Does my child have a developmental delay?
18-21 months:
- likes to pull or push things while walking
- uses pointing and words together to tell what they want
- feeds themselves with their fingers
- uses at least ten words and repeat words you say
- can point to one body part when asked
21-24 months:
- puts together a 2 or 3 piece picture puzzle
- likes to throw balls
- likes to play alone with toys for a short time
- says "No" a lot
- likes to copy what others do
24-30 months:
- uses 2 to 3 words together like, "No, mommy" or "More cookies"
- uses and understand at least 50 words
- feeds themselves with a spoon
- shows affection
- runs short distances without falling
30-36 months:
- throws a ball overhand
- can walk on tip toes
- combines 2 ideas such as "I want an apple and a banana."
- asks for help when needed
- comforts another child who is crying
- combines 2 toys such as using a stuffed bear as the driver of a toy car
- uses at least 100 words
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3- 6 months:
- follows moving toys or faces with their eyes
- startles at loud or new sounds
- lifts head and shoulders when on stomach
- smiles back at parents or other family members
- makes sounds like gurgling, cooing, or sucking
6-9 months:
- explores toys with hands and mouth
- rolls over
- responds to their names
- sits by leaning on their hands
- enjoys playing "peek-a-boo"
9-12 months:
- copies hand movements like "patty cake" or "bye-bye"
- moves toys from one hand to the other
- crawls on hands and knees
- sits without help
- repeats sounds like "mama" and "dada"
12-15 months:
- pulls themselves up to a standing position
- walks by holding on to furniture
- drinks from a cup with your help
- points to objects they want
- can find a toy hidden under a cloth
15-18 months:
- uses at three words besides "mama" and "dada"
- holds a crayon in a fist
- hands toys to you when asked
- points to pictures or objects you name
- walks without help
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Milestones enable parents and physicians to monitor a baby's learning, behavior, and development. While each child develops differently, some differences may indicate a slight delay and others may be a cause for greater concern. The following milestones provide important guidelines for tracking healthy development from four months to three years of age.

Before your child's next visit to the physician, please take the time to see if your child has met his/her key milestones. These milestones should not be used in place of a screening, but should be used as discussion points between parents and physicians at each well visit. If a child does not have the skills listed---or if there is a loss of any skill at any age---be sure to let your physician know.

Check to see if your child is achieving these typical milestones at each age level: