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Jean Motschke
Early Child Special Education Teacher/Occupational Therapist - Roosevelt



Back to Sleep Campaign
-Back to Sleep has been a successful campaign in reducing incidence of SIDS by 50 % according to the National Institute of Child Health and Human Development.

-A less favorable outcome of back to sleep is limited opportunities for tummy time and plagiocephaly (flat head).

-Studies also have shown that babies that sleep on their back and have limited tummy time, are less likely to roll over by 4 months.


Strategies to Promote Symmetrical Head Shape
-Alternate positions in the crib by positioning the baby so his/her head is at the opposite end of the crib every other night.

-Help the baby change his head position at night.

-Position mobiles on alternate sides of the crib to encourage active head turning to both sides.

-Alternate the arm that is used to carry and feed the baby.

-Limit the amount of time baby spends in bouncy seats or other sitting devices. When using devices, support head at midline so it is not tipped or turned to one side.

-Provide stimulation and approach baby from both sides.

-Provide regular opportunities for TUMMY TIME when baby is awake and being supervised; begin with a few minutes a day and gradually increase time as baby's tolerance improves.

-Some experts are suggesting 30 minutes of tummy time per day to promote motor development and prevent flat head complications.




My Links
Dr. Greene-Flat Heads and Tummy Time
Baby Center-Helping Baby get comfortable on her belly.


Tummy Time
-Tummy time provides the foundation for many motor skills.

-Tummy time helps babies develop neck strength for head control.

-Tummy time encourages weight bearing over arms and hands which promotes shoulder strength for mobility and fine motor skills.

-Tummy time can be calming and organizing for babies, but it is a challenging position for babies because they need to lift their head against gravity.

-Tummy time on an adult’s chest is a great adaptation to increase tolerance.

-Support under the chest, such as with a small blanket or towel roll, helps babies push up on their arms and hold their head up against gravity.

-Mirrors, bright, sound producing toys, books, faces, etc. can help promote tolerance.




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