#asktheexpert My baby have soft portion starting from his forehead and goes to the back of neck is this ok?

Question

Accepted Answer

The soft portion on your baby’s head and neck area is likely related to the fontanelles, which are normal soft spots on a baby’s skull. These are completely normal for newborns and infants, allowing the baby's brain and skull to grow during the first year of life. Here's what you need to know:

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Understanding the Soft Spots:

1. Anterior Fontanelle (Front of Head):

Located at the top of the forehead where the skull bones meet.

Typically closes between 12-18 months of age.

2. Posterior Fontanelle (Back of Head):

Found at the back of the skull.

Usually closes by 2-3 months of age.

3. The Neck Area:

The soft area extending toward the back of the neck could also involve naturally less ossified regions in newborns, but it shouldn't be overly pronounced.

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When Is It Normal?

A soft and slightly pulsating fontanelle is normal.

It may feel slightly sunken if the baby is dehydrated or bulging slightly during crying.

It is part of normal growth and development.

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When to Consult a Doctor:

If the soft spot is sunken, it may indicate dehydration.

If the soft spot is bulging, it could signal increased pressure in the brain, potentially due to an infection or other issues.

If the soft area extends unusually or feels very soft and large toward the back of the neck, it may need evaluation.

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What You Can Do:

Handle Gently: Be mindful while handling the baby’s head, but don’t worry excessively. The fontanelles are well-protected by a membrane.

Monitor Growth: Attend regular pediatric check-ups to ensure your baby's head circumference and development are on track.

Hydration: Ensure the baby is breastfeeding or formula-feeding adequately to avoid dehydration.

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If you're unsure about the size or feel of the soft spot or if you notice any unusual symptoms like fever, lethargy, or irritability, consult your pediatrician for reassurance and further evaluation.