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Is Your Baby on Track?

Check WebMD's timeline of childhood milestones and learn the signs of developmental delays.
By Sherry Rauh
WebMD Feature

There's more to tracking your baby's development than logging height and weight. There are a number of other childhood milestones to keep watch for.

Pediatrician Michelle Bailey, MD, medical director of Duke Health Center at Southpoint, says you can look for signs of emerging motor and language skills in the very first months of your baby's life.

Is My Newborn Normal?

The moment your newborn is delivered, you're bound to heave a heavy sigh of relief. But if you're like most first-time parents, that relief doesn't last long.

Unexpected birthmarks, a pulsating soft spot, jaundice, skin rashes, eyes that cross, head lumps and bumps: It can all be downright scary and can easily send new parents into panic mode.

"If you don't know what to expect, or especially if you are expecting that sort of 'Hollywood' version of the doll-perfect newborn, seeing and examining your baby for the first time can be quite shocking to some parents -- and even cause some serious anxiety attacks," says Tia Hubbard, MD, nursery pediatrician at the University of California at San Diego Medical Center.

"Babies begin to vocalize around 1 month," Bailey tells WebMD. "At 3 months, they should push their head up when they're on their stomach. By 4 months, they chatter in response to you and squeal with laughter."

Bailey says it's a good idea for parents to watch for these early childhood milestones, along with the more obvious "firsts" such as walking and talking. Just be careful about comparing your child with peers or older siblings. "Remember that each child is an individual," Bailey says. "There's a wide range for when children achieve a particular milestone. For example, I've seen children walk as early as 9 months or as late as 14 months."

Spotting Developmental Delays

So how can you tell the difference between a child who is just taking his or her time and one who has a true developmental delay? According to Marat Zeltsman, DO, of Joe DiMaggio Children's Hospital, a developmental delay is when a child does not reach a milestone by the upper range of normal. Even though babies develop at their own pace, he explains, "every child should do certain tasks by a certain age." These tasks fall into five main categories:

  • Gross motor skills, such as crawling and walking
  • Fine motor skills, such as stacking blocks or coloring
  • Language skills, including speech and comprehension
  • Thinking skills
  • Social interaction

Using input from the CDC and the American Academy of Pediatrics, WebMD compiled a rough timeline of milestones in the above areas. Remember, a child can stray from this timeline and still be within the range of normal, but it's best to discuss any concerns with your pediatrician.

Timeline of Childhood Milestones

2 Months Smiles at the sound of your voice
3 Months Raises head and chest when lying on stomach
Grasps objects
Smiles at other people
4 Months Babbles, laughs, and tries to imitate sounds
6 Months Rolls from back to stomach and stomach to back
Moves objects from hand to hand
7 Months Responds to own name
Finds partially hidden objects
9 Months Sits without support
Crawls
12 Months Walks with or without support
Says at least one word
Enjoys imitating people
18 Months Walks independently
Drinks from a cup
Says at least 15 words
2 Years Runs
Speaks in two-word sentences
Follows simple instructions
Begins make-believe play
3 Years Climbs well
Speaks in multiword sentences
Sorts objects by shape and color
4 Years Gets along with people outside the family
Draws circles and squares
Rides a tricycle
5 Years Tells name and address
Jumps, hops, and skips
Gets dressed
Counts 10 or more objects
1 | 2 | 3
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