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Developmental milestones; when to worry

Stages of development: when to worry

 

It is quite rational to worry and ask for the opinion of a specialist if the child:

 

At the end of the 3rd month

·           Makes unequal and non-symmetrical movements with his hands and/or his feet

·           Doesn’t support his head for at least a second in a semi-upright position

·           Doesn’t seem to react to loud noises

·           Doesn’t make little sounds

·           Doesn’t follow nearby objects with his eyes

·           Doesn’t observe human faces with interest

·           Doesn’t smile when he sees you, or when you smile at him

 

At the end of the 6th month

·           Doesn’t keep his head stable when in a sitting position

·           Doesn’t stand supported on his feet, even for an instant

·           Doesn’t try, even without success, to roll over from his belly onto his back, or vice versa

·           Doesn’t turn around to the sound of a rattle

·           Doesn’t laugh

·           Doesn’t try to reach out with his hand and grab a toy

·           Doesn’t follow his mother, who is moving in front of him from one side of the room to the other, 180 degrees

 

At the end of the 9th month

·           Doesn’t sit up alone without his back supported

·           Doesn’t stand supported by his hands when you make him stand

·           Doesn’t imitate language sounds, or doesn’t speak with simple syllables, such as ma-ma-ma, da-da-da

·           Doesn’t move a small block from one hand to the other

·           Cannot hold two small blocks in his hands

 

At the end of the 12th month

·           Cannot sit up from a lying position

·           Cannot stay standing up even for two seconds

·           Doesn’t speak with many syllables, e.g. ma-va – ba-vou

·           Doesn’t use his thumb and his forefinger to grasp a small object, such as a raisin

·           Doesn’t hit two small blocks that he has in his hands together

·           Doesn’t play simple games like peek-a-boo

·           Doesn’t communicate his needs and desires in his own way, with gestures or little sounds

 

At the end of the 15th month

·           Cannot stand up on his own

·           Makes no effort to walk

·           Doesn’t use the words “mama” “dadda” in their specific sense

·           Doesn’t use any small words besides “mama” “dadda”

·           Doesn’t place a small brick in a box or container

·           Doesn’t scribble on paper using a pencil

·           Doesn’t wave ‘goodbye’ with his hand

·           Doesn’t play with a ball

·           Doesn’t imitate activities at home, such as cooking, opening the fridge, eating or sleeping etc.

 

At the end of the 18th month

·           Cannot walk

·           Cannot walk backwards

·           Hasn’t said at least two words besides ‘mama’ ‘dadda’

·           Doesn’t let go of or throw objects from his hand

·           Doesn’t drink from a sippy cup

·           Doesn’t spontaneously help his mummy with some house-hold tasks

·           Plays continuously in a repetitive, unproductive, non-creative way, without imagination or pretending

·           Has minimum or no body language (expressions, gestures)

 

At the end of the 24th month

·           Cannot run

·           Cannot kick a ball forward

·           Cannot climb the stairs standing up, even with his mummy helping by holding him

·           Hasn’t said at least 6 specific words

·           Doesn’t point to two images in a book correctly

·           Cannot make a tower with at least 4 bricks

·           Doesn’t use a fork or spoon at all

·           Doesn’t play pretending games, such as feeding a doll

 

At the end of the 3rd year

·           Cannot throw a ball over his shoulder

·           Doesn’t name at least four images in a book

·           Doesn’t make a tower with at least 6-7 cubes

·           Doesn’t copy a vertical line on paper

·           Doesn’t get dressed or undressed without a lot of help

·           Doesn’t wash, and doesn’t wipe his hands

 

At the end of the 4th year

·           Cannot balance on one foot for at least 1-2 seconds

·           Doesn’t know some colours, or how to count 1-2 cubes

·           Has speech that is even partially incomprehensible

·           Cannot copy a circle well

·           Can’t mention the name of a friend

 

At the end of the 5th year

·           Cannot hop on one foot

·           Doesn’t understand at least four sentences, three adjectives or four colours

·           Cannot copy a cross, or draw a human with at least 3-4 body parts

·           Doesn’t play board games or games with cards

·           Cannot get dressed without help

 

 

Abstract from Stelios Papaventsis’ book “Gifted children, gifted parents: for a different preschool age”, Patakis editions, 2009.

 

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