HEALTH TIME

DEVELOPMENT IN CHILDREN THE FIRST YEARS OF LIVING

By: Dr. Marianne Efskind Harr
October 2008



A milestone in a child’s development is typically being able to sit, walk, talk and so forth. During the first years of living there are several skills a child is supposed to achieve by a certain age in order to follow a normal development. These various milestones are something health care workers look for and use as an instrument to evaluate a child’s neurologic, intellectual and physical development.

A newborn have all senses intact. Sensation, taste and smell are, however, the most developed ones initially. The smell of the mother’s breast releases the child’s suckling reflex. The mouth is the most important sensation organ. From 4 months when a child learns to coordinate eye, mouth and hand movements, it is normal that a child puts everything it grasps towards the mouth. At 10 months of age the sensation in hands and fingers get better, and the tendency to put things in the mouth drops. Hearing is intact by birth. A newborn typically closes it’s eyes as a response to sound. At 4 months of age a child turns to the source of the sound. Children are born near sighted. After about 4 weeks the eyes follow objects moved in front of them. At age 6 months colors can be differentiated.

The memory of a child is short. At 6 months it forgets its mother after a few days away from her. At age 1 year the recollection lasts for about two weeks and at age 2 years a couple of months. By the age of 4 years it lasts for one year. After 4 years of age long term memory starts.
The development in a child is strongly connected to the environment that the child grows up in. With close and stimulative care from the parents a child has better chances compared to growing up left to itself.

The table underneath from Blueprints Pediatrics 3rd edition shows different skills/milestones expected in normal children at different ages.




In evaluating the development of a child it is important to look at all skills. Some children might be late in some skills, and earlier in others. A child with severe mental retardation will be late at all skills. However if a child doesn’t not give visual contact at age 2 months, at 6 months is not babbling, or at age 12 months is not able to sit without support or is not responding when it’s name is called, further testing and evaluation is needed.

If you have questions about your child's development get in touch with your local MUTTERBERATUNG - they offer free counseling on childcare for all parents.


mamizeits Dr. Marianne

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Previous questions from readers:

Dear Marianne,
My husband and I are thinking about getting a dog. We have two children, one five- and one three year old. They are both used to animals since our family on both sides have cats and dogs. However a friend of mine bought a cat last year but after a while their son started to get allergic symptoms, and now they either have to give the cat away or go to the vet. Since I don't want to end up making that decision, my question is: should I put my kids through an allergy test? There are no known allergies in our family, as we know of, and our kids seem to be doing fine around cats and dogs.

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Dear Dr. Marianne,
I heard on the radio the other day that Switzerland has the highest rate of measles (masern) outbreaks in Europe.
My son is soon scheduled to have the vaccine against measles, but some of my friends recommend that I don't let him have this because of possible side effects. I don't know what to do. What would you recommend?"

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Dear Dr. Marianne,
My 6-year old son has started to go on weekend visits to visit his grandparents’ by himself. These weekend visits are his first experiences away from home overnight. Before going he gets excited about the visit, but as it draws close he starts to worry about missing his toys and little sister and not having me to read him a bed-time story. Last weekend we had to go and pick him up early because he was so homesick.
What is homesickness, and what can we do to help him?

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