How to Care for Your Baby’s Soft Spot

Why do babies have soft spots on their heads?

Have you heard that a baby’s head can look a little banana-like right after vaginal delivery? Some babies have big round heads that can have a little difficulty fitting through the fully dilated cervix (4 inches across). So, nature created a special trick to make sure any sized head can slide out: squish-ability

What is a baby’s soft spot?

Adult skulls have one solid bone, but your baby’s skull is made up of a bunch of bones that are not yet unattached.

The best way to think of your baby’s head…is to look at your fist! Make a fist with one hand and use your other hand to wrap around it…and squeeze it a little.  It will stay a fist, but shift—just a little—into a slightly new shape. Each of your fingers is like one of the bones of your baby’s skull. They are right next to each other, but they can shift to make the head a bit more banana-shaped…so it can fit out the cervix. 

Between these little skull bones are a few ravioli-sized gaps. These gaps will later be filled in with bone, but for now they’re covered by an amazing membrane, right under the skin, that is as tough as leather! This flexible design is so smart because it gives a bit more room for the head to squish and get a little smaller—for birth—but it also lets the head get bigger over the next few years.

Where is a baby’s soft spot?

The main soft spots are the anterior fontanelle—the obvious one right in the middle of the top of the head—and a smaller posterior fontanelle, on the back of the head.

When does a baby’s soft spot close?

Actually, the fontanelles get bigger during the first four months, perhaps doubling in size. That’s because your baby’s brain is growing so fast. The fontanelles are like the elastic of your pregnancy pants, they snugly protect your baby’s amazing brain, but give it plenty of room to expand without feeling pinched. Through the second half of the first year, the baby soft spots shrink and are eventually completely replaced by bone.

How do you care for the soft spot on a baby’s head?

A baby soft spot may feel scary to touch, but the membrane between the skin and the brain is actually pretty tough! So, you don’t have to worry when you touch the area or give it a nice scrub when shampooing (especially important when your little has developed a case of cradle cap, right on top of the fontanelle!) That said, it’s still wise to keep your toddler from banging their blocks or hitting their head against the baby spot spot.

When to worry about a baby’s soft spot

It’s a good idea to get familiar with your baby’s soft spot to be able to be on the look-out for a couple of weird things that occasionally occur…and warrant a call to your doctor.

Bulging or Pulsating Soft Spots

Since the bigger anterior soft spot—in the middle of your baby’s head—is...well, soft, it can bulge out a bit when your baby coughs or strains to poop or is lying down. It’s also common for parents to notice little heartbeat pulsations in the soft spots. This is totally harmless (it’s just blood pumping through the vessels in your little one’s head)! However, if that fontanelle is looking bulgy even when your baby is sitting up, that’s when you should call your medical provider for advice. 

Sunken Soft Spot on a Baby’s Head

On the opposite side of the spectrum, sometimes your baby’s big fontanelle may look sunken in. When your baby’s soft spot sinks in—a bit—it is usually because your baby is sitting up. Usually, just laying your baby down for a few minutes will puff the soft spot back to normal, However, if your baby has been sick and the fontanelle stays sunken, that could be a sign of an underlying problem that requires immediate medical attention. 

Two serious causes for a persistently sunken soft spot include:

  • Dehydration: When a baby has a lot of vomiting or diarrhea they can get dehydrated. This is a very serious condition (usually accompanied by very little pee—that is dark yellow in color—and a dry mouth). If you think this may be going on, you should seek immediate medical attention.
  • Failure to Thrive: This happens when a baby or a child stops gaining weight.

It’s a good idea to make it a habit to check out your baby’s soft spot every day and consult your pediatrician if you have any concerns.

As nerve-wracking as the idea of a soft spot can be, rest assured that they are actually a blessing because they allow your little love’s big curious brain to develop just as it should.