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Baby lying on back in crib with head resting in one position, illustrating how flat heads can develop

22 Feb. 2026

Why Do Babies Get Flat Heads?

Many parents notice changes in their baby’s head shape and immediately wonder what caused it. It can feel confusing, especially when everything else about your baby seems healthy and comfortable.


This guide explains why babies commonly develop flat spots, how everyday positions and movement play a role, and when it may help to look more closely. It is based on the same head-shape principles used by pediatric physiotherapists and clinicians worldwide.

Why babies get flat heads in the first months

Babies get flat heads because their skulls are soft and can be shaped by repeated pressure in the first months of life. When a baby spends a lot of time resting with their head in the same position, gentle pressure on one area can gradually lead to flattening, most often at the back or on one side.


This does not mean parents are doing anything wrong. Sleeping on the back is still the safest and recommended position for babies, even though it can contribute to flat spots. Flat head shapes are a common side effect of normal early routines.

What a baby’s head is like in the first months

Diagram showing soft skull plates in a newborn baby’s head

A baby’s skull is made up of several soft plates that allow the brain to grow quickly. These plates are flexible by design, which means head shape can change more easily in response to pressure, especially in the early months.

How everyday positions influence head shape

Most flat heads develop because of repeated pressure on the same area of the head. This often happens when babies


☐ Lie on their backs for sleep

☐ Spend long periods resting in the same position

☐ Naturally they prefer turning their head to one side.

Common situations where pressure builds up

Baby sleeping, sitting in a car seat, and feeding while turning head to one side

Pressure can build up when a baby sleeps with their head turned the same way, rests frequently in car seats or bouncers, or feeds more comfortably while looking in one direction. Over time, staying in these positions for long periods can influence head shape.

Why some babies are more affected than others

Baby resting with head turned to the same side during sleep and feeding

Some babies are more affected because they have a strong preferred side, tight neck muscles, were born prematurely, or move less in the early weeks. When a baby consistently rests on one side for long periods, that area of the head is more likely to flatten.

How parents can recognize contributing factors

Parents may notice their baby


☐ Often looks to the same side,

☐ Dislikes turning their head the other way,

☐ Spends much of the day in similar resting positions.


Recognizing these patterns early can help parents understand what may be contributing to head shape changes.

Why it is hard to pinpoint the cause by looking alone

Baby showing a preferred head position to one side while lying down

It is difficult to tell which factors matter most just by looking. Head shape changes gradually, photos can be misleading, and daily routines often feel too normal to notice without a clear reference.

Worried about your baby’s head shape? Get clear numbers and advice today. 

How measurement helps clarify what is happening

Baby head shape scan on smartphone showing measurement lines and results

A scan can help clarify whether


☐ Flattening is present,

☐ How pronounced it is,

☐ Whether it is changing over time.


This turns general observations into clear information that can guide calm next steps.

Common questions parents ask

Did I cause this? 

Flat head shapes usually develop from normal early routines, not mistakes.


Can this be prevented? 

Gentle variation in positions can help, especially early on.


Will it always get worse? 

In many cases, head shape can stabilize or improve, depending on age, movement, and awareness.

Worried about your baby’s head shape? Get clear numbers and advice today. 

Writen by Elly van der Grift

Elly van der Grift is the co-founder of Skully Care and a pediatric physiotherapist with over 30 years of experience. Her mission is to provide top care for babies with skull deformities. With her infectious enthusiasm, she shares simple, effective tips that can make a big difference for your baby. Working with Elly, you'll feel confident and supported in your baby’s journey to better health.

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