How to identify signs of developmental delays

Nurturing Every Child’s Unique Path

As parents, we delight in watching our children grow and reach those exciting milestones – the first smile, the first steps, the first words. It’s a journey filled with wonder, and every child follows their own unique timeline. However, it’s also natural for parents to occasionally wonder if their child is developing “on track.” Understanding the signs of developmental delays isn’t about fostering worry, but rather about empowering you with knowledge. Recognizing these signs early allows for proactive support, ensuring every child receives the nurturing and resources they need to thrive on their own wonderful path.

Why Early Identification Matters: Opening Doors to Support

Developmental delays refer to when a child doesn’t reach developmental milestones at the expected ages. These delays can occur in various areas: motor skills (gross and fine), language/communication, social/emotional skills, and cognitive abilities.

• Early Intervention is Key: The most significant benefit of early identification is the opportunity for early intervention. Research consistently shows that providing support during a child’s earliest years, when their brain is most adaptable, can have a profound positive impact on their long-term development, learning, and overall well-being.
• Tailored Support: Early identification allows professionals to understand a child’s specific needs and tailor strategies and therapies that can help them overcome challenges or learn new ways to develop skills.
• Peace of Mind for Parents: Getting an assessment can either confirm that your child is developing typically (reassuring!) or provide a clear path forward for support, reducing parental anxiety and uncertainty.

Understanding Milestones: A Guide, Not a Strict Rule

It’s crucial to remember that developmental milestones are averages. There’s a wide range of “normal” for when children achieve certain skills. A delay in one area doesn’t necessarily mean a broader developmental issue. However, consistent delays across several areas, or missing key “red flag” milestones, warrant a conversation with your pediatrician.

Key Signs to Watch For (Red Flags for Different Ages):

Trust your parental intuition. If something feels “off,” it’s worth exploring. Here are some general signs to watch for, broken down by age ranges. Remember to look for consistent patterns, not just a single instance.

By 3 Months:

• Doesn’t respond to loud sounds.
• Doesn’t watch objects as they move.
• Doesn’t smile at people.
• Doesn’t bring hands to mouth.
• Doesn’t push down with legs when feet are placed on a firm surface.
• Doesn’t hold head up steadily.

By 7 Months:

• Doesn’t turn head to locate sounds.
• Doesn’t bring objects to mouth.
• Doesn’t try to get objects that are in reach.
• Doesn’t roll over in either direction.
• Doesn’t start to babble.
• Doesn’t seem to enjoy social interaction or cuddles.
• Has very stiff or very floppy limbs.

By 12 Months:

• Doesn’t crawl or drags one side of body when crawling (for more than one month).
• Doesn’t stand with support.
• Doesn’t search for objects that are hidden.
• Doesn’t babble (“dada,” “mama”).
• Doesn’t wave “bye-bye” or shake head “no.”
• Doesn’t point to things.
• Doesn’t respond to their name.
• Doesn’t show interest in interactive games (e.g., peek-a-boo).

By 18 Months:

• Doesn’t walk independently.
• Doesn’t say at least 6-10 single words.
• Doesn’t use gestures (like pointing, waving).
• Doesn’t imitate actions or words.
• Doesn’t know the function of common objects (e.g., how to use a cup).
• Doesn’t make eye contact.
• Doesn’t respond to simple commands.

By 24 Months (2 Years):

• Doesn’t use two-word phrases (e.g., “more milk,” “daddy go”).
• Doesn’t follow simple instructions.
• Doesn’t imitate actions or words.
• Doesn’t seem to notice or care when a caregiver leaves or returns.
• Doesn’t play make-believe games.
• Doesn’t run.
• Doesn’t use familiar objects appropriately.

The Most Important Step: Talking to Your Pediatrician

If you observe any of these “red flags” or have ongoing concerns about your baby’s development, schedule an appointment with your pediatrician right away.

• Be Specific: Come prepared to describe your concerns, providing examples and even videos if helpful.
• Advocate for Your Child: Don’t hesitate to ask for an evaluation or referral to a developmental specialist. You are your child’s best advocate.
• No Blame, Just Support: Remember, this is not about assigning blame. It’s about finding the best way to support your child’s unique developmental journey.

Identifying developmental delays early is a powerful act of love and proactive parenting. It’s about opening doors to possibilities, providing tailored support, and ensuring that every child has the best chance to flourish and reach their incredible potential, celebrating every step along their unique path.