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Developmental milestones record

Growth milestones for children; Normal childhood growth milestones; Childhood growth milestones

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Developmental growth

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Developmental milestones are behaviors or physical skills seen in infants and children as they grow and develop. Rolling over, crawling, walking, and talking are all considered milestones. The milestones are different for each age range.

There is a normal range in which a child may reach each milestone. For example, walking may begin as early as 8 months in some children. Others walk as late as 18 months and it is still considered normal.

One of the reasons for well-child visits to the health care provider in the early years is to follow your child's development. Most parents also watch for different milestones. Talk to your child's provider if you have concerns about your child's development.

Closely watching a "checklist" or calendar of developmental milestones may trouble parents if their child is not developing normally. At the same time, milestones can help to identify a child who needs a more detailed check-up. Research has shown that the sooner the developmental services are started, the better the outcome. Examples of developmental services include: speech therapy, physical therapy, and developmental preschool.

Below is a general list of some of the things you might see children doing at different ages. These are NOT precise guidelines. There are many different normal paces and patterns of development.

Infant -- birth to 1 year

Toddler -- 1 to 3 years

Preschooler -- 3 to 6 years

School-age child -- 6 to 12 years

Adolescent -- 12 to 18 years

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References

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Recording information. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Siedel's Guide to Physical Examination. 9th ed. St Louis, MO: Elsevier; 2019:chap 5.

Kimmel SR, Ratliff-Schaub K. Growth and development. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 22.

Lipkin PH. Developmental and behavioral surveillance and screening. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 28.

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Review Date: 3/6/2019  

Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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