Babies Don’t Need Containers (And How to Avoid a Flat Head)
Babies Don’t Need Containers (And How to Avoid a Flat Head)

By Aimee Ketchum

Pediatric Occupational Therapist

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Ketchum is a pediatric occupational therapist practicing in the neonatal intensive care unit and pediatric out-patient at Central Pennsylvania Rehab Services (CPRS) at the Heart of Lancaster Hospital. Also certified in newborn massage and instructing yoga to children with special needs, Ketchum is the owner/operator of Aimee’s Babies LLC, a child development company. Through Aimee’s Babies, Ketchum has published 3 DVDs and 9 apps which have been featured on the Rachael Ray Show and Iphone Essentials Magazine. Ketchum is one of the five finalists in the National Word Gap Challenge through the U.S. Department of Health and Human Services. She will compete against 4 other large organizations and Universities in March 2017 in the finals of the Word Gap Challenge.

Ketchum has been working in pediatrics for 18 years and is currently pursuing her doctorate at Philadelphia University. Ketchum lives in Lititz, PA with her husband and two daughters and enjoys running marathons and half-marathons and directing elementary school musicals in her spare time.


A day in the life of baby . . . baby gets into car seat and goes into the car, then car seat goes into the shopping cart, back to the car, to the travel system stroller for a walk through the park, back into the car, then home to the bouncer seat.

Babies are spending more time than ever in “containers” and they are losing important skills because of it. There is even a term for it. Babies requiring therapy because of flat head syndrome, and are called “container babies” or “bucket babies.” If our habits are changing the shape of babies’ skulls, what is happening to their brain inside?


We need to liberate these babies! Babies need time to move and explore their world and be in different positions throughout the day.

Of course, we need to keep putting our babies to sleep on their backs, but what about play time? During awake, alert play time babies should be spending a minimum of twenty minutes per day on their tummies from the day they are born, and by six months, babies should be on their tummies for at least two hours a day. Tummy time is when babies develop neck and trunk strength, begin to roll and crawl, and improve their vision skills and motor skills, and to avoid developing a flat head. It is so vital to early development, and yet a lot of babies never get tummy time anymore.

I know sometimes when a baby is sleeping it is just so much easier to keep them in the car seat instead of waking them up and we need two hands to make dinner. I understand the need for these items to get through the day. So what is a busy mother to do? How can we keep our babies safe and also make sure they reach their milestones?


How about we use slings, wraps, or baby carriers instead of car seats to carry babies around in public? Our hands are free, we are not hurting our backs, and babies are safe and close to our bodies, but still have free movement. As soon as babies have some trunk support, we can use those handy germ-free cloth inserts in shopping carts and place the baby right in the cart. That way babies can practice trunk stability and head control while we shop, avoiding the development of a flat head.

We can make tummy time a priority during play time and replace the bouncy seat in the corner of the kitchen with a pack and play. Put your baby on her tummy with a few toys around her while you make dinner.

Building awareness is half the battle becasue when we know better, we do better. Help spread the word, leave the car seats in the car as much as possible, and allow tummy time several times throughout the day. Your baby will thank you later!

Babies Don't Need Containers (And How to Avoid a Flat Head)
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One thought on “Babies Don’t Need Containers (And How to Avoid a Flat Head)

  1. So I was so worried about my son getting this, we decided to get a convertible car seat one that goes up to 65 lbs well because of this we only have him in it when we are in the car and I’m so glad I have done this my son get one hr max in the swing a day, most days he we don’t take him places. He get a tons of tummy time this was a great read and information

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