiastic kid hosts immediately captured my daughter's attention, and I love how the physical activity is organically incorporated in fun activities without ever being specifically called out as anything other than play. For example, this segment where the kids turn yoga into a game of Paper Scissors Rock? Totally genius. The challenges from #TheReplays even get my husband and me moving more when our daughter turns it into a friendly family competition. (Plus, I love the play-inspired sportswear made just for kids!)

My daughter loves the simple Shake Ups at the beginning of the episode and is usually hopping off the couch to jump, dance and play within seconds. One of her favorites is this Sock Flinger Shake Up activity from the Nike PLAYlist that's easy for me to get in on too. Even after we've put away the tablet, the show inspires her to create her own challenges throughout the day.

The best part? The episodes are all under 5 minutes, so they're easy to sprinkle throughout the day whenever we need to work out some wiggles (without adding a lot of screen time to our schedule).

Whether you're looking for simple alternatives to P.E. and sports or simply need fun ways to help your child burn off energy after a day of socially distanced school, Nike's PLAYlist is a fun, kid-friendly way to get everyone moving.

Need more movement inspiration for fall? Here are 5 ways my family is getting up and getting active this season:

1. Go apple picking.

Truly, it doesn't really feel like fall until we've picked our first apple. (Or had our first bite of apple cider donut!) Need to burn off that extra cinnamon-sugar energy? Declare a quick relay race up the orchard aisle—winner gets first to pick of apples at home.

To wear: These Printed Training Tights are perfect for when even a casual walk turns into a race (and they help my daughter scurry up a branch for the big apples).

2. Visit a pumpkin patch.

We love to pick up a few locally grown pumpkins to decorate or cook with each year. Challenge your child to a "strongman" contest and see who can lift the heaviest pumpkin while you're there.

To wear: Suit up your little one in comfort with this Baby Full Zip Coverall so you're ready for whatever adventures the day brings.

3. Have a nature scavenger hunt.

Scavenger hunts are one of my favorite ways to keep my daughter preoccupied all year long. We love to get outside and search for acorns, leaves and pinecones as part of our homeschool, but it's also just a great way to get her exercising those gross motor skills whenever the wiggles start to build up.

To wear: It's not truly fall until you break out a hoodie. This cozy Therma Elite Kids Hoodie features a mesh overlay to release heat while your child plays.

4. Have a touch-football game.

Tip for parents with very little kids: It doesn't have to last as long as a real football game. 😂 In fact, staging our own mini-games is one of our favorite ways to get everyone up and moving in between quarters during Sunday football, and I promise we all sleep better that night.

To wear: From impromptu games of tag to running through our favorite trails, these kids' Nike Air Zoom Speed running shoes are made to cover ground all season long.

5. Create an indoor obstacle course.

Pretending the floor is lava was just the beginning. See how elaborate your personal course can get, from jumping on the couch to rolling under the coffee table to hopping down the hallway on one foot.

To wear: These ready-for-any-activity Dri-FIT Tempo Shorts are perfect for crawling, hopping and racing—and cuddling up when it's time to rest.

This article was sponsored by Nike. Thank you for supporting the brands that supporting Motherly and mamas.

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