9018 Tracking Growth & Dev MECH:Layout 1                                                                 7/30/09   3:16 PM   Page 1
MILESTONES IN YOUR BABY’S DEVELOPMENT Log the dates of your baby’s progress
                                                            below.
                                                                                                                                                                                          Motor
                                                                                                                                                                                                                                                          Tracking My Baby’s
                                                             Motor (movement)
     BY THE END OF THE FIRST
                                                             • Head is floppy if not supported                                                                                            • Shakes a rattle
      MONTH (USING ADJUSTED AGE)
                                                             • Makes jerky arm thrusts                                                                                                    • Sits with little support
                                                                                                                                                  BY THE END OF THE SIXTH
                                                                                                                                                                                          • Rolls over both ways (front to back,
                                                                                                                                                   MONTH (USING ADJUSTED AGE)
                                                             • Moves head from side to
                                                               side while on stomach                                                                                                        back to front)
                                                             Sensory and Thinking                                                                                                         • Shifts toys from one hand to
                                                                                                                                                                                            the other
                                                             • Can focus on objects 8–12 inches away
                                                                                                                                                                                                                                                                  GROWTH & DEVELOPMENT
                                                                                                                                                                                          • Puts weight on both legs when
                                                             • Eyes wander and can occasionally cross                                                                                       supported to a standing position
                                                             • Recognizes scent of mother’s                                                                                               • Grasps and plays with toes
                                                               breast milk
                                                                                                                                                                                          • Mouths and bangs hand-held objects
                                                             Language and Social
                                                                                                                                                                                          Sensory and Thinking
                                                             • May recognize some familiar sounds
                                                                                                                                                                                          • Opens mouth to be spoon fed
                                                               and voices
                                                                                                                                                                                          • Can imitate sounds and facial                             Whether this is your first baby or your third,it is exciting   MY BABY WAS BORN EARLY. HOW
                                                                                                                                                                                            expressions                                               to watch infants develop. But if your baby was born early,     CAN I FIGURE OUT IF HIS OR HER
                                                                                                                                                                                          Language and Social                                         you may be concerned about how his or her overall growth
                                                                                                                                                                                          • Can babble and make sing-song tones                                                                                      DEVELOPMENT IS NORMAL?
                                                                                                                                                                                                                                                      and development compares to other infants who were
                                                                                                                                                                                          • Laughs                                                                                                                   While most babies develop skills in a certain order, there
                                                                                                                                                                                          • Smiles at self in mirror                                  born full-term.Your concern may range from wondering
                                                                                                                                                                                                                                                      if he or she has mastered age-appropriate skills to            is a wide range of timing among them. For example, most
                                                             Motor                                                                                                                                                                                    wondering if he or she is growing quickly enough and           babies learn to crawl before they walk. But the age when
                                                             • Can support upper body with arms                                                                                         Motor
                                                                                                                                                                                                                                                      gaining the right amount of weight.                            babies learn to walk can vary a lot — the range of normal
                                                               when lying on stomach                                                                                                    • Gets to sitting position with no help                                                                                      is between 9 and 16 months. Although you will likely be
     BY THE END OF THE THIRD MONTH
                                                             • Brings hand to mouth                                                                                                     • Crawls forward                                              HOW OLD IS MY BABY?                                            focused on your baby’s achievements, be sure to
                                                             • Grabs and shakes hand toys                                                                                               • Pulls self up to stand
                                                             • Opens and shuts hands                                                                                                    • Walks while holding onto furniture                          When babies are born prematurely,we consider that they         remember that development is not a race.Your baby
                                                             • Pushes down legs when feet                                                                                                 or with one hand held                                       have two distinct ages:                                        may not master every skill or grow at the same pace as
                                                               are put on a hard surface                                                                                                • Uses pincer grasp (holding things
                                                                                                                                                                                                                                                      Chronological age (age calculated from the date of birth)      another baby born at the same time.That is to be
                                     (USING ADJUSTED AGE)
                                                             • Follows a moving person or                                                                                                 between thumb and first finger)
                                                               object with eyes                                                                                                                                                                       and Adjusted or Corrected age (age calculated from the         expected — especially if your baby was born early.
                                                                                                                                                                                        Sensory and Thinking
                                                                                                                                  BY THE END OF THE FIRST YEAR
                                                             Sensory and Thinking                                                                                                       • Easily finds hidden objects                                 original due date).When measuring skill development,you        On the following pages, you’ll find some important
                                                             • Turns head toward bright                                                                                                 • Looks at correct picture when object                        will need to“adjust” your baby’s age according to his or her   developmental milestones that will give you a sense of
                                                               colors and lights                                                                                                          in it is named
                                                                                                                                                                                                                                                      due date.                                                      what to look out for as your baby grows. Developmental
                                                             • Recognizes and turns head                                                                                                • Begins to correctly use objects (for
                                                                                                                                                                 (USING ADJUSTED AGE)
                                                               toward the sound of a                                                                                                      example, drinking from cup, talking and                                                                                    milestones are skills or age-specific tasks that most
                                                               person’s voice                                                                                                             listening to phone receiver)                                                                                               children can do within a certain age range.Your baby’s
                                                             Language and Social                                                                                                        • Is curious and explores objects in many                                                                                    healthcare provider will use these milestones to see how
                                                             • Makes cooing noises                                                                                                        ways (such as shaking, dropping, banging)
                                                                                                                                                                                        Language and Social                                                                                                          your baby is developing.
                                                             • Smiles at familiar faces
                                                             • Can react to a game of “peek-a-boo”                                                                                      • Responds to “no”                                                           HOW TO
                                                             • Can usually be comforted with the sound                                                                                  • Uses gestures to communicate like
                                                                                                                                                                                          shaking head for “no”
                                                                                                                                                                                                                                                               CALCULATE YOUR BABY’S
                                                               of a soothing voice, or when picked up
                                                               to be held                                                                                                               • Uses exclamations such as “Uh-oh!”                                       ADJUSTED AGE:
                                                                                                                                                                                        • Imitates words
                                                                                                                                                                                        • Can say “Dada” or “Mama”                                    Example:
                                                                                                                                                                                        • Babbles with conversation-like inflection
                                                                 WHEN SHOULD I BE CONCERNED?                                                                                            • Shy with or wary of strangers
                                                                                                                                                                                                                                                      16 weeks           - 6 weeks            = 10 weeks
                                                      While these milestones are grouped by age, keep in mind                                                                           • Cries when mom or dad leaves
                                                      that your baby may not master all of these skills at each                                                                         • Shows preferences for certain people                           Baby’s             (minus                Adjusted
                                                      specific age. It is very important, though, to watch for his or                                                                     and toys
                                                                                                                                                                                                                                                         Actual          # weeks baby                Age
                                                      her progress.Your baby should be moving forward in devel-                                                                         • Begins testing negative behaviors to
                                                      opment. As always, consult your baby’s healthcare provider                                                                          see parental response                                           Age                early)              (in weeks)
                                                      if you have ANY questions.You know your baby best. If you                                                                         • Finger-feeds self
                                                      don’t think your baby is progressing properly, don’t be                                                                           • Assists in getting self dressed by lifting
                                                      afraid to speak up and ask for help.                                                                                                arm or leg at proper time
                                                             This information is for educational purposes only and is not intended to substitute for professional medical
                                                             advice. Always consult with a healthcare professional if you have any questions about the health of your child.
                                                             Brought to you by                                                                                                                                  © 2009 MedImmune, LLC MEDI09-TMBGAD
9018 Tracking Growth & Dev MECH:Layout 1    7/30/09   3:16 PM   Page 3
                            TRACKING YOUR BABY’S PHYSICAL GROWTH
                    WHAT ARE GROWTH CHARTS, AND WHAT IS A PERCENTILE?                                                             HOW DO I PUT MY BABY’S INFORMATION ON A GROWTH CHART?
                    At each checkup,the healthcare provider will measure your child’s length,weight,and head circumference.       Once you are comfortable with the following chart,you’ll be able to plot and track
                    Then,he or she will plot those numbers on a chart that shows the national percentile averages for children    your baby’s physical growth.First,locate your child’s actual age across the bottom.
                    of the same age and gender.For example,if your healthcare provider says that your 2-month old is in the       Next,if you are measuring weight,from that point,move up the chart until you locate
                    30th percentile for weight,that means that 30% of babies of the same age and gender weigh less than or        the intersection with your child’s weight. To measure length,follow the same directions.
                    equal to your child.What can be most important,however,is how your baby progresses and grows between          You can also track your baby's head circumference as he or she grows.Simply fill in
                    each office visit.                                                                                            the appropriate box.
                                                                                                            WHEN SHOULD I BE CONCERNED?
                Although you are comparing your baby’s growth to other babies of the same age and gender, always remember that children develop at their own pace.Your baby may not
                grow at a consistent rate, or he or she may have growth spurts that are unpredictable. Look to your baby’s healthcare provider for direction and advice. Ask questions if you
                are uncomfortable with or worried about your baby’s progress.