Between the milestones

Developmental milestones are important-they let us know that a child is on a path toward healthy development.  Although, what happens between the milestones is as important as the milestone itself.  

What for look for between the milestones:

Look for variety and experimentation in movement and positioning

Even though you may see some repetition of actions or movements, it’s also amazing to watch the tiny variations in how babies use new skills and how they move their bodies. 

Watch as they invent new ways to transition into or out of positions.  Watch as they use already-mastered skills in new ways.  For example, maybe they can get themselves into a sitting position to play with a toy using both hands on one occasion.  The next day, they may begin to use this sitting position as a base to reach for objects on higher surfaces.

Watch for repetition

When a baby repeats an action, notice what purpose this repetition may be serving.  Is she getting sensory input telling her about the position of her arms (e.g. Banging two objects together)?  Is she getting a social and cognitive benefit from the action (e.g. Waving elicits a “Hello!” from every stranger in the grocery store)?  Is she getting practice with the coordination of a new motor skill?

It should not be repetitive so that it interferes with social interactions. Or so repetitive that even when it fails they still repeat it- not being able to problem solve another way to get what they want.

Observe if they can transition in and out of positions

Eventually, babies have to learn how to get into them and out of positions independently! And, as you’re watching them move into and out of all of these new positions, watch them struggle a little bit before they finally get what they’re reaching for.  It is a red flag when infants are not able to transition between positions on their own. 

Notice perseverance and independence

And, as you’re watching them move into and out of all of these new positions, watch them struggle a little bit before they finally get what they’re reaching for.  Rather than swooping in and saving baby from every little mishap, try to hold back and act more as a spotter, softening the fall rather than preventing it.  Babies are built to fall and get right back up again – and if we step back a little bit – they will!

If you ever wonder about your child’s development, we would be happy to answer any questions you may have.

Lisa Dolphin, OT or Suzie Johannes, PT 319.200.2004