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

An infant growth chart is a tool that helps parents, doctors, and other health professionals track a baby’s growth over time. By recording key measurements, it gives a clear picture of how your baby is developing compared to healthy growth standards.

The chart records three main measurements:

• Length (height)
• Weight
• Head circumference

These details are plotted so you can see how they change as your baby grows. The vertical axis shows the measurement, while the horizontal axis shows your baby’s age.

Growth charts are more than just numbers. They help assess your baby’s overall health and nutrition. Charts differ for boys and girls, as well as for infants and older children. For babies aged 0 to 2 years, the World Health Organization (WHO) growth standards are used. From 2 years onwards, most states and territories use growth charts based on the US Centers for Disease Control (CDC).

You will usually find a growth chart in your child’s personal health record, which may come in different colours depending on where you live. Parents can also register their child for a My Health Record, a digital platform where healthcare providers can upload growth information and other health updates.

What Are Percentiles?

Percentiles are a common way of showing growth patterns on a chart. They compare your baby’s measurements with those of other babies of the same age.

For example:

• A baby on the 50th percentile for weight is right in the middle. Half of babies the same age weigh less, and half weigh more.
• A baby on the 5th percentile for weight is lighter than 95% of babies that age.
• A baby on the 90th percentile for weight is heavier than 90% of babies that age.

ALSO READ: 99th Percentile Baby: What It Means, Risks, And What Parents Should Know

Every baby grows at their own pace. Some are naturally smaller, others naturally bigger. What matters most is that your baby follows a steady growth pattern over time.

How Growth Charts Are Used

Growth charts help identify whether your baby is following a healthy growth curve. While it is not necessary for a child to match the curve exactly, their growth should generally follow a consistent path.

Your baby is first weighed and measured at birth. It is normal for newborns to lose some weight in the first few days, which is why they are often weighed again at two weeks to check if they have returned to their birth weight. After that, regular growth checks are recommended, usually monthly in the first year.

Routine health checks continue throughout childhood, with growth charts used until a child turns 18. The timing of these checks may vary depending on your state or territory.

Measuring Your Baby

Special infant scales are used for babies up to 20 kilograms. Newborns are weighed lying down, without clothes or a nappy, to ensure accuracy. After the age of 2, children are weighed standing up in light clothing.

Head circumference is measured with a tape measure to track brain and skull growth.

For babies born prematurely, a corrected age is used until they are 2 years old. This adjustment accounts for the number of weeks they were born early. For example, a 4-month-old baby born one month early would have a corrected age of 3 months for growth chart purposes.

When to Seek Advice

A growth chart is a helpful tool, but it is not the only indicator of a baby’s health. Other signs of healthy development include:

• At least five very wet nappies each day
• Pale urine
• Soft, well-sized bowel movements
• Regaining birth weight by 14 days old
• Contentment between feeds

Most babies double their birth weight by around 4 months. If weight gain is slower than expected, it could be due to feeding difficulties, illness, or other health issues.

If your baby’s growth percentile drops significantly or weight gain remains low, speak to your doctor or child health nurse. They can assess the overall growth trend and investigate if needed.

Finally, avoid comparing your baby’s growth to others. Healthy growth looks different for every child, and the goal is steady development through infancy and beyond.

Although many people now know about mental health issues like ADHD, depression and anxiety, a lot of their information comes from social media or movies, which can misrepresent and/or show small aspects of the illness. In reality, living with ADHD is much more difficult than we imagine.

A major study from Deakin University has looked closely at how ADHD affects a child's long-term health and quality of life. While we've known a lot about how ADHD impacts school and daily tasks, this research is one of the first to track the same group of children over 13 years to see the full picture.

The study followed 4,000 Australian children aged 4 to 17 and found that a child's quality of life is influenced by more than just their ADHD symptoms.

What Are Some Negative Factors for Children With ADHD?

Some things that negatively impacted a child who had ADHD, making this more difficult for them, were:

• Being a girl
• Having other medical conditions, like autism
• Taking ADHD medication
• Having a parent with mental health issues

The researchers explained that a child’s health was more likely to be poor if they had a caregiver with a physical or mental illness or if the child themselves had another medical condition like autism. The study also noted that children on common ADHD medications had poorer health outcomes, but the researchers say this specific finding needs more research.

The research showed that Children with ADHD tended to have better health and a higher quality of life if they had two or more siblings, a strong family support system, and were physically active.

Parenting Kids With ADHD – How Well Do Parents Cope?

When it comes to treating a child with ADHD, parents' personal experiences heavily influence the choices they make. A 2022 study published in the Child Care, Health and Development journal aimed to understand what it's like for parents raising a child with ADHD and how those experiences shape their views on different treatment options. The study found two main themes from the parents' stories:

ADHD's Impact on the Family

Parents talked about how ADHD forced them to completely change their family life. They had to constantly try new things to help their child at school and felt pressure from society to make their child "fit in."

Finding the Right Treatment

Parents emphasized the challenge of finding a treatment that truly worked for their child. They wanted to find the "right fit" with doctors and treatments. They also mentioned that factors like cost and location made it hard for everyone to get the help they needed, pointing to a need for more equal access to care.

The study concluded that no matter where they lived or what their background was, parents shared very similar struggles and goals. They all want access to a comprehensive treatment plan that involves the whole family and uses different approaches, not just one type of therapy or medication. The study suggests that we need to figure out what changes in healthcare and policy are needed to make this kind of family-centered treatment more widely available.

Why We Need Better Treatment Options For Kids With ADHD

The findings from the Deakin university research highlight that a child's health is affected by a range of factors, not just ADHD itself. A more holistic approach is needed, one that also addresses a child’s emotional and social challenges, as well as the mental health of their caregivers.

This new information is a good reminder that any changes to a child's treatment plan should always be made in consultation with a medical professional

The age-old belief that verbal punishments make kids soft and that they will not understand authority without physical punishments is not true. Even though your harsh words may not leave physical bruises on your child, the verbal whiplash from it is enough to affect your child for a lifetime.

According to a new study published in the journal BMJ Open. The research found that verbal abuse in childhood can harm a person's mental health in adulthood just as much as physical abuse.

Are Kids Affected By Verbal Abuse?

The study showed that verbal abuse increased a child's likelihood of having low mental well-being as an adult by 64%, while physical abuse increased the odds by 52%. For those who experienced both types of abuse, the risk of low mental well-being was doubled.

Researchers noted that while the harm of physical abuse is often immediately obvious, the damage from verbal abuse can be just as serious and long-lasting, even if it's not as easy to spot.

While physical abuse has become less common, verbal abuse is on the rise. The study, which tracked over 20,600 children in England and Wales, found that physical abuse cases dropped from 20% in children born between 1950 and 1979 to 10% in those born after 2000. However, verbal abuse increased from 12% to almost 20% during the same time.

The study found that verbal abuse was just as damaging to a person's mental health as physical abuse. About 24% of adults who were verbally abused as children had low mental well-being, compared to 23% of those who were physically abused. This number jumped to 29% for those who suffered both. In comparison, only 16% of adults who were not abused had low mental well-being.

How Do Harsh Words From Parents Impact Children?

Adults with low mental well-being struggled with feeling optimistic, useful, or close to others. They also had a harder time dealing with problems and thinking clearly. In most cases, verbal abuse had a greater impact on these specific aspects of mental health than physical abuse did.

For instance, verbal abuse increased an adult's odds of not feeling close to others by 90%, while physical abuse increased the odds by 33%. These findings highlight that even when a person has been physically abused, adding verbal abuse can bring an additional and significant risk to their mental health.

How You Reprimand Your Child Also Matters

A 2021 study from the University of Michigan looked at how different types of discipline affect children around the world. The study found that while spanking is always harmful, even some non-physical types of punishment can have mixed results.

The research suggests that the best way to raise well-behaved children may not be through punishment at all. Researchers believed that the most positive effects come from long-term investments in a child's life, such as:

• Spending quality time with them
• Showing them that they are loved
• Listening to them and their feelings

The study also found that when parents took away privileges, children were more likely to be aggressive and have trouble getting along with other children. They recommends that parents use discipline that is appropriate for the child's age, keep communication open, and provide a stable routine.