Head position preference was studied in 20 awake newborns who differed
in terms of delivery and sex. They were placed supine on a custom-bui
lt platform to reduce the effects of gravity and asymmetries in trunk
posture and skull shape. A global and a specific scoring method were u
sed, the infants being in State 3 (quiet wakefulness) or 4 (active wak
efulness, excluding crying). Delivery and sex did not account for diff
erences in head position. The head turned more often to the right and
was maintained longer in this position during State 3, regardless of s
coring method. The maintenance of the head in midline was comparable i
n duration to that reported for infants at 2-3 months when using the g
lobal scoring method. This suggests that the neural mechanisms respons
ible for attaining and maintaining a midline position are present at b
irth, but are not functionally expressed due to a lack of adequate pow
er in the antigravity muscles of the neck.