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

As per the American Psychological Association (APA), only 58.5 per cent of US teens always or usually receive the social and emotional support they need, as per the report by the US Centers for Disease Control and Prevention (CDC).

Another National Institutes of Health (NIH, US) report notes that the most mental health disorders among children ages 3 to 17 in 2016 to 2019 were attention deficit disorder (9.8%, approximately 6 million), anxiety (9.4%, approximately 5.8 million), behavior problems (8.9%, approximately 5.5 million), and depression (4.4%, approximately 2.7 million). For adolescents, depression is concerning because 15.1% of adolescents ages 12-17 years had a major depressive episode in 2018-201.

However, not all are able to receive the help, in fact, parents too find themselves struggling when it comes to helping their children.

Despite growing concern about a mental health crisis among young people in the United States, a large national study suggests the care system continues to fall short for many families.

Researchers from the Harvard Pilgrim Health Care Institute in Boston found that nearly one quarter of children who require mental health treatment are not receiving it.

The findings come from survey data collected from more than 173,000 households between June 2023 and September 2024.

Many Families Recognize the Need but Cannot Get Help

The analysis showed that about one in five households, or 20 per cent, had at least one child who needed mental health support. Yet among those families, nearly 25 per cent said those needs were not met.

Even families that eventually obtained care often faced significant hurdles. Nearly 17 per cent described the process as difficult and exhausting.

The research letter was published February 16 in JAMA Pediatrics.

Household Structure Shapes Access

The study found that family circumstances strongly influenced how easy it was to navigate the health care system.

Families with multiple children reported higher unmet needs at 28 per cent, compared with 21 per cent in households with only one child. Single parent households also reported more difficulty securing appointments.

Education setting played a role as well. Homeschooled children had higher unmet needs at 31 per cent compared with 25 per cent among children attending public school. Researchers suggest this may reflect the absence of school counselors and other school based support systems.

Insurance and finances created additional barriers. About 40 per cent of families covered by Medicaid or without insurance said they could not get care specifically because it was too hard to access.

In a news release, lead author Alyssa Burnett said nearly one quarter of parents reported that at least one child did not receive needed mental health care, highlighting persistent access gaps.

Cost, Availability and Logistics Remain Major Obstacles

Researchers noted several common barriers. Families cited treatment costs, a shortage of clinicians and logistical issues such as scheduling and travel.

The study also found disparities among racial and ethnic groups. Families from minority backgrounds had higher rates of unmet needs compared with non Hispanic white households. However, Black households reported less difficulty accessing care at 13 per cent compared with 17 per cent among white households.

Bringing Care Closer to Families

Experts involved in the study say improving access may require shifting where care is delivered.

Senior author Hao Yu, an associate professor of population medicine at the institute, said states should expand the child mental health workforce and integrate mental health services into primary care settings to remove barriers and improve access to needed treatment.

A majority of women may experience infections during the crucial phase of pregnancy. Some infections during pregnancy may also not show clear symptoms. However, timely awareness and prevention can protect both the mother and the baby.

Pregnancy is a special and sensitive phase in a woman’s life. While most women focus on nutrition and regular check-ups, infections during pregnancy can often be neglected.

Some infections may cause only mild symptoms in the mother but can seriously affect the unborn baby if not detected early. Hence, regular screening, good hygiene, and timely medical care are crucial to prevent most pregnancy-related infections and ensure a safe and healthy pregnancy.

Common Infections During Pregnancy

• Urinary Tract Infections (UTIs)

• Vaginal infections

• Respiratory infections

• TORCH infections

• Hepatitis B and C can be passed from mother to baby during childbirth if not properly managed.

Tips To Follow To Prevent Infections During Pregnancy

• Pregnant women should go for regular antenatal check-ups, maintain good personal hygiene, and not use any chemical-laden products.
• Stay hydrated and drink enough water, eat home-cooked food, avoid raw or undercooked items, wash your hands frequently, and get vaccinated as recommended by the doctor.
• Take a flu shot on a priority basis. Avoid contact with rodents and pets.
• Make sure to consult the expert in case of symptoms such as fever, pain, or unusual discharge for prompt intervention.
• Get tested for sexually transmitted diseases (STDs) such as HPV, chlamydia, gonorrhea, herpes, syphilis, and trichomoniasis.
• Early detection and treatment will be beneficial in safeguarding both mother and baby and ensuring a healthy pregnancy.

Motherhood is not easy to navigate from, while there are many telling you what to do after becoming a parent, rarely do mothers get the guidance they need, especially about disease transmission. Some infections in mothers can pass on to babies during pregnancy, delivery or even while breastfeeding. Know which ones are they:

HIV

It is human immunodeficiency virus that attacks cells that help the body fight infections and makes the person vulnerable to diseases. The virus can be transmitted through contact with infected blood, semen or vaginal fluids.

HIV can be transferred to the baby during birth or even while breast feeding, notes the Centers for Disease Control and Prevention (CDC). The risk of transmission is highest in the early months of breastfeeding and the rate is estimated to be at least 16%, and prolonged breastfeeding nearly doubles the chances.

Hepatitis B

Also known as HBV is a viral infection that, as per the World Health Organization (WHO) causes live infection and can lead to short term or chronic disease. It can be spread by exposure to infected bodily fluids.

It can be passed on to the child at birth, however to prevent this, the babies can receive the HBIG/HBV vaccines at birth. CDC also mentions that the risk of HBV mother-to-child transmission through breastfeeding is negligible if the vaccine is received.

Syphilis

As per WHO, it is a preventable and curable bacterial sexually transmitted infection that can cause serious health issues if it is left untreated. Many people with syphilis do not have any symptoms, or do not notice them. It can be transmitted during oral, vaginal, and anal sex, in pregnancy and through blood transfusion.

Cytomegalovirus (CMV)

CDC notes that this is the most common infectious cause of birth effects in the United States and can spread through body fluids like saliva and urine. It is a genus of viruses in the order Herpesvirales, in the family of Herpesviridae.

Zika Virus

As per WHO, Zika virus infection during pregnancy can cause infants to be born with microcephaly and other congenital malformations as well as preterm birth and miscarriage.

It is a mosquito-borne virus that can cause serious birth defects, notes the CDC.

Toxoplasmosis

Toxoplasmosis is an infection with a parasite called Toxoplasma gondii, which can be found in uncooked meat. This can also be contacted by cat feces and the parasite can be passed down to a baby during pregnancy.