A specialist team in Bristol says more research is needed into flat head syndrome, a condition which is thought to affect up to 40% of babies.
Southmead Hospital runs the only NHS clinic offering helmet therapy for infants with flattened heads.
The advice to lie babies on their backs to prevent cot deaths is one of the most successful public health interventions, but can cause babies to develop a flat head.
Most cases are mild and self-correct over time, but babies with moderate to severe cases can be referred to experts in Bristol for cosmetic treatment.
The reconstructive science team takes photos of babies’ heads which are run through 3D software, to help create bespoke helmets with a 3D printer.
Babies usually from the age of six months are advised to wear the helmets for 23 hours a day.
The helmet corrects the condition by relieving pressure on the flat side.
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It is a unique clinic; the only NHS trust in the country offering helmet therapy for babies with flat heads, known as plagiocephaly or brachycephaly.
Elsewhere, parents have to go privately, and at a cost of £2,500, it can be prohibitively expensive.
‘There’s not a lot of information out there’
We met mum Becky Darby and her one-year-old son Leo at the Bristol clinic.
Becky says she became worried about the shape of his head when he was four months old. “One side of his head was flat and the rest was perfectly round, but where he was constantly lying on it, it was getting flatter,” she said.
Becky was frustrated by the lack of guidance.
“I didn’t know what I was doing, and there’s not a lot of information out there,” she said.
Leo has been wearing his helmet for five months, and his progress is regularly monitored.
Disputed evidence
Data around flat head syndrome is scarce, and scientists at the clinic are carrying out research to investigate further.
The NHS has said the evidence that the helmets work is “not clear”, and that they can cause other problems like skin irritation and rashes.
“These helmets and headbands generally are not recommended,” according to the NHS.
Senior reconstructive scientist Amy Davey wants to increase awareness and is creating a tool to assess babies, which will help find the “right treatment pathway” for infants.
“There certainly needs to be more research into providing understanding behind when and where we can go and help with helmet therapy, and where there are alternatives,” she said.
Clinicians agree that more research is needed but warn parents should not be put off lying sleeping babies on their backs.
Parents still advised to lie babies on their backs
Dr Joanna Garstang is a community paediatrician and adviser for the cot death charity the Lullaby Trust.
She told us that while flat head syndrome is common, “in nearly all cases it just resolves spontaneously as the baby grows and begins to sit up and crawl”.
Lying babies on their backs is a public health success story, reducing the number of sudden infant deaths by 90% since the late 1980s.
“Even if parents are worried about flat head, putting the baby on the back to sleep is by far the safest way for the baby to sleep. If they’re worried about flat head they should talk to their GP or health visitor,” Dr Garstang said.
Becky Darby says choosing helmet therapy is “the best decision” that she took.
As for Leo, his helmet is working and should be off soon.
The Royal Liverpool University Hospital has declared a critical incident due to “exceptionally high” demand on A&E and patients being admitted to wards.
The hospital said there had been a spike in people with flu and respiratory illnesses going to emergency departments in recent weeks.
A spokesperson for the hospital said it had a “comprehensive plan in place” and was “taking all the necessary actions to manage the challenging circumstances”.
“We are working with partner organisations to ensure those that are medically fit can leave hospital safely and at the earliest opportunity,” they added.
The hospital warned some people would experience delays as it prioritises the sickest patients.
People whose case isn’t an emergency are being asked to see their GP, pharmacy or walk-in centre – or call the 111 service for advice.
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The Royal Liverpool University Hospital is in the city centre and is the biggest hospital in Merseyside and Cheshire.
Declaring a critical incident can happen when a hospital is experiencing exceptional demand, or sometimes if there is a serious problem with staffing levels.
It indicates it can’t function as normal and allows it to take extra measures to protect patients, such as prioritising the most unwell people and getting support from other agencies.
It could last hours, a few days, or weeks if necessary.
A critical incident was also declared on Friday by the NHS Cornwall and Isles of Scilly Integrated Care Board.
It said it had seen almost four times as many inpatients compared with last year and urged people with flu to avoid going to A&E.
Zendaya and Tom Holland are rumoured to be engaged after the 28-year-old actress appeared at the Golden Globes wearing a massive diamond ring on her left ring finger.
They met after working together on 2017’s Spider-Man: Homecoming and confirmed their relationship in 2021.
Sky News has contacted representatives for Zendaya and Holland for comment.
Zendaya chatted to journalists on the Globes red carpet, where she was nominated for best actress in a musical or comedy for her role in the romantic sports drama Challengers.
Despite being pipped to the prize by Demi Moore, who won for her role in body horror The Substance, there was plenty of buzz around Zendaya’s large diamond ring, which was clearly visible throughout the show.
A Los Angeles Times reporter appeared to ask Zendaya about it, holding up her own engagement ring and pointing to it. Zendaya responded by showing her left-hand ring.
The reporter then asked if the actor was engaged and “she kept showing her ring, smiled coyly and shrugged her shoulders mysteriously”.
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Holland, who is also 28, wasn’t at Sunday’s Globes.
Zendaya wore an orange Louis Vuitton ball gown, and diamond jewellery from Bulgari – for which she’s an ambassador – on the Globes red carpet.
But while the Dune star’s other jewellery items were listed in a press release, there was no mention of the ring on her left finger.
Zendaya, who rose to fame after her breakout role in Disney sitcom Shake It Up, became a household star after starring in Euphoria.
Tom Holland, who is the son of British actor/comedian Dominic Holland, won a role in Billy Elliot The Musical as a child, and has gone on to achieve global fame playing Spider-Man in six Marvel Cinematic Universe movies.