During the first consultation, a detailed case history will be noted with regards to the child's birth and pregnancy as well as medical case history. The baby is subjected to enormous forces as they twist and turn to squeeze through the mother’s narrow bony pelvic canal.
To make this easier, the baby’s head is designed to adapt and reduce in size by the bending and overlapping of soft bones within the skull. This is called molding and is why many babies are born with oddly shaped heads, otherwise known as plagiocephaly.
In the first few days after birth, the head naturally loses much of the extreme molded shape aided by suckling, crying and yawning.
But, this unmolding process may sometimes be incomplete especially if the birth has been difficult and can leave the baby with uncomfortable stresses in the head or body. This might be because of a variety of problems both in the young baby and later on as the child grows.
Symptoms of Discomfort
A baby who is uncomfortable will draw attention to something being amiss by:
• Crying
• Being unhappy and irritable for long periods.
• Having difficulty falling or staying asleep.
• Showing signs of digestive discomfort.
• Preferring to feed on one side.
Once all of the usual causes of discomfort such as hunger, tiredness, bringing up wind have been dealt with, some babies are still very uncomfortable. Osteopaths consider that this can often be because of physical discomfort.
Head Shape
Distortion or an asymmetry in the baby’s head at
birth often resolves within the first few days. If there is any remaining flattening of one
side of the back of the head at birth, the baby naturally tends to lie on the flat area. This can cause the asymmetry of the head shape to get worse as the baby grows and lead to ‘flat head syndrome’ or ‘plagiocephaly’ results. Osteopaths are trained to assess the physical balance and symmetry of the whole body and advice on causes and management of plagiocephaly. The earlier that this is begun the less likelihood there is of the head distortion becoming severe.
Signs of Asymmetry in a Baby or Child
• Misshapen head.
• Ears may not be level and one may stick out more.
• Eyes may be a different size.
• Preference for breastfeeding on one side.
• Difficulty turning head one way.
• Baby prefers to lie in a bent position.
• Crawling with one foot tucked under the other.
• Walking with one foot turned in.
Development in the First Years
If a child is delayed in reaching the normal developmental milestones, then that child may not be achieving its full potential. Some of these milestones are:
• 4-5 months, starts to roll over.
• 5+ months, first teeth (highly variable).
• 6-7 months, sit largely unsupported.
• 8+months starts to walk unaided.
• 12-18 months, pre-speech gabbling, followed by simple and single word pronunciation.
• 2+ years, several words are put together.
• 2 years 3+ months, simple sentences.