Daily Life With Achondroplasia

BIRTH TO 2 YEARS

Daily Life With Achondroplasia

BIRTH TO 2 YEARS

Home Adaptations

Equipment

Children with achondroplasia often require adaptations at home and in daycare to help keep them safe and encourage independence. Common adaptations during infancy and toddlerhood include:

  • A high-chair, infant seat, or stroller with a hard back
  • A neck roll when in a stroller or car seat
  • Firm pillows or a feeder seat to support their back during feeding

The skeletal dysplasia community is very creative and resourceful when it comes to modifications to promote independence. There are many tips, tricks, and devices to help people of short stature. You and your child might even create a new adaptation to share with others!

Click for more information on adaptations:

Clothing

Clothing a child with achondroplasia requires extra planning, but it’s worth the effort to make sure your child is comfortable. During infancy, you may not need to modify the length of the sleeves and pants on your child’s clothes. As they get older, their clothing will likely need to be tailored. If you don’t know how to sew and are interested in learning, there are many resources available to help you learn, such as local craft stores, friends or family members, or online tutorials. More adaptive clothing ideas can be found here.

Feeding Challenges

Overcoming feeding challenges

Infants with achondroplasia must have their head and neck supported during their first year of life. During feeding, your baby should be positioned with a straight back and with their head and neck in alignment. It may be helpful to support their head and neck with firm pillows or put them in a feeder seat. If they are using a high-chair, it should have a flat, supportive back.

Children with achondroplasia may take longer to start feeding themselves than their peers without achondroplasia. They often have weak muscles in the face and mouth, which affects their ability to suck, chew, and swallow. They may also have swallowing difficulties due to blockage of the upper airway. Additionally, their chewing ability may be affected by the delayed eruption of teeth. These problems often get better on their own over time.

Difficulty feeding, a poor suck, poor weight gain (on the achondroplasia-specific chart), and weakness could be signs of a neurological problem in rare cases. If you see these problems in your child, ask their pediatrician if they need to be evaluated by a pediatric neurosurgeon.

Advocating for your child

As a parent of a child with achondroplasia, you have an important job: advocating for your child

Most children with achondroplasia grow up to be thriving adults, but they will need extra help from you in their early years. The best way to set your child up for success is by taking a hands-on approach in key areas of their life, such as in their medical care, at daycare, and at home. Remember, your child depends on you to advocate for them until they find their voice.

The first step to becoming an advocate for your child is learning as much as you can about achondroplasia and being prepared to educate others. The resources provided on this site were developed with the goal of helping you on this journey.

Advocacy in medical care

Advocating for your child in the medical setting includes making sure your child is getting care from the right providers at the right time.

Your child’s pediatrician may not have experience treating patients with achondroplasia. The following print-out may help you in talking to your child’s providers:


Medical checklist: Birth to 5 yearsDownload PDF

Additionally, your child’s pediatrician may be interested in the following resources:

You know your child better than anyone. If you have a concern that your child’s health care provider is not addressing, you may consider getting a second opinion.

Advocacy in daycare

You may be wondering if your child will be able to attend a typical daycare. The answer is usually “yes,” if the staff and administration are willing and able to provide the support that your child needs to achieve independence. As the parent, it is your job to ensure that their needs are met. Advocating for your child in the daycare setting often begins by having a conversation with their caretaker. In this conversation, you might:

Keep in mind that your child’s needs will change over time. You and your childcare providers need to work together and have frequent conversations about how to help your child.

Next section: Early Childhood

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