DEVELOPMENT NORMAL OR ABNORMAL

 

A


Birth to 2 months

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3 to 4 months

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6 months

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9 months

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12 months

 

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By 2 months:

• Moves both arms and legs freely and equally when awake –GM

• Keeps hand open and relaxed- FM

• Coos or vocalize or gurgling (“oo” and gurgling “gghh”) -Speech

• Eye contact – Vision

• Becomes alert to sound- Hearing

• Social smile-Social & Cognition

By 4 months:

• Head holding- GM

• Reaches and tries to grasp an object by 4 months (inner side of palm)- FM

• Laughs aloud/Make squealing sounds- Speech • Follows object – Vision

• Responds to mother’s speech – Hearing • Sucks on hands- Cognition

By 6 months:

• Roll over/turn over in either direction –GM

• Hold rattle by using whole palm – FM

• Utters “p”, ”b”, “m”- Speech & Language • Watches TV without tilting head – Vision

• Turns head or eyes to a whisper sound- Hearing

• Raises arms to be picked by parents- Social

• Reaches out for an object- Cognition

• Looks for a spoon or a toy that has dropped- Cognition

By 9 months:

• Sit alone – GM

• Transfer object from hand to hand – FM • Babbles “baba”, ”dada”- Speech

• Avoid bumping into objects while moving – Vision

• Responds to name- Hearing

• Enjoys peek-a-boo- Social

• Responds to his/her name- Cognition

By 12 months:

• Crawl- GM

• Pincer grasp- FM

Says one meaningful word of a familiar object – Speech

• Differentiates familiar faces from strangers- Social • Responds to “NO”- Cognition • Searches for hidden objects- Cognition

By 15 months:

• Stand-alone- GM

• Walk alone by 15-18 months -GM • Putting objects or toys in a container- FM

• Says at least two words like cat, ball other than baba, ma- Speech & Language • Putting small things into a cup – Vision

• Imitate actions like “bye bye”, “Namaste”- Social

• Pointing to objects- Cognition

• Child plays with toys by poking or pulling- Cognition

By 18 months:

• Walks steadily while pulling a toy by 18 months -GM

• Scribble- FM

• Says at least five words- Speech & Language

• Imitate house hold tasks- Cognition

By 24 months:

• Climb upstairs and downstairs- GM

• Feeds self with hand or by spoon- FM

• Says two words together like “mama-milk”, “car-go”- Speech & Language

• Parallel play- Social & cognition

• Pretend play

 

About Dr. Jayaprakash

Asst. Prof. of Pediatrics, ICH. Institute of Child Health. Gov. Medical College Kottayam. Kerala, India.

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