What are developmental milestones?
Developmental milestones are a set of functional skills or age-specific tasks that most children can do at a certain age range.
Milestones help to check how your child is developing. Although each milestone has an age level, the actual age when a normally developing child reaches that milestone can vary quite a bit.
Child development refers to how a child becomes able to do more complex things as they get older.
Development is different than growth. Growth only refers to the child getting bigger in size. When we talk about normal development, we are talking about developing skills like:
Gross motor skills
Using large groups of muscles to sit, stand, walk, run, etc., keeping balance and changing positions
Fine motor skills
Using hands to be able to eat, draw, dress, play, write, and do many other things
Speaking, using body language and gestures, communicating, and understanding what others say
Thinking skills including learning, understanding, problem-solving, reasoning, and remembering
Interacting with others, having relationships with family, friends, and teachers, cooperating and responding to the feelings of others.
For general ranges on what developmental milestones are often expected at various ages, check out the following guides:
GROSS MOTOR :
Moves Both arms and legs freely and equally when awake by 2 MONTHS.
Head holding by 4 MONTHS
Roll over or turn over in either direction by 6 MONTHS
Sit alone by by 9 MONTHS
Crawl by 12 MONTHS
Stand-alone by 15 MONTHS
Walk alone by 15-18 MONTHS
Walks steadily while pulling a toy by 18 MONTHS
Climb upstairs and downstairs by 24 MONTHS
Keeps Hand open and relaxed by 2 MONTHS
Reaches and tries to grasp an object by 4 MONTHS(INNER SIDE OF PALM)
Hold rattle by using whole palm by 6 MONTHS
Pincer Grasp by 12 MONTHS
Putting toys or objects in a container by 15 MONTHS
Scribble by 18 MONTHS
Feeds self with hand or by spoon by 24 MONTHS
SPEECH & LANGUAGE:
COOS/Vocalize/gurgling by 2 MONTHS(“OO”and”gghh”)
Laughs aloud or make squealing sounds by 4 MONTHS.
Utters “p”, “b”,” m” by 6 MONTHS.
Babbles “Baba”,”Dada”, “mama” by 9 MONTHS
Says one meaningful word of a familiar object by 12 MONTHS.
Says at least two words, like cat ball other than baba, mama by 15 MONTHS.
Says at least FIVE words by 18 MONTHS.
Says two words together like “mama-milk”, “car-go” by 24 MONTHS.
Speak sentences by 36 MONTHS.
Responds to light ,face at birth(blinks/shift eyes/turns towards diffuse light)-At birth
Eye contact by 2 MONYHS.
Follows Object by 4 MONTHS.
Watches TV without tilting head by 6 MONTHS.
Avoid bumping into objects while moving by 9 MONTHS.
Putting small things into a cup by 15 MONTHS.
Becomes ALERT to sound by 2 MONTHS produced by CLAPPER BELL/RATTLE/VOICE OF MOTHER.(Infant will brighten/startles/eyes will widen/become still/show respiratory changes/blink/shift of eyes to sound.)
responds to mother’s speech by 4 MONTHS.
Turns head or eyes to a whisper sound by 6 MONTHS.
Responds to name by 9 MONTHS.
Social smile by 2 months
Raises arms to be picked by parents by 6 months
Enjoys peek-a-boo by 9 months
Differentiates familiar faces from strangers by12 months
Imitate actions like “bye-bye”,” namaste” by 15 months.
Parallel play by 24 months
Social smile by 2 months.
Sucks hand by 4 months.
Reaches out for an objects by 6 months.
Look for a spoon or a toy that has dropped by 6 months
Responds to his/her name by 9 months
Responds to NO by 12 months
Searches for hidden objects by 12 months.
Pointing to objects by 15 months
child plays with toys by poking or pulling by 15 months
Imitates house hold tasks by 18 months
Pretend Play by 24 months
Parallel Play by 24 months
Cross play by 36 months
What if when child is not reaching developmental milestones?
Every child is unique! Time may vary from child to child. But if times over.. then don’t be worried. Early intervention Program, that may help the child. If the child has any delays, even if mild, start intervention as early as possible so the child can make the best possible progress.
Is the term used to describe the services and supports that are available to babies and young children with developmental delays and disabilities. May include speech therapy, physical therapy, and other types of services based on the needs of the child. Can have a significant impact on a child’s ability to learn new skills and overcome challenges and can increase success in school and life.
Programs are available in every state and territory. GOVT.OF INDIA has launched Rashtriya Bal Swasthya Karyakram (RBSK) Program since 2013.
Rashtriya Bal Swasthya Karyakram (RBSK) is a new initiative aiming at early identification and early intervention for children from birth to 18 years to cover 4 ‘D’s viz. Defects at birth, Deficiencies, Diseases, Development delays including disability.
What next with the management ?
Medicinal support is also needed with Early Intervention. Here is a brief discussion of Homoeopathic Medicines which could be thought in Developmental Delays. IT’S BEST TO CONSULT WITH REGISTERED PRACTITIONER.
There is no specific, every child is different from other; we could keep in mind the following medicines..
A very useful remedy in marasmus, especially of lower extremities only, yet with good appetite. Legs greatly emaciated. Joints stiff and lame. Painful contraction of limbs .
Pain in shoulders, arms, wrists, and ankles.
Pricking and coldness in fingers and feet.
Specially indicated in infancy.
This remedy brings aid to children, especially if they are backward mentally and physically, are dwarfish, do not grow and develop, have ophthalmia, swollen abdomen, take cold easily, and then always have swollen tonsils.
Very averse to meeting strangers. Loss of memory, mental weakness.
Hardness of hearing. Crackling noise. Glands around ears painful and swollen.
Baryta is slow in action, bears repetition
Its chief action is centered in the vegetative sphere, impaired nutrition being the keynote of its action, the glands, skin, and bones, being instrumental in the changes wrought.
Gets out of breath easily. Averse to work or exertion. A jaded state, mental or physical, due to overwork.
Pituitary and thyroid disfunction.
Forgetful, Obstinacy; slight mental effort produces hot head.
It is especially indicated in tardy dentition and troubles incident to that period.
It has a special affinity where bones form sutures or symphyses, Fontanelles remain open too long. Cranial bones soft and thin. Bone disease non-union of fractured bones.
Children are slow to walk. Unsteady walking and easily falling. Cracking and tension in knees; stiffness in hollow of knee. Contracted tendons. Weak ankles. Cannot walk without suffering.
Unsteadiness of muscles of forearm and hand. Numbness; loss of sensation in hands.
Child does not want to go to bed alone. Least thing makes it cry.
Ringing, roaring, pulsating, with deafness; words and steps re-echo; chronic middle-ear catarrh; accumulation of ear-wax.
Has been found a useful remedy in Rickets.
Imperfect assimilation and consequent defective nutrition.
Diseases of bones, caries and necrosis.
Rachitic children,, slow in walking.
Child with large head open fontanelles and sutures, distended abdomen.
Obstinate, headstrong children.
Silica patient is cold, chilly, hugs the fire, wants plenty warm clothing, hates drafts, hands and feet cold, worse in winter. Lack of vital heat.
Ill effects of vaccination. Suppurative processes.
Thyroidinum exercises a general regulating influence over the mechanism of the organs of nutrition, growth and development.
Arrested development in children.
Rickets. Delayed union of bones, fractures.
Improves the memory.
In half grain doses twice a day over a considerable period said to be effective in undescended testicle in boys.