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

Excessive consumption of cow’s milk has been linked to severe iron deficiency in young children. A Queensland specialist has also warned that in the past two years, three toddlers died after developing extreme iron-deficiency anaemia.

According to ABC News, the children were drinking more than 1 litre of cow’s milk a day.

Queensland Children’s Hospital haematologist Dr Sally Campbell said the toddlers were otherwise healthy but developed severe anaemia before infections like viral illnesses took a toll on their health.

“They were drinking more than one litre of cow’s milk per day. This resulted in them developing extreme iron deficiency anaemia and sadly, dying,” Campbell said.

She explained that severe anaemia leaves children with too few red blood cells to deliver enough oxygen to vital organs. A seemingly routine viral infection can therefore become severe and even fatal.

“One small virus can unfortunately be life-threatening when you’ve got a chronic anaemic state,” Campbell said.

Why Can Excessive Cow Milk Consumption Cause Iron Deficiency?

Also read: Should Children Take Protein Powders? A Dietitian’s Perspective

Consuming large quantities of milk can reduce a child’s appetite for iron-rich foods like meat, legumes and iron-fortified foods.

Dairy can also interfere with iron absorption. In growing children, whose iron requirements are high, this can gradually push iron reserves to a dangerous low level.

Research from the ORIGINS Project, a large longitudinal birth cohort following around 10,000 Western Australian children, has found widespread low iron levels among young children.

Researchers from The Kids Research Institute Australia, Edith Cowan University, Curtin University and The University of Western Australia published their findings in the Journal of Paediatrics and Child Health in 2025.

Using the World Health Organization’s ferritin threshold, the researchers found iron deficiency in 15% of one-year-olds and 20% of three-year-olds.

Professor Desiree Silva, co-director of ORIGINS and Professor of Paediatrics at The University of Western Australia, has described the problem as a “hidden health crisis”.

She said iron is essential for immunity, oxygen transport and healthy development, while low iron can contribute to tiredness, lethargy, poor sleep and difficulty in feeding.

Also read: Study Links Excessive Screen Time To Poorer Body Image in Teens With Skin Conditions

How Much Cow’s Milk Is Too Much?

Queensland health guidance recommends no cow’s milk as a drink before 12 months. From one to five years, children should have no more than about 500 ml, or two cups, a day.

Importantly, this does not mean parents need to eliminate milk from a toddler’s diet. The concern arises when excessive intake of milk replaces a balanced and nutritious diet.

Campbell said the problem is preventable and urged parents to adopt better dietary habits for toddlers.

Parents must also look for signs of low iron levels in their children. Symptoms like persistent tiredness, poor appetite, development concerns or unusual changes in behaviour should not be simply dismissed as fussy eating or a toddler phase. Severe iron deficiency can develop quietly, making early assessment and treatment important.

Eye specialists worldwide are raising the alarm, as myopia, or nearsightedness, is on the rise among children at a rate that is making eye doctors and pediatricians reconsider how they assess young patients.

What used to be a mild inconvenience that could be corrected with a pair of glasses is now being treated as a long-term health concern. High myopia in childhood is associated with an increased risk of serious eye conditions later in life, including retinal detachment, glaucoma and myopic macular degeneration. This is not just an anecdotal change.

Public health professionals say the development is likely due to a variety of causes, including more time spent on screens, less time outdoors, and more strenuous academics, which most online work is entangled with. The good news is that myopia can be controlled if it is discovered early.

Optometrists have an expanding toolbox of options, including customized contact lenses, Ayurvedic eye drops, and more time spent outdoors, that can help to delay its advancement in children. The trick is to catch it early. Seven warning flags to look out for as a parent

1. Squinting To See Distant Objects

Because myopia often develops gradually, many parents don't realize their child is struggling to see clearly until a school vision screening flags it or until the child is already several dioptres into nearsightedness.

A child who consistently squints to read the whiteboard, to watch TV from across the room, or to notice a buddy coming towards them is usually making an instinctive attempt to make a murky image clearer. Squinting alters the shape of the eye's opening for a brief period, which can help bring things that are far away into marginally better focus — but it's a signal, not a solution.

2. Sitting Too Close To TV Or Screens

A child who always sits inches from the screen, holds tablets or books very near to their face, or asks for a front-row seat at school may be compensating for trouble seeing things far away.

Also read: El Salvador Becomes First Country In Central America To Eliminate Trachoma: WHO

3. Regular Headaches Or Eye Strain

Children who have difficulty focusing on things that are far away have eyes to work harder all day. This added stress may manifest as frequent headaches, especially after school, screen time, or reading.

4. Poor Performance In School or Attention

Kids don’t usually say, “I can’t see the board. Instead, a sudden dip in grades, difficulties reproducing notes or seeming distracted and uninterested in class can be an ignored symptom of undetected vision problems.

5. Holding Books Or Devices Unusually Close

Similar to sitting close to screens, a child who holds a book, tablet, or phone very near their face may be doing so instinctively to bring text into focus.

6. Rubbing Eyes Frequently Or Excessive Blinking

While rubbing eyes and blinking can have many causes, when paired with other signs on this list, they can indicate visual fatigue from the eyes constantly trying to compensate for blur.

Also read: Tadalafil: Common Male-Potency Drug May Raise Glaucoma Risk In Men, Finds Study

7. Complaints That Things "Look Fuzzy" From A Distance

Sometimes the sign is simply the child telling you directly — that the street signs look blurry, that they can't see the ball until it's close, or that faces "look fuzzy" from across the room.

These direct complaints are often the clearest signs that your child is experiencing visibility issues. While rubbing eyes and blinking can have many causes, when paired with other signs on this list, they can indicate visual fatigue from the eyes constantly trying to compensate for blur.

Why Early Detection Matters

Pediatric eye specialists usually advocate regular vision examinations beginning in early childhood and continuing through the school years, as this is the age when myopia most typically first develops and progresses the fastest — between 6 and 12 years of age. If any of the following indicators are noticed, parents are recommended to schedule a full eye exam with an optometrist or eye specialist rather than waiting for the next standard school screening.

Common lifestyle adjustments include more unstructured outdoor time, regular breaks during near-work tasks (following the general “20-20-20” guideline of looking at something 20 feet away for 20 seconds every 20 minutes), and proper lighting for reading and homework, alongside professional treatment options.

By Dr Mandeep Singh Basu, Ayurvedic Eye Specialist, Dr Basu Eye Care Centre

The recent Lindsay Clancy case has renewed public discussion around postpartum mental health, particularly postpartum psychosis—a rare but severe psychiatric condition that can develop after childbirth. Experts say it is important to distinguish postpartum psychosis from the intrusive thoughts that many new mothers experience, as the two are fundamentally different.

Postpartum psychosis is considered a medical emergency that requires immediate psychiatric care. While the condition is rare, early recognition by family members and prompt treatment can significantly improve recovery.

What Is the Case About?

Lindsay Clancy, a labour and delivery nurse at Massachusetts General Hospital, is accused of killing her three children—Cora, 5, Dawson, 3, and eight-month-old Callan—at the family's home in Duxbury, Massachusetts, on January 24, 2023. Prosecutors allege she strangled them with exercise bands before attempting to take her own life by jumping from a second-floor window. Her husband, Patrick Clancy, discovered the scene after returning home.

Clancy has pleaded not guilty. Her defence argues she was suffering from severe postpartum psychosis and undiagnosed bipolar disorder, making her not criminally responsible. Prosecutors contend she "knew exactly what she was doing."

In the weeks before the deaths, Clancy wrote in her journal, "I want help. I want to be well," and had sought treatment through a postpartum depression program.

HealthandMe spoke to two health experts to understand postpartum psychosis, how it differs from intrusive thoughts, and the warning signs families should know.

What Is Postpartum Psychosis?

Dr. Shiv Prasad, Professor and Head of the Department of Psychiatry at Lady Hardinge Medical College & Smt. Sucheta Kriplani Hospital, New Delhi, explained that postpartum psychosis is a rare but severe mental illness that usually occurs within the first two weeks after delivery.

"It is considered a psychiatric emergency because the mother may lose touch with reality and may not be able to make safe decisions for herself or her baby," he told HealthandMe. Postpartum psychosis affects around 1 in 1,000 mothers after childbirth and is a psychiatric emergency.

Postpartum Psychosis Is Different From Intrusive Thoughts

Many women experience intrusive thoughts after childbirth, but experts stress these should not be confused with postpartum psychosis.

"While many new mothers experience intrusive thoughts, distressing, unwanted thoughts that they recognize as irrational and are unlikely to act upon, postpartum psychosis is fundamentally different. It involves a loss of touch with reality, with symptoms such as delusions, hallucinations, extreme confusion, severe mood changes, and disorganized behavior," Dr. Sabine Kapasi, a gynecologist, Global Health Strategist, and a UN Advisor, told HealthandMe.

While intrusive thoughts are relatively common, especially in women with anxiety or obsessive-compulsive disorder (OCD), women with postpartum psychosis may experience hallucinations, delusions, confusion, or believe they must act on false beliefs.

"The biggest difference is that women with intrusive thoughts usually know the thoughts are irrational, while women with postpartum psychosis often believe their experiences are real," Dr. Prasad said.

Experts said postpartum psychosis is treatable and that most women recover well with timely diagnosis, psychiatric care, medication and family support.

Warning Signs Families Should Never Ignore

The experts said family members are often the first to notice changes in a new mother's behavior. According to Dr. Kapasi, sudden personality changes, unusual beliefs, insomnia without feeling tired, paranoia, and hearing or seeing things that others do not are major warning signs that require immediate medical attention.

"Early identification of these red flags by families is very important. Sudden personality shifts, strange beliefs, insomnia without fatigue, paranoia, or hearing and seeing things that others do not require prompt medical attention."

Dr. Prasad said these symptoms should never be dismissed as normal postpartum stress.

"Families are often the first to notice that something is seriously wrong. Warning signs may include sleeplessness, sudden confusion, unusual behavior, hearing or seeing things that others cannot, expressing strange beliefs, or talking in a way that doesn't make sense."

He advised that if these symptoms appear, the mother should not be left alone with the baby until she has been assessed by a doctor, and urgent psychiatric help should be sought.

The experts stressed that postpartum psychosis is not a sign of weakness or poor parenting, but a medical emergency that requires compassion, immediate treatment and family support.

The Lindsay Clancy trial is ongoing. If convicted of murder, she faces life in prison without parole. If found not guilty by reason of lack of criminal responsibility, she would be committed to a state mental health facility, according to the Associated Press.