Babies' first words are often seen as a important and precious moment in their development, marking the beginning of their journey into verbal communication. For instance, when the baby looks at his or her parent and says "mama" for the first time, it brightens up the parent's face with joy but it is a meaningful connection in their bond that is growing. For parents, these are some sources of pride and joy. But how do you determine whether your child's speech and language are progressing?

Understanding the communication milestones will help monitor a child's development and spot potential issues before they become more serious. The milestones serve as benchmarks to guide health care providers on whether a child needs further assistance.

Importance of Communication Development in Early Years

The first five years of a child's life are the time of massive growth and brain development at an incredible speed. All domains of development find their roots within this period, including communication. From the day they were born, babies start crying to communicate, and within weeks or months, they begin to babble, imitate sounds, and eventually words. Communication is not only important to express needs but also for understanding the world and building relationships. It is an important tool that supports cognitive, emotional, and social development.

Speech Milestones by Age

Babies learn communication skills at their own pace. General milestones can, however serve as a guideline for typical development. Let's go through these milestones by age:

Newborn (0-3 Months)

At this point, the babies communicate mostly through crying. They give cues as to their needs by responding with actions like smacking the lips when hungry or arching the back when they feel overstimulated. At the end of three months, you may also observe:

• Smiles in response to your appearance.
• Cooing sounds.
• Quiets or smiles when spoken to.
• Your voice.
• Different cries for specific needs.

Upto 6 Months

By six months, babies start experimenting with sounds and use their voice to play. Major developments include:

• Making gurgling sounds during play.
• Babbling with different sounds.
• Vocalizing likes and dislikes.
• Responding to the change in tone of voice.
• Turning eyes toward sounds.
• Showing interest in music and sound-making toys.

Till 12 Months

By the first birthday, there are some significant communication milestones that have been achieved:

• Trying to imitate speech sounds.
• Speaking basic words like "mama," "dada," or "uh-oh."
• Responding to simple commands, such as "Come here."
• Recognizing common items by name, like "shoe."
• Turning toward sounds and voices.

Upto 18 Months

In this stage, children learn to understand and use words in a consistent manner. Some of the important milestones are:

• Knows the names of people, objects, and body parts.
• Responds to simple commands with gestures.
• The child says up to 10 words.

End of 24 Months

By two years of age, children usually have more developed communication skills:

• Using simple sentences, like "more milk."
• Asking one- to two-word questions, such as "Go bye-bye?"
• Following simple directions and answering simple questions.
• Saying 50 or more words.
• Being understood by family members at least half the time.

Ways Parents Can Support Development

Parents can be very supportive in developing the communication skills of their child. Here are some effective strategies:

1. Pay Attention to Hearing: Ensure your child responds to sounds and voices. Notice if they react to noise or look at you when spoken to. If you suspect hearing issues, consult your pediatrician promptly.

2. Engage in Conversation: Respond to your baby’s coos and babbles. Talk to them frequently about daily activities, like “Mommy is making breakfast,” or “We’re going to the park.”

3. Imitation Training: Teach your baby to imitate actions and gestures of others, such as clapping, waving, or peek-a-boo. These activities encourage her to understand turn-taking and even nonverbal communication.

4. Animals Sound: Learning time must be fun. Train your baby to imitate an animal's sound, "A cow says 'moo.'". This encourages sound production along with word association.

5. Read and Sing Together: Reading stories and singing songs expose your child to language patterns and rhythm. Make it a daily habit to promote vocabulary growth.

6. Use Your Native Language: Speak to your child in the language you’re most comfortable with. Early exposure to rich language environments helps babies learn effectively.

7. Strengthen Their Attempts: Cheer every time your child tries to speak. Repeat the words and sounds and gently correct as needed. A little "baby talk" is okay but clearly say simple words for them to imitate.

When to Seek Medical Attention

Though every child develops at his own rate, there are some delays that point toward professional intervention. Talk with your child's health care provider if:

- Doesn't turn toward sounds or his name.

- By 12 months, he isn't babbling, and by 18 months, he has not spoken a single word.

- Uses speech in a peculiar manner or shows delayed speech.

Your pediatrician can refer you to some specialist who could be an audiologist or speech-language pathologist for more extensive testing. In the case of a bilingual child, he will also be evaluated by a bilingual speech-language pathologist.

Communication milestones form a kind of roadmap in understanding how your baby develops. This means through conversation, play, and learning activities, you could be able to enhance language skills while promoting your child's development. When concerned about delay, consult professional help, as this might make all the difference by having communication skills set up to meet a great future for your child.

Communication Milestones: Birth to 1 Year. American Speech-Language-Hearing Association

Oscar-winning actress Hilary Swank has announced that she is expecting her third child with her husband Philip Schneider, at the age of 52.

Swank was 48 when she gave birth to twins, daughter Aya and son Ohm, in April 2023.

Sharing a video on Instagram of her husband and their 3-year-old twins dancing in the dark with neon glow sticks taped to their clothes, Swank wrote, “A lot of people have been asking what project I’m doing next; this one releases in December.”

The video also revealed Swank’s growing belly, with a tiny baby shape outlined in glow sticks.

Hilary Swank’s Journey To Motherhood

Read: RSV Warning: Welsh Mum Urges Pregnant Women To Get Vaccine After Baby Nearly Dies

Swank and entrepreneur Philip Schneider married in August 2018 after dating for a year and a half. They welcomed their twins in April 2023, when the actress was 48.

“It wasn't easy. But boy (and girl!) was it worth it,” Swank wrote on Instagram at the time, alongside a photo of herself holding the newborns.

Swank has also spoken about embracing the physical and personal changes that come with motherhood.

“For me, it’s not about bouncing back to our pre-baby bodies but rather bouncing forward into our new bodies and selves,” she told Women’s Health last year.

What To Know About Pregnancy After 50

Also read: High BP in Pregnancy Linked to 42,000 Maternal Deaths, 500,000+ Stillbirths, Newborn Deaths: WHO

Pregnancy at age 35 or older is medically referred to as “advanced maternal age,” according to the American College of Obstetricians and Gynecologists.

Women who become pregnant later in life face increased risks of complications, including gestational diabetes, preeclampsia, miscarriage and preterm birth.

As maternal age increases, doctors may recommend closer monitoring during pregnancy. This can include screening for chromosomal abnormalities, additional ultrasounds and more frequent prenatal visits and testing as the pregnancy progresses.

“Pregnancy in the 50s is possible, but it requires careful medical supervision. With advancing maternal age, the risks of miscarriage, chromosomal abnormalities, gestational diabetes, high blood pressure, preeclampsia, preterm birth and stillbirth increase,” Dr. Tripti Raheja, Director of Obstetrics and Gynaecology at CK Birla Hospital, Delhi, told HealthandMe.

Planning A Pregnancy After 50

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Dr. Raheja advised women planning a pregnancy to consult an obstetrician and fertility specialist for a preconception assessment. This should include an evaluation of existing health conditions and available fertility options.

Taking folic acid as advised, maintaining a balanced diet, exercising appropriately, avoiding alcohol and tobacco, and reviewing medications with a doctor are important steps.

Once pregnant, early prenatal care, recommended genetic screening and regular medical monitoring can help identify complications and support better outcomes.

A Welsh mother whose newborn daughter nearly died after contracting respiratory syncytial virus (RSV) is urging pregnant women to get vaccinated to protect their babies.

Jo Goldsmith said she was told to “prepare for the worst” after her daughter Phoebe contracted RSV just five days after birth, the BBC reported. Phoebe, now four, developed breathing difficulties and was admitted to a hospital’s high-dependency unit.

Goldsmith said the vaccine was not available when she was pregnant but that she “definitely would have had it.”

“I wouldn't want any family to go through what we went through,” she said.

RSV vaccinations for pregnant women were introduced in Wales in September 2024.

“She was five days old, she had quite a lot of congestion... and we noticed quite quickly that she seemed to be breathing very fast and was struggling,” Goldsmith said.

What Is RSV?

Also read: Flu Vaccine: Why October Is A Good Time To Get Your Family Vaccinated

Respiratory syncytial virus (RSV) is a common respiratory virus that typically causes cold-like symptoms. However, it can lead to serious illness, including bronchiolitis and pneumonia, particularly in infants, older adults and people with weakened immune systems.

Almost every child contracts RSV by the age of two. The virus can cause severe illness in infants, with up to three in every 100 infected infants requiring hospitalization.

Maternal vaccination with RSVpreF (Abrysvo) helps protect newborns against RSV during their first months of life. However, uptake has remained relatively low in the US and Europe since the vaccine was introduced in 2023, according to a study published last week in The Lancet Regional Health – Europe.

In the UK, the RSV vaccine is routinely offered to pregnant women from 28 weeks of pregnancy to help protect their babies. It is also offered to eligible older adults, including everyone aged 75 and over. Older adults generally need only one dose, while women are advised to receive the vaccine during every pregnancy.

Maternal RSV vaccination allows protective antibodies to pass from the mother to the baby before birth. More than 30 countries have introduced maternal RSV vaccination, either as a stand-alone intervention or alongside other preventive measures, such as infant immunization.

How Does RSV Spread?

RSV spreads through respiratory secretions, including saliva and mucus, and through contact with contaminated surfaces. In the US, infections typically occur from late fall to early spring, although seasonal patterns vary by region.

What Are The Symptoms Of RSV?

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RSV symptoms usually appear four to six days after exposure. Early signs often resemble a common cold and include:

• Runny nose and sneezing
• Cough
• Decreased appetite
• Irritability and tiredness in infants

Babies may also develop rapid or labored breathing. In some cases, the infection spreads to the lower respiratory tract, causing bronchiolitis or pneumonia.

Parents should seek urgent medical attention if a baby has difficulty breathing, shows signs of dehydration or becomes unusually unresponsive. Severe breathing difficulties require emergency care.

Women with hypertensive disorders in pregnancy face a higher risk of death, while their babies are also at risk of serious illness and mortality, according to the World Health Organization (WHO).

Hypertensive disorders in pregnancy, which include pre-eclampsia and eclampsia, affect millions of women every year and complicate an estimated 10–15% of pregnancies worldwide. They account for around 16% of maternal deaths globally, resulting in an estimated 42,000 deaths each year, as well as more than 500,000 stillbirths and newborn deaths.

“Pre-eclampsia can develop in any pregnancy. Whether it becomes fatal depends on whether a woman's blood pressure was checked in time, and whether quality emergency care was within reach when it turned severe,” said Dr Pascale Allotey, Director of WHO’s Department of Maternal, Child, Adolescent Health.

WHO Launches Global Roadmap

Also read: 16 Million Indians Die Due To Hypertension Every Year: AIIMS Doc

To tackle hypertensive disorders of pregnancy, WHO today launched a new global roadmap at the Society for Maternal-Fetal Medicine Global Conference.

The roadmap brings together research, medicines, clinical guidance, health systems and political action so that a woman’s chances of surviving pregnancy and having a baby do not depend on where she lives.

It highlights a gap between the scale of the problem and the lack of medicines specifically developed and approved by regulators to prevent or treat pre-eclampsia or eclampsia.

Research investment has largely focused on diagnostics, with chronic underinvestment in new preventive and treatment options.

The roadmap also addresses gaps in blood pressure checks, medicines and emergency care. In many countries, women still lack reliable access to basic blood-pressure measurement, urine protein testing and essential medicines, including aspirin, antihypertensives and magnesium sulfate.

Weak referral systems, shortages of trained health workers and limited emergency obstetric services can further delay life-saving care.

Read More: World Heart Day: You Feel Healthy. But Plaque May Already Be Building In Your Arteries In Your 20s

Women In Poorer Countries Face Higher Risks

In low- and middle-income countries, gaps in antenatal care, medicines, diagnostics, trained health workers and emergency services mean women are more likely to develop severe complications or die.

Women affected by poverty, humanitarian crises, geographic isolation and other challenges face particularly high risks.

How Pregnancy Hypertension Affects Mothers And Babies

READ: Rare Pregnancy Infections Linked To 3-Fold Higher Autism Risk: What Is TORCH?

Hypertensive disorders in pregnancy include:

• Chronic Hypertension: High blood pressure before pregnancy or before 20 weeks.
• Gestational Hypertension: New high blood pressure after 20 weeks without protein in urine.
• Preeclampsia-Eclampsia: High blood pressure after 20 weeks with protein in urine or organ damage; eclampsia involves seizures.
• Superimposed Preeclampsia: Preeclampsia developing in a woman with chronic hypertension.

Pre-eclampsia and eclampsia are major causes of maternal death and severe illness worldwide. They contribute to stillbirth, preterm birth, newborn mortality and morbidity, and health-system costs.

Pre-eclampsia can also have consequences for mothers long after childbirth. Women affected by hypertensive disorders of pregnancy face increased risks later in life of chronic hypertension, cardiovascular disease, stroke and kidney disease.

Children exposed during pregnancy can face increased risks associated with preterm birth and longer-term cardiovascular and metabolic disease.

WHO Calls For Coordinated Action

WHO is asking governments, funders, researchers, health professionals, industry, civil society and development partners to align investment and action around one goal: ensuring that proven interventions and future innovations reach the women and babies who need them most.

The WHO roadmap sets a shared vision and coordinated actions across five areas: research and innovation; norms and standards; access to health products; implementation; and advocacy and accountability.

It aims to accelerate progress towards ending preventable maternal and newborn mortality and morbidity and stillbirth associated with hypertensive disorders, while contributing to SDG targets 3.1 and 3.2.