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Dr Rozina's Paediatric Clinic

Dr. Rozina's
Paediatric Clinic

Child milestones

Childhood Milestones


Normal Brain Development milestones in Babies and Children (6 weeks to 5 years)

Age - 6 weeks

  • When prone (lying on the front) baby lifts head momentarily with head in midline.
  • Fixes and follows face
  • Grunting noises
  • Cooing
  • Startles to loud noises
  • Spontaneous Social smile


  • Age - 3 months

  • In prone support head and upper chest on forearm
  • Little or no head lag when pulled to sit
  • Grasps objects when placed in hand
  • Recognises familiar faces
  • Laughs, Chuckles
  • Turns towards sound
  • May recognise familiar voice
  • Enjoys bathing routine
  • Smiles in response to speech


  • Age - 8-9 months

  • Sits unsupported
  • Plays getting into sitting position
  • Starts crawling
  • Stands holding on
  • Inferior pincer grasp
  • Interest in picture books
  • Recognises own name
  • Babble
  • Understands ‘no’, Bye-bye
  • Stranger anxiety
  • Enjoys ‘peek a boo’
  • Grabs spoon.


  • Age:12-13 months

  • Crawls or bottom shuffles
  • May Walk alone (11-18moths)
  • Stops mouthing Casting Points with index finger
  • Understands familiar names
  • Responds to simple instructions.
  • Wave bye –bye
  • Play alone with familiar person near by
  • Drink from feeder up.
  • Hold spoon but does not feed





  • Age:18 months


  • Jumps
  • Throws ball under shoulder
  • Picks up a toy without falling over
  • Hand preference.
  • Builds tower of 4 blocks
  • Imitates pencil stroke
  • Points to doll’s body parts
  • Listens to stories with picture
  • Speak 1-6 words
  • Temper tantrums begin
  • Indicates when wet or soiled.
  • Helps to undress
  • Copies household activities
  • Holds spoon and gets food safely to mouth




  • Age: 2 ½ yrs


  • Kicks a small ball
  • Jumps off a low step
  • Turns pages of a book several at a time
  • Copies horizontal line
  • Tripod grasp
  • Understands prepositions
  • Understands simple verbs
  • Joining 3-4 words
  • Speech understandable
  • Refers to self ‘I’
  • Dry by day
  • Pretend play
  • Helps put things away
  • Knows full name




  • Age: 4 yrs


  • Walk up and down stairs like adult
  • Sit with knee crossed
  • Hop on one foot
  • Tower of 10 blocks
  • Copies 3 steps with 6 blocks
  • Copies cross
  • Holds pencil like adult
  • Uses scissors to cut pictures
  • Understands complex negatives
  • Uses conjunctions( and, but)
  • Sentences with 5+ words
  • Concern and sympathy for playmates
  • Choose best friend Imaginary friend
  • hands and drying
  • Eats with fork, spoon and chopstick




  • NOTE - The ages used in this table are mean ages, there is a range of age for all developmental milestones
    Warnings in developmental milestones
    (Consult paediatrician or child neurologist)
    1. Not walking or not talking by 18 months
    2. Not joining words by 2 years
    3. Hand preference before 1 year (normal 18 months-2 years)






    Age - 6 months

  • In prone support weight on extended arms
  • Foot regard
  • Sitting with support with a straight back
  • Rolls over prone to supine
  • Holds brick without dropping
  • Holds bottle
  • Babbles- Mama, dada
  • Raising arms to be picked up
  • Screams when annoyed


  • Age -10-11 months

  • Pulls to stand
  • Walk around furniture
  • Neat pincer grasp
  • Imitates adult sounds E.g.: Blowing raspberries.
  • Clapping hands
  • Finger feed


  • Age:15 -16 months

  • Crawling upstairs
  • Runs
  • Builds tower of 2 blocks
  • Scribbles spontaneously with pal mar grasp
  • Points to own body parts Selects named objects
  • One word Indicated need by pointing
  • Pat a cake
  • Exploring surroundings
  • Hold spoon brings it to mouth but cannot prevent it turning over.


  • Age: 2 years

  • Walks upstairs with both feet on each step
  • Walks tip toe
  • Throw ball over the shoulder
  • Builds tower of 8 blocks
  • Copies vertical line.
  • Follows 2 step command
  • Understands function of objects from pictures
  • Speak 50+words
  • Joining 2 words
  • Parallel play
  • Eat with spoon skilfully





  • Age: 3 yrs

  • Walks up stairs one foot per step, down both feet per step
  • Stand on one foot momentarily
  • Rides a tricycle
  • Imitates bridge
  • Turns pages of a book , one at a time
  • Copies circle
  • Understands negatives
  • Constantly asking questions
  • Sharing toys with friends
  • Washing hands but not drying
  • Knows age and sex
  • Eats with fork and spoon






  • Age: 4 ½ – 5 yrs

  • Runs upstairs
  • Skips
  • Stands on 1 foot for 8 seconds
  • Copies square, then triangle
  • Follows a command with 3 instructions
  • Complex explanations and sequences
  • Concept of rules in play
  • Dressing and undressing alone
  • Uses knife skilfully to eat




  • Dr Rozina's Paediatric Clinic Dr. Rozina's
    Paediatric Clinic
    Contact Details
    Super Metro Specialised Medical Centre,
    5th Ring road,Salmiya,
    KUWAIT
    Call Center: 220 220 20
    Mob:    99955062
    Email: rozigohar98@gmail.com
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