For babies under around 4–5 months, repositioning is the first and most important step. Done consistently, it can make a real difference — and it costs nothing.

 

 

Why Repositioning Works

A baby’s skull is remarkably soft and mouldable in the first months of life. Consistent pressure in one area can cause flattening — but that same flexibility means the head can round out again, provided pressure is redistributed early enough. Combined with plenty of tummy time, most mild to moderate cases in babies under 4–5 months can improve significantly.

Practical Tips

1. Change head position during sleep

Each time you settle your baby to sleep, gently turn their head so it rests on the non-flattened side. Babies naturally turn towards light, sound, and movement — consider which side of the room these come from and adjust accordingly.

2. Rotate cot direction

Try rotating the direction your baby lies in the cot from time to time, so the “interesting” side of the room (door, window, or where you tend to stand) changes. This encourages natural head turning in both directions.

3. Tummy time

Supervised tummy time while your baby is awake removes all pressure from the back of the head and strengthens neck, shoulder, and core muscles. Build up gradually:

• Aim for several short sessions throughout the day, building towards 30–60 minutes total by 3–4 months
• Use a rolled towel under the chest for support in the early weeks if needed
• Try tummy time on your chest, across your lap, or on a play mat — variety helps keep your baby engaged
• If your baby dislikes it at first, persevere — most come to enjoy it with practice

4. Limit time on flat surfaces

Car seats, bouncers, rockers, and swings all place pressure on the back of the head. Minimise time in these when your baby is not in transit, and consider using a sling or carrying in arms as an alternative.

5. Upright carrying

Hold your baby upright against your shoulder or carry in a sling whenever possible — this takes all pressure off the back of the skull and is particularly beneficial.

6. Alternate feeding arms

If bottle feeding, alternate which arm you hold your baby in at each feed. This naturally encourages head turning in both directions and prevents a habitual resting position.

When to Seek Further Advice

If you have been trying repositioning consistently for 4–6 weeks without improvement, or if your baby is already over 4–5 months, it is worth booking an assessment. Early assessment means more options are available. We are also happy to advise on repositioning technique during an appointment — sometimes a small adjustment to your approach makes a significant difference.

 

Book a Free Assessment
Phone: 023 8000 5505 • Email: admin@hampshire-orthotics.co.uk
East Gate Lodge, Embley Park, Romsey, SO51 6ZB