Babies' first words are often seen as a important and precious moment in their development, marking the beginning of their journey into verbal communication. For instance, when the baby looks at his or her parent and says "mama" for the first time, it brightens up the parent's face with joy but it is a meaningful connection in their bond that is growing. For parents, these are some sources of pride and joy. But how do you determine whether your child's speech and language are progressing?

Understanding the communication milestones will help monitor a child's development and spot potential issues before they become more serious. The milestones serve as benchmarks to guide health care providers on whether a child needs further assistance.

Importance of Communication Development in Early Years

The first five years of a child's life are the time of massive growth and brain development at an incredible speed. All domains of development find their roots within this period, including communication. From the day they were born, babies start crying to communicate, and within weeks or months, they begin to babble, imitate sounds, and eventually words. Communication is not only important to express needs but also for understanding the world and building relationships. It is an important tool that supports cognitive, emotional, and social development.

Speech Milestones by Age

Babies learn communication skills at their own pace. General milestones can, however serve as a guideline for typical development. Let's go through these milestones by age:

Newborn (0-3 Months)

At this point, the babies communicate mostly through crying. They give cues as to their needs by responding with actions like smacking the lips when hungry or arching the back when they feel overstimulated. At the end of three months, you may also observe:

• Smiles in response to your appearance.
• Cooing sounds.
• Quiets or smiles when spoken to.
• Your voice.
• Different cries for specific needs.

Upto 6 Months

By six months, babies start experimenting with sounds and use their voice to play. Major developments include:

• Making gurgling sounds during play.
• Babbling with different sounds.
• Vocalizing likes and dislikes.
• Responding to the change in tone of voice.
• Turning eyes toward sounds.
• Showing interest in music and sound-making toys.

Till 12 Months

By the first birthday, there are some significant communication milestones that have been achieved:

• Trying to imitate speech sounds.
• Speaking basic words like "mama," "dada," or "uh-oh."
• Responding to simple commands, such as "Come here."
• Recognizing common items by name, like "shoe."
• Turning toward sounds and voices.

Upto 18 Months

In this stage, children learn to understand and use words in a consistent manner. Some of the important milestones are:

• Knows the names of people, objects, and body parts.
• Responds to simple commands with gestures.
• The child says up to 10 words.

End of 24 Months

By two years of age, children usually have more developed communication skills:

• Using simple sentences, like "more milk."
• Asking one- to two-word questions, such as "Go bye-bye?"
• Following simple directions and answering simple questions.
• Saying 50 or more words.
• Being understood by family members at least half the time.

Ways Parents Can Support Development

Parents can be very supportive in developing the communication skills of their child. Here are some effective strategies:

1. Pay Attention to Hearing: Ensure your child responds to sounds and voices. Notice if they react to noise or look at you when spoken to. If you suspect hearing issues, consult your pediatrician promptly.

2. Engage in Conversation: Respond to your baby’s coos and babbles. Talk to them frequently about daily activities, like “Mommy is making breakfast,” or “We’re going to the park.”

3. Imitation Training: Teach your baby to imitate actions and gestures of others, such as clapping, waving, or peek-a-boo. These activities encourage her to understand turn-taking and even nonverbal communication.

4. Animals Sound: Learning time must be fun. Train your baby to imitate an animal's sound, "A cow says 'moo.'". This encourages sound production along with word association.

5. Read and Sing Together: Reading stories and singing songs expose your child to language patterns and rhythm. Make it a daily habit to promote vocabulary growth.

6. Use Your Native Language: Speak to your child in the language you’re most comfortable with. Early exposure to rich language environments helps babies learn effectively.

7. Strengthen Their Attempts: Cheer every time your child tries to speak. Repeat the words and sounds and gently correct as needed. A little "baby talk" is okay but clearly say simple words for them to imitate.

When to Seek Medical Attention

Though every child develops at his own rate, there are some delays that point toward professional intervention. Talk with your child's health care provider if:

- Doesn't turn toward sounds or his name.

- By 12 months, he isn't babbling, and by 18 months, he has not spoken a single word.

- Uses speech in a peculiar manner or shows delayed speech.

Your pediatrician can refer you to some specialist who could be an audiologist or speech-language pathologist for more extensive testing. In the case of a bilingual child, he will also be evaluated by a bilingual speech-language pathologist.

Communication milestones form a kind of roadmap in understanding how your baby develops. This means through conversation, play, and learning activities, you could be able to enhance language skills while promoting your child's development. When concerned about delay, consult professional help, as this might make all the difference by having communication skills set up to meet a great future for your child.

Communication Milestones: Birth to 1 Year. American Speech-Language-Hearing Association

A 16-year-old mother in Peru delivered a baby who was in placenta that attached to her liver.

This is a rare milestone as the baby has been safely delivering from an abdominal ectopic pregnancy in which the placenta was attached to the mother’s liver.

The case involved 19 year old Valeria Vela, whose pregnancy continued to 40 weeks and resulted in the birth of a healthy baby girl. Health authorities in Peru say this is the first documented case of its kind in the country and only the fourth reported worldwide in which both mother and baby survived.

Understanding the Rarity of Ectopic Pregnancies

Ectopic pregnancies occur when a fertilized egg implants outside the uterus. In most situations, they develop in the fallopian tubes.

Around 96 percent of ectopic pregnancies happen there and only a very small number occur in the abdominal cavity. These pregnancies cannot safely continue because the organs where the egg may attach are not designed to support a growing fetus. In this case, the egg implanted directly on the liver, which meant the fetus relied on the liver’s arteries for blood supply. This created a situation that demanded extremely careful monitoring, as even small shifts in blood flow could have been dangerous.

The Challenges Doctors Faced

For doctors, the biggest challenge was the placenta. Removing a placenta that has attached itself to the liver can cause severe bleeding that can quickly turn fatal. Peru’s Health Minister Luis Quiroz Avilés explained that any attempt to detach it without preparation could have caused life threatening hemorrhage in the mother.

To manage this, the medical team used a technique that closes the arteries feeding the placenta by blocking their blood flow. This approach helped prevent massive bleeding during surgery and gave both mother and baby a chance at survival.

Another extraordinary aspect of this case was that the pregnancy reached 40 full weeks. Previous live abdominal ectopic pregnancies that resulted in birth reached only up to 36 weeks. Doctors followed Valeria closely through her pregnancy and relied on advanced imaging and interventional radiology techniques to keep the situation stable. According to local reports, the clinical management required constant coordination among specialists from obstetrics, radiology, surgery and intensive care.

A Baby Born Against All Odds

The baby, named Aylin, was born on November 30 and weighed 7.9 pounds. Officials revealed the case only after both mother and child were safely discharged from the hospital. Valeria is now in stable condition and recovering well, while Aylin is reported to be healthy.

Why This Does Not Change Standard Care

Although the case has been described as a medical milestone, specialists emphasize that such pregnancies are exceptionally rare. Most ectopic pregnancies cannot continue and trying to carry them comes with severe risks that include hemorrhage, organ damage and even death. For this reason, early diagnosis and timely intervention remain the safest and most widely recommended approach. This case highlights what is medically possible under very specific circumstances, but it does not change established guidelines for managing ectopic pregnancies.

Do you feel like your attention span has gone down? Thanks to multiple social media platforms and its shorter duration content, we find ourselves losing attention and cannot keep up with anything that goes a little bit over a minute. This has not just affected us, but children are now being diagnosed with attention deficit hyperactivity disorder (ADHD) more.

A latest peer-reviewed study by Karolinska Institutet, which monitored more than 8,300 US-based children from age of 10 to 14 noted that social media use has lead to increased inattention symptoms.

The researchers of the aforementioned institute in Sweden, along with the Oregon Health & Science University in the US found that children spent an average of 2.3 hours a day watching television or online videos, 1.4 hours on social media and 1.5 hours playing video games.

The study found no connection between ADHD-related behaviors, such as distractibility, and activities like playing video games or watching TV and YouTube. However, long-term social media use was linked to rising inattention symptoms in children. ADHD is a neurodevelopmental condition marked by impulsiveness, trouble focusing and frequently forgetting everyday tasks.

. According to the researchers, “We identified an association between social media use and increased inattention symptoms, interpreted here as a likely causal effect.” They noted that while the impact on each child may be small, widespread behavioral shifts could have a meaningful effect at the population level. The study also suggested that growing social media use may be contributing to the rise in ADHD diagnoses.

Why Social Media May Disrupt Focus

Torkel Klingberg, a professor of cognitive neuroscience at the Karolinska Institute, said the findings pointed specifically to social media as a factor affecting children’s ability to concentrate. He explained that platforms bombard users with constant notifications and messages, and even the anticipation of receiving one can interrupt mental focus. “This affects the ability to stay focused and could explain the association,” he said.

The research also showed that socioeconomic background and genetic risk for ADHD did not change the observed link, suggesting that the distraction-rich environment of social media itself may be responsible. Klingberg added that increasing social media use could partly explain the rise in ADHD diagnoses among children, which grew from 9.5 percent in 2003–07 to 11.3 percent in 2020–22, based on data from the U.S. National Survey of Children’s Health.

Early Social Media Exposure Raises Concerns

The authors stressed that the study does not imply all children who use social media will develop concentration problems. However, they pointed out that many children begin using these platforms well before age 13, the minimum age for apps such as Instagram and TikTok. The report called for stronger age verification measures and clearer guidance from tech companies.

How Much Time Children Spend Online

The study tracked a gradual rise in social media use, from around 30 minutes a day at age nine to about two and a half hours by age 13. The children were enrolled at ages nine and ten between 2016 and 2018. The full findings will appear in the journal Pediatrics Open Science.

Samson Nivins, a postdoctoral researcher at the Karolinska Institute and one of the study’s authors, said the team hopes the results will help parents and policymakers make more informed decisions about healthy digital habits that support children’s cognitive development.

As winter settles in and children move between school, outdoor play, and indoor gatherings, coughs and colds often become unavoidable companions. While many coughs resolve on their own, doctors warn that a cough that lingers for weeks is not something parents should overlook. At the same time, the cold season naturally weakens a child’s defenses, making it important for families to follow simple steps to improve immunity.

When a Cough Lasts Too Long

According to Dr Nishant Bansal, Consultant Pediatrician and Neonatologist at Motherhood Hospitals, Noida, parents must stay alert when a cough stretches beyond the usual duration. He explains, “A cough that lasts for weeks should never be ignored. While many are caused by mild infections, persistent or recurring coughs can point to allergies, asthma, or an underlying health issue.”

Many children are catching respiratory infections during weather changes or after starting school. As temperatures drop, coughs tend to worsen. What may look like a harmless lingering cold could actually be linked to an allergy, asthma, sinusitis, whooping cough, or even exposure to pollutants and smoke.

Dr Bansal adds, “If a child’s cough becomes worse at night, during exercise, or after exposure to dust or pets, it may be triggered by asthma or allergies. These symptoms should be reported to a doctor without delay.” Children exposed to polluted air or cigarette smoke are especially prone to constant coughing and wheezing.

Ignoring these symptoms can interfere with sleep, appetite, growth, and energy levels. Some infections, such as whooping cough or sinusitis, require prompt treatment to prevent complications. That is why early identification of the cause is essential.

Managing and Preventing Persistent Coughs

Parents often try repeated home remedies such as honey, steam, or warm fluids, but these may not be enough. “If the cough lasts more than two to three weeks, it should be evaluated instead of being managed with only home remedies,” says Dr Bansal.

Indoor air quality plays a major role. Avoid smoking around children, improve ventilation, and use an air purifier if possible. Keeping children well hydrated with warm soups, milk, or water can soothe the throat and loosen mucus. Over the counter cough syrups should be avoided unless a doctor prescribes them.

Warning signs such as wheezing, breathing difficulty, coughing fits, or fever need immediate medical care. Timely guidance helps the child breathe better, recover faster, and avoid long term complications.

Why Winter Increases Illnesses in Children

Children are naturally more vulnerable during colder months. They often face sore throats, colds, coughs, and viral infections that spread easily when people gather indoors. Dr Atul Palwe, Consultant Pediatrician and Neonatologist at Motherhood Hospital, Lullanagar, Pune, explains, “Viruses spread more easily in winter, especially when children stay in closed spaces for long hours.”

Strengthening immunity is key to helping children stay healthy throughout the season.

Simple Ways to Boost a Child’s Immunity

Focus on a Nutritious Diet

“A strong immune system begins with a balanced diet,” says Dr Palwe. He recommends plenty of fruits, vegetables, whole grains, legumes, nuts, and seeds. Foods rich in vitamin C such as oranges, guavas, and amla, along with zinc and iron rich foods, help build resistance.

Maintain Hydration

Children tend to drink less water in winter, but staying hydrated helps the body remove toxins. Warm soups and milk are comforting alternatives.

Encourage Regular Activity

Indoor games, yoga, and outdoor play on pleasant days improve blood circulation and strengthen immunity.

Ensure Adequate Sleep

“Children under ten need about ten to twelve hours of sleep every night to keep their immunity strong,” says Dr Palwe.

Teach Hygiene Habits

Handwashing before meals, after play, and covering the mouth while coughing reduces the spread of infections.

Dress Them Warmly

Layering helps protect children from cold winds while still allowing movement.

Get Enough Vitamin D

Limited sunlight in winter can affect vitamin D levels. Dr Palwe suggests encouraging morning outdoor play or discussing supplements with a doctor if needed.