Nonsynostotic plagiocephaly: a child health care intervention in Skaraborg, Sweden

Lennartsson, Freda; Nordin, Per

doi:10.1186/s12887-019-1405-y

Cited by 13 publications

(7 citation statements)

References 25 publications

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“…Additionally, preterm infants go through a long period of hospital care before their discharge home, and if no attention is paid to varying the head position from early on in the neonatal intensive care unit (NICU), preterm infants frequently develop DP [19,20,21]. If preventive and proactive positioning advice in infant care and handling are provided to the guardians early enough, at least the most severe forms of DP can be prevented in term or near-term newborns infants [3,7,22,23].…”

Section: Introductionmentioning

confidence: 99%

A 3D Follow-Up Study of Cranial Asymmetry from Early Infancy to Toddler Age after Preterm versus Term Birth

Launonen

Aarnivala

Kyteas

et al. 2019

JCM

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Preterm infants are at higher risk for both symmetrical and asymmetrical head molding. This study involved 3D stereophotogrammetry to assess the cranial growth, molding, and incidence of deformational plagiocephaly (DP) in preterm children compared to term born children. Thirty-four preterm infants and 34 term born controls were enrolled in this study from Oulu University Hospital, Finland. Three-dimensional head images were obtained at the age of 2–4 months (T1), 5–7 months (T2), 11–13 months (T3), and 2.5–3 years (T4) from the term equivalent age (TEA). There was no statistically significant difference in oblique cranial length ratio (OCLR), cephalic index (CI), or weighted asymmetry score (wAS) between the two groups. Occipital flattening, defined by flatness score (FS) was statistically significantly greater in the preterm group than in the term group at T1–T4 (p < 0.05). In both groups, OCLR improved gradually over time. There were no instances, in either group, of severe DP and no moderate DP after T2. Results indicate that DP affects preterm and full-term children almost equally during the first three years of life, and cranial asymmetry resolves at a similar rate in both preterm and term groups after three months of corrected age. Preterm infants present with more occipital flattening than full-term children.

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Section: Introductionmentioning

confidence: 99%

A 3D Follow-Up Study of Cranial Asymmetry from Early Infancy to Toddler Age after Preterm versus Term Birth

Launonen

Aarnivala

Kyteas

et al. 2019

JCM

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“…Adopting these recommendations may lead to a reduction in the prevalence of DP. It has been demonstrated that education provided by healthcare professionals, such as health visitors, midwives and nurses, can successfully reduce the prevalence of DP [58]. Alternative strategies for mitigating the impact of DP, such as helmeting therapy, are costly to individuals and healthcare systems and may be associated with morbidity [59].…”

Section: Evidence-based Recommendationsmentioning

confidence: 99%

Non-obstetric risk factors for deformational plagiocephaly: A systematic review and meta-analysis

Hillyar,

Bishop,

Bell-Davies

et al. 2023

Preprint

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Plagiocephaly is defined as asymmetrical distortion of the skull resulting in an oblique trapezoid or parallelogram head shape. In the absence of skull growth restriction due to craniosynostosis, deformational plagiocephaly (DP) is caused by deformational forces acting on one side of the back of the head which distorts the normal symmetry of the skull. The aims of this systematic review and meta-analysis were to critically assess the evidence for non-obstetric risk factors for DP and to make evidence-based recommendations for reducing the prevalence of DP. A search of PubMed and Web of Science was performed covering 21 August 2010 to 21 August 2022. The searches yielded 159 articles, of which 18 articles were eligible for inclusion in this study. 43 non-obstetric factors were identified. Of these, a total of 17 factors were associated with DP. With the notable exceptions of maternal age, mechanical ventilation and tummy time, these associations were either supported by non-conflicting evidence or a meta-analysis that resolved conflicting evidence into a significant association. Thirteen factors had significant odds ratios that ranged from 1.10 (mechanical ventilation) to 7.15 (insufficient vitamin D intake). Of the five factors assessed by meta-analysis (male gender, reaching fewer motor milestones by six months of age, maternal education level, head position preference, sleeping position), only one (male gender) was associated with significant inter-study heterogeneity. No evidence of publication bias was detected. In summary, this study provides the most comprehensive meta-analytic assessment of non-obstetric factors associated with DP published to date. It provides 13 evidence-based recommendations which can be adopted by healthcare systems globally, to reduce the prevalence of DP and its impact on child development.

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“…within the first weeks of life) (Ellwood et al, 2020). Indeed, when parents of newborns are made aware that prevention strategies exist, their babies are two to four times less likely to develop DP (Aarnivala et al, 2015; Cavalier et al, 2011; Lennartsson & Nordin, 2019; Leung et al, 2018), and the costs associated with diagnosis and treatment, which vary between $1495 and $5195 US, can be avoided (Watt et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators influencing parental adherence to prevention strategies for deformational plagiocephaly: Results from a scoping review

Trottier

Hurtubise

Camden

et al. 2023

Child

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Background Deformational plagiocephaly can be prevented in many healthy infants if strategies are implemented early after birth. However, despite efforts to disseminate accurate information, parental adherence to evidence‐based prevention strategies is a challenge. To date, factors – barriers and facilitators – influencing parental adherence to strategies have yet to be identified in a comprehensive manner. Objectives This scoping review aims to identify and synthesize current evidence on barriers and facilitators impacting adherence of parents of newborns to deformational plagiocephaly prevention strategies. Methods This review followed the Joanna Briggs Institute (JBI) process guidelines. Seven electronic (Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, SPORTDiscus, Academic Search Complete, AMED, PsychINFO and Scopus) and two grey literature (Health Systems Evidence and Grey Literature Report) databases were searched. Studies published between 2001 and 2022 were included. The deductive thematic data analysis used was guided by the Capability, Opportunity, Motivation Behavioral Model (COM‐B) of health behaviour change. Results From a total of 1172 articles, 15 met the eligibility criteria. All components of the COM‐B framework were identified. Capability‐psychological and opportunity‐environmental factors dominated the literature, whereas capability‐physical, motivation and, in particular, opportunity‐social factors were understudied. The most often reported barriers were a lack of knowledge of deformational plagiocephaly and the associated prevention strategies, ambiguous or inconsistent messaging, intolerance of babies to prone positioning and a lack of time. The most frequently reported facilitators were an awareness of deformational plagiocephaly, postural asymmetry and prevention strategies, skill acquisition with practice, accurate convincing information, scheduled time and environmental organization to position the baby at home. Discussion Recommendations focused on diffusing accurate and detailed information for parents. Our review also suggests a gap regarding the comprehensive identification of factors influencing parental adherence to deformational plagiocephaly prevention strategies. Further studies exploring comprehensive opportunity‐social and motivation factors influencing parental adherence to deformational plagiocephaly prevention strategies are warranted to inform prevention programmes and foster better infant outcomes.

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Nonsynostotic plagiocephaly: a child health care intervention in Skaraborg, Sweden

Cited by 13 publications

References 25 publications

A 3D Follow-Up Study of Cranial Asymmetry from Early Infancy to Toddler Age after Preterm versus Term Birth

A 3D Follow-Up Study of Cranial Asymmetry from Early Infancy to Toddler Age after Preterm versus Term Birth

Non-obstetric risk factors for deformational plagiocephaly: A systematic review and meta-analysis

Barriers and facilitators influencing parental adherence to prevention strategies for deformational plagiocephaly: Results from a scoping review

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