TLDR The study concluded that neonatal occipital alopecia is common, not caused by physical friction, and usually resolves on its own without treatment.
The retrospective study, which reviewed medical records and conducted phone interviews with 193 respondents, found that neonatal occipital alopecia (NOA) was present in 39 babies (20.2%). The condition was significantly associated with mothers younger than 35 years, non-Caesarean-section delivery, and gestational age over 37 weeks. The study suggested that NOA is a physiological condition caused by the synchronized shedding of telogen hairs that begins in utero, rather than an acquired alopecia from physical friction. It also found no significant link between NOA and maternal telogen effluvium, indicating that NOA and postpartum hair loss in mothers are independent conditions. NOA was more prevalent in fair-complexioned neonates, potentially due to delayed hair cycle changes in darker-skinned infants. The study concluded that NOA is a self-limited disease not affected by the infant's sleeping position, and it typically resolves spontaneously without recognition by parents. However, the study acknowledged limitations such as recall and selection bias, and the reliance on self-reporting for NOA diagnosis, recommending further large-scale prospective studies for confirmation.
58 citations,
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February 2010 in “Journal of The American Academy of Dermatology” Babies born after 38 weeks to mothers under 36 years old and not delivered by C-section have a higher risk of neonatal occipital alopecia.
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February 2014 in “Hair therapy & transplantation” A baby boy had two types of temporary hair loss at birth, which might be two forms of newborn hair loss combined.