Basically, care of the fontanels involves knowing how to observe and what exactly to observe. Here are parts of things to watch out for while grasping what is normal and abnormal.
1. The fontanel should look flat against the baby's head. It should not be swollen and bulging or sinking down into the child's skull.
Normally, the fontanel could have a slight inward curve; but indented into the baby's head could as well signifies dehydration which occurs when a baby is under breastfed, experiencing fever, diarrhea or vomiting. In the same vein if the Soft spot is protruding outward known as bulging – this signals either infection, head injury or accumulation of fluid in the brain. Also, it is worth mentioning that severe crying or vomiting by babies can lead to the fontanelles bulging out. Doctors attention should be sought where necessary while the baby is properly breastfed and given adequate water to safeguard from dehydration.
2. A fontanel that does not close within the standard timeframe or unduly bulged is a sign of either Ricket, Hypothyroidism or Down syndrome etc. Contrastingly, when fontanels close too early, it is a deficiency known as Craniosynostosis. These deficiencies should not be taken lightly but addressed with right solutions and antidote.
Having the knowledge of the fontanelles in terms of the look and feel breeds confidence in the nursing mother. It will equally help to achieve a better shape for the head of the baby preventing it from being flat, cone-shaped or pointy.