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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.

14 toys that will keep your kids entertained inside *and* outside

They transition seamlessly for indoor play.

With fall in full swing, most parents are fresh out of boxes to check on their "Fun Concierge" hit list. It's also the point of diminishing returns on investing in outside-only toys. So with that in mind, we've rounded up some of our favorite toys that are not only built to last but will easily make the transition from outdoor to indoor play. Even better, they're Montessori-friendly and largely open-ended so your kids can get a ton of use out of them.

From sunny backyard afternoons to rainy mornings stuck inside, these toys are sure to keep little ones engaged and entertained.

Wooden doll stroller

Janod wooden doll stroller

Take their charges on a stroll around the block with this classic doll stroller. With the same versatility they're used to in their own ride, this heirloom quality carriage allows their doll or stuffy to face them or face the world.

$120

Detective set

Plan Toys detective set

This set has everything your little detective needs to solve whatever mystery they might encounter: an eye glasses, walkie-talkie, camera, a red lens, a periscope and a bag. Neighborhood watch? Watch out.

$40

Sand play set

Plan Toys sand set

Whether you're hitting the beach or the backyard sandbox, this adorable wooden sand set is ready for action. Each scoop has an embossed pattern that's perfect for sand stamping. They're also totally suitable for water play in the wild or the bathtub.

$30

Water play set

Plan Toys water play set

Filled with sand or water, this tabletop sized activity set keeps little ones busy, quiet and happy. (A mama's ideal trifecta 😉). It's big enough to satisfy their play needs but not so big it's going to flood your floors if you bring the fun inside on a rainy day.

$100

Mini golf set

Plan Toys mini golf set

Fore! This mini golf set is lawn and living room ready. Set up a backyard competition or incorporate into homeschooling brain breaks that shift focus and build concentration.

$40

Vintage scooter balance bike

Janod retro scooter balance bike

Pedals are so 2010. Balance bikes are the way to go for learning to ride a bike while skipping the training wheels stage altogether. This impossibly cool retro scooter-style is built to cruise the neighborhood or open indoor space as they're learning.

$121

Wooden rocking pegasus

plan toys wooden rocking pegasus

Your little will be ready to take flight on this fun pegasus. It gently rocks back and forth, but doesn't skimp on safety—its winged saddle, footrests and backrest ensure kids won't fall off whether they're rocking inside or outside.

$100

Croquet set

Plan Toys croquet set

The cutest croquet set we've ever seen! With adorable animal face wooden balls and a canvas bag for easy clean up, it's also crafted to stick around awhile. Round after round, it's great for teaching kiddos math and problem-solving skills as well.

$45

Wooden digital camera

fathers factory wooden digital camera

Kids get the chance to assemble the camera on their own then can adventure anywhere to capture the best moments. With two detachable magnetic lenses, four built-in filters and video recorder, your little photographer can tap into their creativity from summertime to the holidays.

$179

Wooden bulldozer toy

plan toys wooden bulldozer toy

Whether they're digging up sand in the backyad or picking up toys inside, kids can get as creative as they want picking up and moving things around. Even better? Its wooden structure means it's not an eye sore to look at wherever your digger drops it.

$100

Pull-along hippo

janod toys pull along hippo toy

There's just something so fun about a classic pull-along toy and we love that they seamlessly transition between indoor and outdoor play. Crafted from solid cherry and beechwood, it's tough enough to endure outdoor spaces your toddler takes it on.

$33

Baby forest fox ride-on

janod toys baby fox ride on

Toddlers will love zooming around on this fox ride-on, and it's a great transition toy into traditional balance bikes. If you take it for a driveway adventure, simply use a damp cloth to wipe down the wheels before bringing back inside.

$88

Balance board

Plan Toys balance board

Balance boards are a fabulous way to get the wiggles out. This one comes with a rope attachment, making it suitable for even the youngest wigglers. From practicing their balance and building core strength to working on skills that translate to skateboarding and snowboarding, it's a year-round physical activity that's easy to bring inside and use between Zoom classes, too!

$75

Meadow ring toss game

Plan Toys meadow ring toss game

Besides offering a fantastic opportunity to hone focus, coordination, determination and taking turns, lawn games are just plain fun. Set them up close together for the littles and spread them out when Mom and Dad get in on the action. With their low profile and rope rings, they're great for indoors as well.

$30

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Tips parents need to know about poor air quality and caring for kids with asthma

There are steps parents can take to keep their children as healthy as possible.

When wildfires struck the West Coast in September 2020, there was a lot for parents to worry about. For parents of children with asthma, though, the danger could be even greater. "There are more than 400 toxins that are present in wildfire smoke. That can activate the immune system in ways that aren't helpful by both causing an inflammatory response and distracting the immune system from fighting infection," says Amy Oro, MD, a pediatrician at Stanford Children's Health. "When smoke enters into the lungs, it causes irritation and muscle spasms of the smooth muscle that is around the small breathing tubes in the lungs. This can lead to difficulty with breathing and wheezing. It's really difficult on the lungs."

With the added concern of COVID-19 and the effect it can have on breathing, many parents feel unsure about how to keep their children protected. The good news is that there are steps parents can take to keep their children as healthy as possible.

Here are tips parents need to know about how to deal with poor air quality when your child has asthma.

Minimize smoke exposure.

Especially when the air quality index reaches dangerous levels, it's best to stay indoors as much as possible. You can find out your area's AQI at AirNow.gov. An under 50 rating is the safest, but between 100-150 is considered unhealthy for sensitive groups, such as children with asthma. "If you're being told to stay indoors, listen. If you can, keep the windows and doors closed," Oro says.

Do your best to filter the air.

According to Oro, a HEPA filter is your best bet to effectively clean pollutants from the air. Many homes are equipped with a built-in HEPA filter in their air conditioning systems, but you can also get a canister filter. Oro says her family (her husband and children all suffer from asthma) also made use of a hack from the New York Times and built their own filter by duct taping a HEPA furnace filter to the front of a box fan. "It was pretty disgusting what we accumulated in the first 20 hours in our fan," she says.

Avoid letting your child play outside or overly exert themselves in open air.

"Unfortunately, cloth masks don't do very much [to protect you from the smoke pollution]," Oro says. "You really need an N95 mask, and most of those have been allocated toward essential workers." To keep at-risk children safer, Oro recommends avoiding brisk exercise outdoors. Instead, set up an indoor obstacle course or challenge your family to jumping jacks periodically to keep everyone moving safely.

Know the difference between smoke exposure and COVID-19.

"COVID-19 can have a lot of the same symptoms—dry cough, sore throat, shortness of breath and chest pain could overlap. But what COVID and other viruses generally cause are fever, chills, vomiting, diarrhea and body aches. Those would tell you it's not just smoke exposure," Oro says. When a child has been exposed to smoke, they often complain of a "scrape" in their throat, burning eyes, cough, shortness of breath, chest pain or wheezing. If the child has asthma, parents should watch for a flare of symptoms, such as coughing, wheezing or a tight sensation in their chest.

Unfortunately, not much is known about long-term exposure to wildfire smoke on a healthy or compromised immune system, but elevated levels of air pollution have been associated with increased COVID-19 rates. That's because whenever there's an issue with your immune system, it distracts your immune system from fighting infections and you have a harder time fighting off viruses. Limiting your exposure to wildfire smoke is your best bet to keep immune systems strong.

Have a plan in place if you think your child is suffering from smoke exposure.

Whatever type of medication your child takes for asthma, make sure you have it on-hand and that your child is keeping up with regular doses. Contact your child's pediatrician, especially if your area has a hazardous air quality—they may want to adjust your child's medication schedule or dosage to prevent an attack. Oro also recommends that, if your child has asthma, it might be helpful to have a stethoscope or even a pulse oximeter at home to help diagnose issues with your pediatrician through telehealth.

Most importantly, don't panic.

In some cases, social distancing and distance learning due to COVID may be helping to keep sensitive groups like children with asthma safer. Oro says wildfires in past years have generally resulted in more ER visits for children, but the most recent fires haven't seen the same results. "A lot of what we've seen is that the smoke really adversely affects adults, especially older adults over 65," Oro says. "Children tend to be really resilient."

This article was sponsored by Stanford Children's Health. Thank you for supporting the brands that support Motherly and mamas.

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Mama, all I see is you

A love letter from your baby.

Mama,

I can't see past you right now, I'm so small and everything's a little blurry.

All I see is you.

When you feel alone, like the walls are closing in, remember I'm here too. I know your world has changed and the days feel a little lonely. But they aren't lonely for me.

You are my everything.

When you feel like you don't know what you're doing, you're making it look easy to me. Even though we're still getting to know each other, you know me better than anyone.

I trust you.

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