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American Academy of Pediatrics
Article

The Incidence of Positional Plagiocephaly: A Cohort Study

Aliyah Mawji, Ardene Robinson Vollman, Jennifer Hatfield, Deborah A. McNeil and Reginald Sauvé
Pediatrics August 2013, 132 (2) 298-304; DOI: https://doi.org/10.1542/peds.2012-3438
Aliyah Mawji
aSchool of Nursing, Faculty of Health and Community Studies, Mount Royal University, Calgary, Alberta, Canada;
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Ardene Robinson Vollman
Departments of bCommunity Health Sciences and
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Jennifer Hatfield
Departments of bCommunity Health Sciences and
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Deborah A. McNeil
cFaculty of Nursing, University of Calgary, Calgary, Alberta, Canada; and
dPopulation and Public Health, Alberta Health Services, Calgary, Alberta, Canada
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Reginald Sauvé
Departments of bCommunity Health Sciences and
ePediatrics, Faculty of Medicine, and
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Abstract

OBJECTIVE: The objective of this study was to estimate the incidence of positional plagiocephaly in infants 7 to 12 weeks of age who attend the 2-month well-child clinic in Calgary, Alberta, Canada.

METHODS: A prospective cohort design was used to recruit 440 healthy full-term infants (born at ≥37 weeks of gestation) who presented at 2-month well-child clinics for public health nursing services (eg, immunization) in the city of Calgary, Alberta. The study was completed in 4 community health centers (CHCs) from July to September 2010. The CHCs were selected based on their location, each CHC representing 1 quadrant of the city. Argenta's (2004) plagiocephaly assessment tool was used to identify the presence or absence of plagiocephaly.

RESULTS: Of the 440 infants assessed, 205 were observed to have some form of plagiocephaly. The incidence of plagiocephaly in infants at 7 to 12 weeks of age was estimated to be 46.6%. Of all infants with plagiocephaly, 63.2% were affected on the right side and 78.3% had a mild form.

CONCLUSIONS: To our knowledge, this is the first population-based study to investigate the incidence of positional plagiocephaly using 4 community-based data collection sites. Future studies are required to corroborate the findings of our study. Research is required to assess the incidence of plagiocephaly using Argenta's plagiocephaly assessment tool across more CHCs and to assess prevalence at different infant age groups. The utility of using Argenta's plagiocephaly assessment tool by public health nurses and/or family physicians needs to be established.

  • incidence
  • nonsynostotic plagiocephaly
  • positional plagiocephaly
  • deformational plagiocephaly
  • Abbreviations:
    CHC —
    community health center
    SIDS —
    sudden infant death syndrome
    • Accepted May 16, 2013.
    • Copyright © 2013 by the American Academy of Pediatrics

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    Pediatrics
    Vol. 132, Issue 2
    1 Aug 2013
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    The Incidence of Positional Plagiocephaly: A Cohort Study
    Aliyah Mawji, Ardene Robinson Vollman, Jennifer Hatfield, Deborah A. McNeil, Reginald Sauvé
    Pediatrics Aug 2013, 132 (2) 298-304; DOI: 10.1542/peds.2012-3438

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    The Incidence of Positional Plagiocephaly: A Cohort Study
    Aliyah Mawji, Ardene Robinson Vollman, Jennifer Hatfield, Deborah A. McNeil, Reginald Sauvé
    Pediatrics Aug 2013, 132 (2) 298-304; DOI: 10.1542/peds.2012-3438
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    Keywords

    • incidence
    • nonsynostotic plagiocephaly
    • positional plagiocephaly
    • deformational plagiocephaly
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