Parenting
All Major Milestones During Your Baby’s First Year Development
Your pregnancy journey might have equipped you with insights from countless maternity books, but now that your baby has arrived, you may be wondering what to anticipate as they grow. When is your little one expected to roll over or offer you a smile? What does cooing mean? And why do they seem to startle when placed down? The new behaviors your baby exhibits represent their growth beyond the confines of your womb. The thrilling part—you’re able to witness this development firsthand! The key question is, what developmental milestones can you anticipate, and how can you support your baby in reaching them?
Consulting your pediatrician is an excellent way to address any questions and guide you through your baby’s developmental phases. During the frequent well visits in your child’s first year, these appointments might feel quite brief. Nevertheless, pediatricians are diligently monitoring your baby’s progress at each stage. I contacted Dr. Olivia Lehane, a pediatrician and mother of three, for her insights on what to expect regarding baby milestones and how to approach them as a parent. Whether you are new to parenthood or looking for a refresher, here’s what to keep in mind during your baby’s inaugural year.
What Are Baby Milestones?
Developmental milestones serve as a framework to monitor when your baby acquires skills such as smiling or crawling. While milestones can help assess your child’s development, Dr. Lehane insists that “every baby moves at their own pace.” She advises against comparing your child’s progress with what you see on social media, the milestones of friends’ children, or even siblings. “Each individual child can be so different,” she notes, referring to what she calls the “developmental streams.”
“Every baby moves at their own pace… [do] not compare yourself to things you see on social media, your friends’ kids, and even your child’s siblings.”
Dr. Lehane categorizes child development into four distinct streams: language and communication milestones, social and emotional milestones, movement and physical development, and cognitive milestones.
Language and Communication Milestones
While you may be eager to hear your baby’s first words like “mama” or “dada,” it’s important to note that they begin communicating both verbally and non-verbally quite early on. These milestones reflect your child’s ability to hear, process, and respond to you. As stated by the National Institutes of Health, “The first signs of communication occur when an infant learns that a cry will bring food, comfort, and companionship.”
Social and Emotional Milestones
Social and emotional milestones indicate how your baby recognizes and reacts to their own feelings, as well as how they respond to the emotions of others, such as when they smile back at you.
Movement and Physical Development
These milestones, commonly referred to as “motor skills,” encompass how your baby moves their body. There are “fine” motor skills, which pertain to small movements made with hands, fingers, feet, and toes, and “gross” motor skills, which involve larger movements utilizing the arms, legs, and torso.
Cognitive Milestones
Cognitive milestones focus on the development of your baby’s brain in areas such as thinking, learning, and problem-solving.
Milestone Differences for Premature Babies
If your baby is born prematurely—before 37 weeks—Dr. Lehane advises that “you should expect delays” in achieving milestones. It’s essential for parents of preemies to monitor milestones based on their adjusted ages. While the chart may present different expectations, she assures that “your baby will get caught up.”
To determine the adjusted age for a preterm baby, subtract the number of weeks born early from their actual age. For example, if your baby was born two months premature at 32 weeks, you should anticipate their milestones to be about two months behind the expected age, which is a normal expectation for a premature infant.
Baby Developmental Milestones by Month
I’ve organized the developmental milestones according to the typical frequency of your pediatrician visits for well-child check-ups. This guide, based on information from Dr. Lehane, the CDC, and the American Academy of Pediatrics, serves as a general framework. Don’t hesitate to inquire with your child’s doctor about what you can do to encourage their growth. Often, the items you registered for at your baby shower have specific developmental benefits. For instance, high-contrast black and white cards can enhance their eyesight and play mats promote tummy time, which is vital for aiding head control and developing strength for crawling and eventually walking.
2 Month Milestones
Language and Communication Milestones
- Responds to sounds
- Begins cooing
Social and Emotional Milestones
- Calms down when held or spoken to
- Visual attention towards caregivers
- Reciprocates smiles during interactions
Movement and Physical Development
- Can lift head while lying on stomach
- Moves arms and legs…
child’s development can be appropriately assessed.
Overall Health Assessment
Milestones at 4 Months
Language and Communication Development
- Produces extended cooing sounds like “oooo” and “aahh”
- Turns head to make eye contact when spoken to
Social and Emotional Development
- Returns smiles and giggles
- Engages in movements and sounds to attract your attention
Movement and Physical Growth
- Can hold head up steadily
- Grasps a toy placed in their hand
- Rolls over from stomach to back
- Supports themselves on forearms during tummy time
Cognitive Development
- Focuses attention on their own hands
Milestones at 6 Months
Language and Communication Development
- Begins to babble
- Creates spit bubbles
- Produces squealing sounds
Social and Emotional Development
- Smiles at their reflection in a mirror
- Recognizes people they are familiar with
- Responds to their name by turning towards you
Movement and Physical Growth
- Rolls over from back to stomach
- Uses arms for support while sitting up without assistance
Cognitive Development
- Explores objects by placing them in their mouth
- Closes lips to signal they are finished eating
- Reaches for and grabs toys
Milestones at 9 Months
Language and Communication Development
- Articulates “Mama” or “Dada” or similar repetitive sounds
- Reaches out to be held
Social and Emotional Development
- Turns when their name is called
- Waves to say “bye-bye”
- Engages in peek-a-boo playfully
- Exhibits signs of “stranger danger”
Movement and Physical Growth
- Can sit up independently without support
- Pulls up to a standing position
- Transitions from sitting to lying down
- Uses a pincer grasp to pick up small objects
- Transfers objects between hands
- Balances on hands and knees
- Begins to crawl
Cognitive Development
- Searches for dropped items
- Enjoys banging toys together
Milestones at 1 Year
Language and Communication Development
- Intentionally calls parents “Mama” or “Dada”
- Understands what “no” means
Social and Emotional Development
- Imitates gestures or movements
Movement and Physical Growth
- Drinks from a regular cup
- Stands unaided
- Takes initial steps
Cognitive Development
- Searches for hidden objects
- Puts various items into a cup
Developmental Milestones Chart: 0-12 Months
You can download, screenshot, or print this baby milestones chart for a handy reference as your child develops.
Indicators of Developmental Delays
Dr. Lehane reflects that during her medical training, she had assumed every child would follow a fixed timeline for developmental milestones, but soon realized that each child is unique. As a pediatrician, she does not become worried as long as children show gradual progression within each area. She explains, “Some kids excel in gross motor skills and walk early but may not start speaking as soon as others. Conversely, some children may be very verbal but could take longer to roll over.” According to Dr. Lehane, progress is a positive sign that indicates a child is developing well.
“As long as a child is making progress… that indicates that a baby is doing OK.”
However, Dr. Lehane expresses concern when children stop progressing or regress in their development. In such cases, she identifies these as significant warning signs which might prompt the need for further intervention. Services like pediatric physical or occupational therapy, state-subsidized intervention programs, and additional assistance can help children realign with developmental expectations.
When to Reach Out to Your Pediatrician
Dr. Lehane emphasizes the importance of physical assessments and medical history during a child’s first year. She advises, “Doctors rely on parents’ observations. It’s crucial for caregivers to be attentive to their child’s activities.” She encourages parents to educate themselves about what developmental milestones to expect at different stages. If there are any queries or concerns, Dr. Lehane reassures that discussing them with your pediatrician is always appropriate, ensuring your child’s growth is accurately monitored.A pediatrician’s team can conduct assessments to determine if your concerns necessitate further examination.
In all this talk about infant milestones, remember that you’ve reached the significant milestone of becoming a parent. This is an exhilarating phase filled with numerous developments during the initial year. Throughout this journey, you might come across helpful parenting tips. Whether you’re navigating this experience for the first time or transitioning from one child to two, having this knowledge is a valuable resource to support you.