Expert answer: The BabyCenter Editorial Team

If your baby hits his or her head as a result of a major collision or a fall from any serious distance – rolling off the changing table or falling down the stairs, for example – you should talk with your child's doctor.

The doctor will want to know the details of the accident and whether your baby lost consciousness, is excessively irritable or crying, or is vomiting or lethargic. The doctor may tell you to bring your baby to the office or to the emergency room.

Note: If your baby has irregular breathing, convulsions or a seizure, or loses consciousness after a fall, call 911 immediately.

If your baby just had a little bump, though – from taking a tumble while practicing walking or tipping over from a seated position, for example – you'll want to keep an eye on him or her for a while.

Go to the emergency room or see a doctor right away if:

  • Your baby was unconscious, even if he or she seems fine afterward
  • Your baby vomits more than once
  • Your baby is unusually sleepy
  • Your baby seems weak or confused or has problems with coordination, vision, or verbal communication
  • Your baby is bleeding from the ears
  • Your baby has bleeding from the nose or mouth that doesn't stop after five to ten minutes of applying pressure

Many parents believe they need to keep their children awake after a serious fall to prevent a coma, but this is an old myth with no basis in reality. Actually, putting your baby down for a restorative nap after an emotional trauma like a scary fall can be comforting.

Of course, it's still important to watch your baby closely for signs of problems such as those listed above. If you're worried for any reason, trust your instincts and call the doctor for advice.

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