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

Ahmedabad toddler, one-and-a-half-year-old boy swallowed a 'Hulk' toy, which is based on a popular comic superhero. The toy was stuck in his stomach when his parents took him to the Civil Hospital. According to reports by News18, the child is identified as Vansh who showed the signs of discomfort and began vomiting. This is what alarmed the parents.

As per the News18 report, his mother Bhavika was suspicious when she noticed that one of his toys was missing. The child was rushed to the hospital and an X-ray revealed that he had swallowed the entire plastic toy. The toy was not broken.

Hindustan Times reported that Dr Rakesh Joshi, Head of the Department of Pediatric Surgery removed the toy through upper GI endoscopy. "Had it been a little late, the toy could have moved further from the stomach and got stuck in the intestines. In that case, there would have been a risk of intestinal blockage and even rupture," the senior doctor said.

"There is a natural valve between the esophagus and the stomach. The biggest challenge was to take out a whole toy through this valve. When we tried to grab it with the endoscope, the toy kept slipping because of the air in the stomach. Pulling the toy by its hand or foot raised the possibility of it getting stuck in the valve and causing it permanent damage," he said.

The doctor noted that if the toy had further slipped down, it would have increased the risk of intestine rupturing.

Ahmedabad Toddler Swallows Hulk Toy: What Parents Must Keep In Their Mind

Under the Toys (Quality Control) Order, 2020 issued by the Department for Promotion of Industry and Internal Trade under the Ministry of Commerce and Industry, toy safety in India was brought under mandatory BIS certification from September 1, 2020. The move aims to ensure safer toys for children while also supporting the government’s policy of curbing non-essential imports.

Industry sources estimate that more than 85 percent of toys sold in India are imported. Officials say the Toys Quality Control Order is a key step in preventing the entry of cheap and substandard toys into the domestic market, many of which fail to meet basic safety requirements.

Ahmedabad Toddler Swallows Hulk Toy: Standards for Electric and Non-Electric Toys

The quality control order clearly defines safety standards based on the type of toy. Non-electric toys such as dolls, rattles, puzzles, and board games must comply with IS 9873 (Part 1):2019. These toys do not rely on electricity for any of their functions.

Electric toys, which include at least one function powered by electricity, are required to meet the standards outlined under IS 15644:2006. Compliance with these standards is mandatory before such toys can be sold in the Indian market.

Ahmedabad Toddler Swallows Hulk Toy: Risks Linked to Untested Toys

Toys that are not tested by NABL-accredited toy testing laboratories can pose serious health risks to children. Sharp edges and poorly finished parts can cause cuts and injuries. PVC toys may contain phthalates, which are considered harmful chemicals.

Many low-quality toys have also been found to contain lead, a substance known to be particularly damaging to brain development in children. Soft toys with fur or hair can trigger allergies or become choking hazards. In some cases, small body parts can get stuck in gaps or holes, increasing the risk of injury.

Testing by NABL-accredited laboratories ensures that toys are safe, durable, and suitable for specific age groups. Parents are advised to check for IS marks on toys before purchasing, as this indicates compliance with Indian safety standards.

Ahmedabad Toddler Swallows Hulk Toy: What Parents Should Check Before Buying Toys

Experts recommend avoiding toys with small detachable parts for toddlers and young children, as they are more likely to put objects in their mouths. Toys should always match the child’s age, skill level, and interests.

Parents are also urged to look for IS marks, which confirm that the toy has been tested and certified. Loud toys should be avoided, as prolonged exposure to sounds above 85 decibels can harm a child’s hearing.

Electric toys with heating elements should be used with caution or avoided altogether due to burn risks. Finally, toys with sharp edges or shooting components should be carefully examined to prevent cuts and injuries.

Doctors across the UK are raising the alarm over what they describe as mounting evidence of serious health harms linked to excessive screen time and unrestricted access to digital content among children and young people.

The Academy of Medical Royal Colleges (AoMRC), which represents 23 medical royal colleges and faculties, says frontline clinicians are witnessing deeply concerning patterns across the NHS. According to the academy, doctors working in primary care, hospitals and community settings have shared firsthand accounts of what they describe as “horrific cases” affecting both physical and mental health.

Evidence From the Frontline

The academy has now launched a formal evidence-gathering exercise to better understand the harms clinicians are repeatedly encountering and whether these can be attributed to technology use and digital devices.

Its aim is twofold. First, to shine a light on risks that often go unnoticed, including prolonged screen time and exposure to harmful online content. Second, to develop guidance for healthcare professionals on how to identify, address and manage these issues in clinical practice.

In a statement, the AoMRC said it already has evidence pointing to significant impacts on children’s wellbeing, ranging from physical concerns to mental health challenges linked to both excessive device use and harmful online material. The work is expected to be completed within three months.

A Public Health Emergency?

Dr Jeanette Dickson, chair of the academy, said the scale of the problem is becoming impossible to ignore. Speaking to The Sunday Times, she warned that clinicians may be witnessing the early stages of a public health emergency.

“Everywhere we look, we see children and adults glued to their screens,” she said. “I really worry for children, some of whom are self-evidently imprisoned in a digital bubble.”

Copies of the academy’s letter outlining these concerns have been sent to Health Secretary Wes Streeting and Science and Technology Secretary Liz Kendall, as well as Lucy Chappell, chief executive of the National Institute for Health Research, and the government’s chief medical adviser, Sir Chris Whitty.

Government Action and Global Trends

The warnings come as the UK government prepares to consult on possible restrictions on social media use for under-16s. Options under consideration range from a complete ban to more targeted measures such as time limits and tighter controls on algorithms.

Recent government research has already linked screen time to poorer speech development in children under five. Internationally, the debate is gaining pace. Australia introduced a ban on under-16s holding social media accounts in December, while countries including France, Denmark, Norway and Malaysia are weighing similar steps.

Why Some Groups Oppose a Blanket Ban

Not everyone agrees that an outright ban is the answer. A joint statement signed by 43 child protection charities and online safety groups, including the NSPCC and the Molly Rose Foundation, warns that blanket bans could backfire.

Andy Burrows, chief executive of the Molly Rose Foundation, said parents and policymakers are being offered a false choice. “It’s being framed as either a total ban or the current appalling status quo,” he said. “Those aren’t the only options.”

Chris Sherwood, chief executive of the NSPCC, echoed the concern, pointing out that for many children, the internet provides vital support. “A blanket ban would take those spaces away overnight,” he said, “and risks pushing teenagers into darker, unregulated corners of the internet.”

Both organizations argue that the focus should shift to holding tech companies accountable for harmful design choices, unsafe algorithms and failures to protect young users.

As winter sets in, conversations around health often shift to immunity, joint pain, and seasonal illnesses. But can colder weather also influence fertility? According to experts, cold weather does not directly cause infertility, but it can quietly affect hormones and reproductive health through lifestyle and biological changes.

Dr Geeta Jain, HOD of Obstetrics, Gynecology and IVF, and Co-founder of Maccure Hospital and Aastha Hospital, explains that fertility is rarely impacted by temperature alone. “Cold weather does not directly cause infertility, but it can have an indirect impact on fertility and hormonal balance,” she says.

How Seasonal Changes Affect Hormones

One of the most significant winter-related changes is reduced exposure to sunlight. Shorter days and limited sun can influence the body’s hormonal rhythm, particularly melatonin and vitamin D levels. These hormones are closely linked to reproductive hormones such as estrogen, progesterone, and testosterone.

“Lower sunlight levels can affect the secretion of melatonin and vitamin D, both of which play an important role in reproductive health,” Dr Jain explains. Vitamin D deficiency, which is more common during winter months, has been associated with irregular menstrual cycles, ovulatory issues, and conditions like polycystic ovary syndrome (PCOS). All of these factors can make conception more challenging.

Menstrual Changes During Winter

Some women notice changes in their menstrual cycles during colder months, including delayed periods, increased cramps, or irregular ovulation. However, temperature is not the main culprit.

“These changes are often linked to lifestyle factors rather than cold weather itself,” says Dr Jain. Reduced physical activity, weight gain, changes in diet, and increased consumption of high-calorie comfort foods during winter can disrupt insulin sensitivity and hormonal balance. Over time, this may indirectly affect ovulation and fertility.

Stress, Mood, and Fertility

Mental health also plays a critical role in reproductive health, especially during winter. Shorter days and less outdoor activity can contribute to seasonal mood changes, anxiety, or even depression. These emotional shifts can elevate cortisol, the body’s stress hormone.

“Elevated cortisol can interfere with the normal functioning of reproductive hormones,” Dr Jain notes. If stress becomes chronic, it may affect ovulation and fertility over time, even in otherwise healthy individuals.

Does Cold Weather Permanently Affect Fertility?

The good news is that winter-related hormonal changes are usually temporary. “Cold weather does not permanently harm fertility,” Dr Jain reassures. Most seasonal shifts can be reversed by adopting healthy habits.

Maintaining a balanced, nutrient-rich diet, staying physically active indoors or outdoors, managing stress, getting adequate sleep, and ensuring sufficient vitamin D intake can help support hormonal balance throughout the colder months.