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Milestones to Infant Development
Development By age three a child should achieve specific milestones in the areas of emotional regulation, language and motor skills. There are five major areas of development: gross motor, fine motor, social, sensory and language. There are specific developmental milestones for each month of age through the first year of life. There is an individual range in when each infant will reach specific milestones, but in general all infants develop along the same timeline. Premature infants (born prior to 37 weeks gestation) are measured on a different timeline and often developmental milestones are adjusted for how many weeks premature the infant is. The following are normal developmental milestones identified by the American Academy of Pediatrics (2005) through the second year of life Month One: Focus on objects that are 8-12 inches away Preference for high contrast or black and white objects Good hearing Recognize some sounds, like a parent’s voice Make tight fists Preference for human faces versus other objects Month Three: Raise head and chest while lying on stomach Stretch and kick legs while on back Grab and shake toys Track objects with eyes Start using hand and eye coordination Enjoy play and may cry when play stops Smile at the sound of parent’s voice Month Seven: Roll over from stomach to back and back to stomach Sit up Move objects from one hand to the other Support weight on legs with head upright Develop full color vision and depth vision Respond to own name Express emotions vocally Use hands and mouth to explore objects Enjoy playing peek-a-boo Reach for objects Show interest in own mirror image Distinguish emotions by tone of voice Twelve Months: Sit up without assistance Crawl Pull up to a stand Walk along furniture, may take some independent steps Use the pincer grasp (using forefinger and thumb) Say “dada” and “mama” Use exclamations Respond to simple commands like “no” Use simple gestures such as waving “bye-bye” or shaking head “no” Explore objects by shaking, throwing, banging and dropping Look at the correct picture when the image is named Find hidden objects with ease Twenty Four Months: Climb on furniture without support Walk alone Start to run Kick a ball Walk up and downstairs holding on for support Scribble with a crayon Build towers of four blocks or more Follow simple instructions Use simple phrases Use two to four word sentences Imitate behaviors Start to play make-believe Show signs of growing independence The ability to demonstrate self-regulatory behaviors is an important aspect of social-emotional development. Self regulation in infants describes the ability to regulate behaviors in accordance to social norms with the care giver’s assistance. Identified components of self regulation include the ability to delay gratification, self-concept and social competence (Lecuyer, E. & Houck, G.M., 2006). Self regulation starts to emerge in the first months of life through the ability to self-soothe and divert attention to less distressing objects and progresses through childhood. Adverse environmental and biological conditions can have a negative influence on achieving mastery in these areas and severely delay a child’s development. A delay in development can have immediate as well as ongoing problems for the child, the child’s family, and society as a whole. A poor foundation in early development can lead to behavioral, emotional, and learning difficulties in the school setting as well as criminal behavior and mental health disorders (Center on Infant Mental Health and Development). These difficulties can extend over many settings and lifespan, creating an economic and emotional burden on family and community resources.
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Contributor's Note
This is part of a series on Infant Mental Health.
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