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Top view of a newborn’s elongated head shape, showing typical signs of scaphocephaly. Understand how to support healthy head growth early.

4/4/2025

Scaphocephaly in Newborns: What to Do If Your Baby Has a Long, Narrow Head Shape

If you’re a new mom and you’ve noticed that your newborn has a narrow and elongated head shape, it’s completely normal to have questions. You might wonder: is this scaphocephaly? Is something wrong? The good news is that in many cases, a long head shape in a newborn is not dangerous and can be part of normal development.

Let’s break it down for you—clearly, kindly, and with the medical facts you need.

Diagram showing scaphocephaly in a newborn baby, highlighting the elongated head shape. Learn how gentle positioning can support healthy skull development.

Illustration of a baby with a scaphocephaly.

What Is Scaphocephaly in Newborns?

Scaphocephaly (also called dolichocephaly) is a specific type of cranial shape where a baby’s head grows longer and narrower than usual. This occurs when growth is restricted in the side-to-side direction, while the skull continues growing front-to-back. It can happen due to a variety of reasons, and in many cases, it’s completely benign.


A naturally long head shape can run in families—so if mom or dad also has an elongated head, your baby might just take after you. However, sometimes scaphocephaly is caused by external pressure or even by premature closure of skull sutures, which would need to be examined by a specialist.

Why Does My Baby’s Head Look Long and Narrow?

A few common causes of scaphocephaly in babies include:

  • Sleeping position: If your newborn often lies with their head turned to the side, it can gently encourage the skull to elongate over time.

  • Prematurity: Babies born before their due date often have softer skull bones and may be more prone to shape changes.

  • Family traits: Some babies simply inherit this head shape, and it’s part of their natural look.

Mother holding her newborn baby, gently supporting the head. Learn how early care can support babies with scaphocephaly.

What You Can Do as a Parent

If the elongated shape is mild and not due to early suture closure, there are gentle and effective ways to support a more balanced head shape.


💡 Encourage Centered Head Positioning (While Awake)


Babies under 3 months can’t hold their head in the middle by themselves. You can help by gently placing rolled-up towels or small cushions on either side of their head while they are awake and supervised. This supports a centered position and encourages equal growth on both sides of the skull.


🔒 Important: Never use this method during sleep. Safe sleep = always on the back, on a flat mattress, with no loose items in the crib.


💡 Use the Skully Care App


Want to monitor your baby’s head shape over time? The Skully Care app offers a simple way to measure changes every few weeks. You’ll be able to see if the scaphocephalic shape improves naturally or if further support might be needed.

When to Seek Professional Advice

If the elongation seems extreme or if you suspect your baby’s head isn’t growing evenly, it’s a good idea to check in with:

  • Your pediatrician

  • A pediatric physiotherapist

  • Or contact Skully Care for a scan and expert advice

They can rule out craniosynostosis and recommend personalized exercises or repositioning techniques if needed.

Conclusion

A narrow, elongated head shape in your newborn—called scaphocephaly—is often nothing to worry about, especially if your baby is healthy and developing well. With a bit of guidance, gentle support, and time, most babies grow into their unique and beautiful head shape just fine.

Got questions about your baby’s head shape? Don’t hesitate to get in touch or try a scan with Skully Care to follow your baby’s growth with confidence.

Elly van der Grift, expert in baby flat head care and co-founder of Skully Care, offers over 30 years of pediatric physiotherapy expertise. Learn about effective solutions like baby helmets for flat head treatment and simple tips to improve your baby's well-being.

Writen by Elly van der Grift

Elly van der Grift is the co-founder of Skully Care and a pediatric physiotherapist with over 30 years of experience. Her mission is to provide top care for babies with skull deformities. With her infectious enthusiasm, she shares simple, effective tips that can make a big difference for your baby. Working with Elly, you'll feel confident and supported in your baby’s journey to better health.

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