Plagiocephaly

A guide for families · StarlitBaby

Worried about plagiocephaly?

Learn how to spot head asymmetries, how to help prevent them and when to see a professional.

Read the guide
Educational information · A professional assessment is always recommended
First months

What is a head asymmetry?

A baby’s skull is flexible during the first months. Sustained pressure on the same area can temporarily change its shape. Positional plagiocephaly causes asymmetric flattening; brachycephaly causes more even flattening at the back of the head.

Noticing it early means you can talk to your paediatrician and get advice tailored to your baby.

Learning to observe

Three different shapes

This visual reference is for guidance only. Only a healthcare professional can properly assess your baby’s head shape and rule out other causes.

Educational comparison of a symmetrical head shape, positional plagiocephaly and brachycephaly✓⚠⚠
Symmetrical shapePositional plagiocephalyBrachycephaly
Important: a photo or a check at home does not replace a paediatric assessment. Seek advice if you notice persistent flattening, misaligned ears, a strong preference for one side or difficulty turning the neck.
Practical prevention

What you can do at home

1

Alternate positions

Switch arms during feeds and change the side from which you approach your baby.

2

Supervised movement

Offer short periods of tummy time while your baby is awake, increasing them gradually as tolerated.

3

Watch their mobility

Seek advice if your baby always looks to the same side or finds it hard to turn their neck comfortably.

How and when to use it

Four moments with the Bear Pillow

Visual guidance for including it in short routines, always with your baby awake and under direct supervision.

Baby’s head centred on the Bear Pillow

Centre the head

Gently rest the back of the head on the central area, with the neck in a natural position and without forcing.

Supervised use of the Bear Pillow while changing clothes

During care routines

It can be used during awake, supervised moments, such as changing clothes or nappies, or a gentle massage.

Awake baby interacting with their mother on the Bear Pillow

Calm interaction

Use it on a firm, stable surface while you stay with your baby and encourage them to look to both sides.

Using the Bear Pillow in a flat carrycot with the baby awake and supervised

During walks

Only while your baby is awake, under direct supervision and always following the carrycot instructions.

Supervised use: these scenes are for guidance only. Follow the individual advice of your paediatrician or paediatric physiotherapist and remove the pillow before your baby falls asleep.
Complementary positioning support

The role of the Bear Pillow

Designed to support positioning advice during the first months, the Bear Pillow can be included in supervised moments of the daily routine, following the recommendations of the professional who assesses your baby.

It does not diagnose, treat or cure. Its role is to complement — never replace — the paediatric assessment or the manual therapy of a paediatric physiotherapist.

Discover the Bear Pillow
Ergonomics certified by IGR

Assessed according to international standards

The Starlit Baby Bear Pillow passed the usability and ergonomics assessment carried out by the German Institute for Health and Ergonomics (IGR).

The tests were based on the DIN EN ISO 26800 and EN ISO 15537 standards and analysed how well the product suits the physical characteristics of the people assessed.

Prematurity

An especially soft little head

Premature babies may be more vulnerable to positional deformities due to bone immaturity and long periods spent in certain positions. Early professional follow-up is especially important.

Safe sleep

Safety comes first

For sleep: always on their back, on a firm, flat surface free of pillows or soft objects, following your paediatrician’s advice.

Your questions answered

FAQ

How can I check the shape of the head?

With the hair damp, look at the head from above and check the outline, whether the ears are level and whether your baby turns to both sides.

When should I seek advice?

If you notice persistent flattening, a strong preference for one side, misaligned ears, a head tilt or difficulty moving the neck.

Does the Bear Pillow replace physiotherapy?

No. It is a complementary positioning support and should be used within the advice given by healthcare professionals.

Is the IGR certification a medical certification?

No. It certifies the usability and ergonomics of the product according to the standards stated on the certificate; it is not a clinical validation of treatment or cure.

You don’t have to figure it out alone

Observe, ask and act early

If anything worries you, share what you have noticed with your paediatrician or paediatric physiotherapist.

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