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Dr. Madeleine Vieira - Clinical Child Psychologist - South Kensington, London & Dubai

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    • Play and Creative Arts Therapy
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Infant Development: 0 to 6 Month Old Milestones and How to Support Development as a Parent

February 14, 2022 Madeleine Vieira
Sleepy infant yawning and stretching

If you’re a parent or caregiver, you’ve probably heard about childhood developmental milestones from doctors and teachers or other professionals who work with kids. Everyone who spends time with young children on a regular basis is looking for evidence that their development is on track. 

Maybe you’ve already spent a lot of time reading about infant and early childhood development. Or maybe the idea of age-appropriate milestones is new to you. Keeping track of milestones—when there are so many of them to look out for—can feel overwhelming. But monitoring your child’s development—and engaging with them in ways that contribute to their learning and growth—is so important.


The 4 Important Areas of Early Childhood Development to Look Out For


Children are truly amazing learners. They absorb so much from the interesting world around them. (And they grow up so fast!) You as a parent or caregiver play a vital role in your child’s emotional, language, physical, and cognitive development. 

I’m here to demystify the developmental stages babies and young children go through so you know: 

  • What developmental milestones to look for at what age

  • Specific things you as a parent can do to help your child learn and grow


Developmental milestones refer to the skill sets most children demonstrate competency in within a certain age range. The US Centers for Disease Control and Prevention (CDC) separates milestones into four primary areas (1):

  • Social/emotional

  • Language/communication

  • Movement/physical development

  • Cognitive (learning, thinking, problem-solving)


All children develop at their own pace. But each age range comes with important milestones to look for. As parents, there are developmentally appropriate things you can do to help your child engage with the world around them. By understanding your infant or toddler’s development, you can provide the type of environment your child needs to grow and thrive. Every parent wants to support their child to the best of their ability. Being equipped with the knowledge of what your child is going through every step of the way as they grow and learn will help you do that. 


Infant Development: Your Baby From 0⁠ to ⁠3 Months


Let’s talk about newborns! You’ve just had a baby. They’re—quite literally—a bundle of joy. When your baby is first born, their body will continue to fold slightly. Their fingers and feet naturally curl inward and their arms and legs fold toward their body, mimicking the position they held in the womb (2). Over time their body will begin to unfold and lengthen. 


The One Major Thing to Help Your Newborn Develop

(Hint: you’ve probably already heard of it.)

Tummy time—or the time your baby spends on his or her stomach while awake and supervised—is a vital exercise for your newborn to develop motor, visual, and sensory skills as well as strong neck and shoulder muscles. (3) The muscles your newborn develops during tummy time will (eventually) help them sit up, roll over, crawl, and (ultimately) walk! (3) Tummy time also helps prevent positional plagiocephaly—flat spots on the baby’s head—which results from too much time spent on their back. (4)


Infant Development: Milestones From 0 to 3 Months


According to the CDC, there are a few milestones to watch for in your newborn. 


Social/Emotional Checklist:

  • Tries to look at parent

  • Shows an interest in faces and begins to smile at people

  • Can briefly calm him or herself (i.e. by sucking on their hand)


Language/Communication Checklist:

  • Makes gurgling sounds, coos

  • Turns their head toward a sound or voice

  • Cries differently to express different needs

  • Smiles or quiets down in response to a sound or voice


Movement/Physical Development Checklist:

  • Lifts and holds up their head

  • Begins to push up when lying on their tummy


Cognitive Checklist:

  • Pays attention to people’s faces

  • Begins to recognize people or objects from a distance

  • Begins to follow moving things with their eyes

  • Acts bored (cries, fussy) if the activity doesn’t change



What You Can Do to Encourage Healthy Development in Your 0 to 3 Month Old


Take Time for Snuggles

Babies need a lot of physical touch to feel safe and secure. Cuddling and holding your baby not only makes him or her feel loved, but also regulates the baby’s heartbeat and breathing. Skin-to-skin contact is important as it releases oxytocin, relaxing both you and the baby. Develop a strong bond with your newborn and nurture his development by cuddling, playing with, and talking to him. 


Talk to Your Baby Often

Whether you’re feeding, changing, bathing, or dressing your baby, talk to him. Even though your newborn can’t talk back, talking to your child is so important. It not only helps him get to know the sound of your voice, which can be soothing, it also helps with language development over time. Reading or singing to him are also great ways to bond with your newborn.


Answer Cries and Soothe Him

Answering your baby when he’s crying isn’t going to spoil him. It’s going to teach him that he can rely on you to get his needs met, and help you develop a strong bond. Attend to your baby when he’s crying and attempt to soothe him so he knows you’re there for him. 


Mirror His Smiles by Smiling Back at Him

Mirroring conveys to your baby that he is heard and understood. Babies need psychological mirroring in order to understand that they exist in the world and have valid, real experiences. Mirroring your baby’s behavior is crucial for you and your infant to develop a strong bond.
 


Infant Development: Your Baby From 4⁠ to ⁠6 Months


And just like that, you no longer have a newborn. You now have an infant! In this stage, your baby will begin to understand the concept of action and reaction. When your baby does something like smile at you—and you smile back—he begins to understand that he can influence his environment. Because of this, a 4⁠ to ⁠6 month old will begin to model the facial expressions or behavior of the people around him.   


Infant Development: Milestones From 4 to 6 Months


Around 5 months, your baby will probably have developed color vision. (5) Prior to this, babies only see in black and white! It’s easier for your infant to see bright colors, so it’s useful to introduce colorful toys as opposed to muted shades. 

Around 6 months, your baby will probably sit on his own. And when you hold him upright, he’ll be able to start putting weight on both of his legs (an important pre-walking milestone.) And around 6 or 7 months, your baby will probably be able to roll both ways instead of favoring one direction. (5)

According to the CDC, here are some other milestones to watch for in your infant. 


Social/Emotional Checklist:

  • Smiles at people

  • Begins to recognize familiar faces and knows if someone is a stranger

  • Likes to play with people, especially parents, and may cry when playing stops

  • Copies and responds to other people’s emotions by smiling or frowning


Language/Communication Checklist:

  • Babbles

  • Starts stringing vowels together while babbling, may begin to make consonant sounds

  • Copies sounds and enjoys taking turns “talking” with parent

  • Shows displeasure or joy with sounds

  • Responds to own name


Movement and Physical Development Checklist:

  • Lifts and holds head steady without support

  • Supports weight on legs to stand by pushing down when feet are on a hard surface

  • Rolls from tummy to back and back to tummy

  • Pushes up to elbows from prone position

  • Can bring hands to mouth and hold and shake a toy

  • Begins to sit up without support (pillows may be useful)


Cognitive Checklist:

  • Communicates happiness or sadness, responds to affection

  • Shows curiosity, looks around, tries to grasp out-of-reach toys with one hand

  • Passes things from hand to mouth or from hand to hand

  • Watches faces, recognizes people or objects from a distance

  • Moves eyes side to side to follow moving objects



What You Can Do to Encourage Healthy Development in Your 4 to 6 Month Old


Keep Talking to Your Baby and Repeat Words

Talking to your infant is important for language and communication development. Read colorful picture books, point to and name objects, and say the names of family members, friends, or pets to encourage growth and curiosity in this area. (6)

Around this time, your baby may start to recognize her own name as well. Keep repeating words to and speaking to your child—she’ll likely respond with babbling, and eventually will string a few vowels together. (6)


Make Time to Play Together

Try playing peek-a-boo! Though your baby won’t yet understand the concept of object permanence—the ability for something to exist even if she can’t see it—peek-a-boo can assist with your baby’s visual tracking and communication skills development. (7)

 Your baby may also like looking at herself in the mirror! She won’t yet know it’s her own reflection, but she’ll likely be curious and enjoy having a baby-safe mirror around to interact with.

Continue playing and cuddling together and introducing her to trusted friends and family members.


Encourage Different Types of Movement

While doing supervised tummy time, put a colorful toy just out of your baby’s grasp to encourage her to turn her head and reach for it. Change positions often, helping your baby move from tummy time to standing to sitting up (pillows can be useful to offer back support).
 


Support Your Child Through All Stages of Development


You are your child’s first and greatest teacher. Contact with you—whether that’s snuggling, singing, speaking, reading, or some combination of all of those—is what promotes and supports your baby’s development. By responding reliably to your child’s cries, and other signs of distress, your baby learns that he or she can depend on you. Consistent (not perfect!) caregiving and routines help children develop into secure, independent people. 
 

To read more blogs like this with helpful parenting tips, subscribe to my newsletter! 


References

  1. (2021, August). Important Milestones: Your Baby By Two Months. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/actearly/milestones/milestones-2mo.html

  2. (2021, December). How Your Newborn Behaves. HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/Pages/How-Your-Newborn-Behaves.aspx

  3. Gavin, M. (2019, October). Tummy Time. Kids Health. https://kidshealth.org/en/parents/tummy-time.html

  4. Hoecker, J. (2020, August). What’s the importance of tummy time for a baby? Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/expert-answers/tummy-time/faq-20057755

  5. Bielecki, C. (2019, October). Baby Growth and Development: 4-7 Month Milestones. Parents. https://www.parents.com/baby/development/growth/4-7month-milestones/?slide=slide_596033b9-b18b-4905-aa79-c02590b1ab64#slide_596033b9-b18b-4905-aa79-c02590b1ab64

  6. (2021, August). Important Milestones: Your Baby By Six Months. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/actearly/milestones/milestones-6mo.html

  7. 4-6 Month Milestones. Pathways.org. https://pathways.org/growth-development/4-6-months/overview/

In Infant Development Tags Infant Development: 0 to 6 Month Old Milestones and How to Support Development as a Parent, infant development, 0 to 6 months, infant milestones, newborn, oxytocin, baby communication, baby games, psychological mirroring, babbling, rolling, peek-a-boo, page2
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