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

Diabetes is one of the fastest-growing lifestyle disorders in India, and while its impact on the heart, kidneys, nerves, and eyes is widely discussed, its effect on male reproductive health is often overlooked. To understand it better, the Health and Me team spoke to Dr. Prajakta Chaudhary, Fertility Specialist at Nova IVF Fertility, Andheri. The doctor explained that uncontrolled diabetes can significantly harm sperm quality, sexual function, and hormone balance. “Many men don’t realize that poorly managed diabetes can directly affect their fertility,” she says.

While both men and women are affected by diabetes, a large proportion of men remain unaware that their reproductive health may be at risk. High blood sugar levels, especially when unmanaged for long periods, interfere with the body’s ability to use insulin properly, leading to complications that extend far beyond fatigue, thirst, or frequent urination. Dr. Chaudhary explains that long-standing diabetes can damage nerves, blood vessels, and even reproductive organs, creating a cascade of effects that may impact fertility.

How Diabetes Affects Sperm Health

Uncontrolled diabetes can compromise sperm health in multiple ways. One major concern is oxidative stress, a condition triggered by high blood sugar levels that damages sperm DNA. Dr. Chaudhary notes, “High glucose levels can harm the genetic material inside sperm cells, affecting their ability to fertilize an egg.”

Men with diabetes may experience:

• Lower sperm count
• Reduced sperm motility (slower movement)
• Abnormal sperm morphology (shape issues)

These changes can make conception more difficult. Additionally, diabetes-related nerve damage may lead to erectile dysfunction or difficulty ejaculating, further reducing the chances of successful conception. Hormonal imbalance is another concern, many men with unmanaged diabetes show reduced testosterone levels, impacting libido and overall reproductive function.

“When diabetes remains uncontrolled, we commonly see low testosterone and issues like erectile dysfunction or ejaculation difficulties,” the doctor shares. This combination can significantly challenge a couple’s journey to parenthood.

Steps Men Can Take to Protect Their Fertility

Despite the risks, men can take meaningful steps to safeguard their reproductive health. Dr. Chaudhary emphasizes the importance of consistent diabetes management: “Regular monitoring of blood sugar and keeping it within the recommended range is the foundation.”

She advises incorporating the following habits:

• Take prescribed diabetes medications regularly
• Exercise for at least 45 minutes daily
• Practice stress-relief activities like yoga or meditation
• Maintain a healthy weight
• Eat a balanced, nutrient-rich diet
• Quit smoking and reduce or avoid alcohol
• Go for routine health check-ups

For couples trying to conceive, she recommends adding hormone testing and semen analysis to routine evaluations.

The Last Word

Poorly managed diabetes can impact sperm quality, testosterone levels, and sexual function—but the good news is that these issues are often reversible with proper care. Dr. Chaudhary explains that fertility treatment for men with diabetes typically focuses on stabilizing blood sugar, correcting hormonal imbalances, and addressing sperm-related issues. “Depending on sperm quality, assisted reproductive techniques like IUI or IVF may be recommended,” she adds.

For men with diabetes planning to start a family, early evaluation and timely intervention can make a significant difference. As Dr. Chaudhary puts it, “With proper guidance and blood sugar control, fatherhood is absolutely achievable.”

Delhi continues to choke, and again wakes up to toxic air on Friday, as the Air Quality Index (AQI) stayed in 'severe' category. As of 8am, the Anand Vihar monitoring station recorded an AQI of 418 as per the Central Pollution Control Board (CPCB). As of 7am, as per aqi.in, Delhi's average AQI was recorded at 455. As of mid-day, around 10am, the AQI was recorded at 303, which is equivalent to smoking 10.3 cigarettes noted aqi.in.

Parents too are now concerned about their children's health. A Delhi resident Akshat Verma, posted on his LinkedIn that his three-year-old son now needs to understand the term AQI. He writes: "One week he’s learning how to hold a pencil... next week he’s learning why he can’t go to school because the air is ‘too poisonous'."

Also Read: Taking Magnesium And Melatonin Together? Here’s How It Affects Your Sleep

Many parents echo the feeling, and many have raised questions too, including if at all an air purifier helps a child as the moment the child steps out, he will be breathing polluted air. Addressing all the questions, Dr Shreya Dubey, who is a leading pediatrician and newborn specialist uploaded a video on her Instagram @anantakidsofficial.

"If we have to stay in Delhi-NCR, then the child should have the habit to tolerate air pollution". "Doctor, if we use air purifier, won't the child's immunity become weak?" These are some of the questions the doctor is asked repeatedly by parents.

Her answer to all these questions is simple: "Air toxicity has nothing to do with immunity."

The doctor explains that if someone is smoking about 30 cigarettes a day, that does not make his immunity better than the one who smokes just 5 cigarettes in a day. The doctor says that exposure to toxic pollutants has no relation with tolerance or immunity building, in fact, longer exposure can cause more damage.

Also Read: China’s ‘Zombie Cell’ Pill Claims To Extend Human Life To 150—Could It Work?

How Can You Protect Your Child Against Delhi's Toxic Air?

The doctor suggests to use air purifier for at least 8 to 10 hours at night so the child's lungs can recuperate. She also suggests that for those who cannot afford an air purifier, they can keep air purifying plants at home. In fact, NASA has compiled a list of indoor plants that can improve indoor air quality. The list includes:

• Spider Plant, that can remove formaldehyde, xylene, and toluene
• Snake Plant, that can remove formaldehyde, benzene, xylene, toluene, and nitrogen oxides
• Peace Lily, that can remove formaldehyde, benzene, trichloroethylene, xylene, and ammonia
• Aloe Vera, that can remove formaldehyde and benzene
• Boston Fern, that can remove formaldehyde and xylene

The doctor also suggests other alternative for an air purifier, which includes wearable purifier for indoor pollution, charcoal bags in child's room, and DIY fan filter boxes.

What Can Exposure To Pollution Do To You?

Chronic pollution exposure aggravates oxidative stress and systemic inflammation. This means, with every breath you take, you inhale a toxic swamp.

As per Pusan National University, long term air pollution exposure actually triggers allergic immune responses in the lungs. Furthermore, a 2022 study published in the International Journal of Environmental Research and Public Health also shows the negative impact on immune system with alarming and harmful air quality.

As per another 2000 study, published by the British Society for Immunology, people living in areas with higher pollution levels show measurably different immune responses than those in cleaner environment.

Air pollution contains toxins like particulate matter, ozone, carbon monoxide, nitrogen dioxide, and sulfur dioxide. It also includes hazardous air pollutants (HAPs), such as lead, mercury, asbestos, benzene, and other volatile organic compounds. When one breathes this toxic and poisonous air the respiratory system bears the initial brunt of it. The pollutants then damage the delicate tissues lining your airways, and disrupts the barrier that normally prevents harmful substances from entering your body. When this first line of defense is compromised, pathogens find it easier to established infections.

Winter may feel refreshing for adults, but for newborns, it is one of the most vulnerable seasons of the year. Infants have immature immunity and cannot regulate their body temperature efficiently, making them prone to cold stress, infections, and breathing difficulties. In a conversation with Health and Me, Dr. Manju Kumari shared essential guidance for parents navigating their baby’s first winter.

Keeping Your Baby Warm

Newborns lose heat rapidly, and even a slight drop in temperature can lead to distress. Dr. Kumari explains that “infants cannot regulate their body temperature effectively, which is why small measures go a long way.”

She advises dressing babies in soft, light layers rather than one thick piece of clothing, as layering traps warmth better and prevents overheating. The head and feet should always be covered with a cap and socks since “heat loss is maximum from these areas.”

Parents must ensure the room is comfortably warm, especially during sleep time. However, loose blankets should never be placed over a baby’s face or neck. “This increases the risk of SIDS,” she notes. Bathing should also be brief—no more than 2–3 minutes, with warm (not hot) water and away from fans or cold drafts.

Preventing Infections During Winter

With colder weather comes a spike in viral infections, making newborns particularly vulnerable. “Their immunity is still developing, so simple precautions matter,” Dr. Kumari says.

Parents should:

• Limit visitors during the first weeks
• Wash hands before touching the baby
• Avoid anyone who shows symptoms of a cold or flu
• Keep the room ventilated to reduce indoor pollution
• Maintain a clean environment for feeding and sleeping
• Stay updated with vaccinations and follow pediatric advice

According to her, infection control begins at home, and these small actions significantly reduce a baby’s exposure to harmful germs.

Caring for Skin and Breathing

Winter dryness and pollution can irritate a baby’s delicate skin and airways. Dr. Kumari recommends using gentle, fragrance-free moisturizers and avoiding strong soaps.

Blocked noses are common, and she advises saline nasal drops only under a paediatrician’s guidance. She emphasizes keeping infants away from incense sticks, scented sprays, smoke from cooking, and heater fumes. “Their lungs are extremely sensitive. Clean air around a newborn is non-negotiable,” she says.

A dust-free, odor-free sleeping area is crucial for easy breathing and quality rest.

Warning Signs Parents Should Never Ignore

Recognizing distress early can prevent complications. Dr. Kumari lists key red flags:

• Fast or labored breathing
• Feeding poorly or refusing feeds
• Fever or unusually low temperature
• Sudden lethargy
• Pale or bluish skin

“If any of these signs appear, seek immediate medical attention,” she stresses. Early intervention can make all the difference in a newborn’s outcome.

Small Steps, Big Difference

Winter care, Dr. Kumari assures, “is not as complicated as it seems.” Thoughtful adjustments, appropriate clothing, safe sleeping practices, good hygiene, and close monitoring, can protect babies from most seasonal risks.

“With a warm, clean, and safe environment, parents can ensure their newborns thrive even in the cold months,” she concludes. These simple habits not only safeguard health but also make the early months more joyful and stress-free for new families.