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

Adolescents living with chronic skin conditions who spend more time on screens may be at greater risk of struggling with body image, self-esteem, and overall quality of life, according to a new study.

The research, published in the journal Children, found that longer daily screen time was associated with poorer dermatology-related quality of life and more likelihood of body image issues among teenagers, especially with skin issues.

The findings underscore the growing concerns about the impact of digital media on young people's mental wellbeing, particularly those already coping with visible health conditions.

Researchers analysed adolescents with chronic skin disorders and explored how screen use related to their emotional wellbeing, body image, anxiety, and life satisfaction.

They found that teens reporting greater impairment in dermatology-related quality of life also experienced significantly lower self-esteem, a more negative perception of their bodies, higher anxiety, poorer overall quality of life, and lower life satisfaction.

Those who spent more time using screens generally reported worse outcomes across these measures.

"Longer screen time was associated with poorer dermatology-related quality of life and less favourable psychosocial outcomes," the study authors wrote, suggesting that digital media habits plays a huge role in influencing adolescents wrestling with chronic skin disease.

Why Skin Conditions Make Teens More Vulnerable?

Dermatology-related quality of life refers to how much a skin condition affects a person's everyday life beyond physical symptoms.

It includes emotional wellbeing, confidence, relationships, mindset, school or work performance, and participation in social activities.

A poor dermatology-related quality of life generally indicates that a skin disease is having a greater psychological and social impact on one's mental health.

Experts say adolescence is already a period when individuals are conscious about appearance. Their skin plays a major role in shaping their self-confidence.

Conditions like acne, eczema, psoriasis, or vitiligo can make young people more conscious of their appearance, and constant exposure to carefully curated or filtered images on social media may intensify those feelings.

The study suggests that excessive screen use, particularly social media, could pave the way for comparison in appearances, making it harder for teenagers with skin conditions to maintain a positive body image.

However, the researchers did emphasise that the findings show an association rather than proving that screen time directly causes poorer mental health.

Even though this is just an observation, it brings our focus on the broader impact of social media on young people's minds.

Also read: Why Monsoon Weather Triggers Acne: Expert Treatments That Actually Work

Screen Time And Mental Health

The findings are consistent with previous research linking excessive recreational screen time with poorer mental health, including anxiety, depression, low self-esteem, and body dissatisfaction among adolescents.

Other studies have also shown that image-focused social media platforms may contribute to unrealistic beauty standards and unhealthy appearance comparisons.

Cosmeticorexia Could Fuel The Problem

Also read: Cosmeticorexia: The Dark Side Of Teenagers' Obsession With Flawless Skin

The findings come at a time when teenagers are obsessed with the idea of perfect skin.

Thanks to growing popularity of complex and elaborate skincare trends on social media, perfect skin has become the ultimate beauty goal for many teenagers.

Cosmeticorexia is an example of a psychodermatological disease, where psychological problems manifest through dermatological conditions. The constant pursuit of flawless skin can lead adolescents to adopt harmful skincare practices that ultimately damage their skin rather than improve it.

But experts are warning that this obsession is fueling a worrying condition known as cosmeticorexia, where young people use anti-aging and active skincare products far beyond what their skin needs, increasing the risk of irritation, allergies, and long-term damage.

In terms of health and nutrition, the first 1,000 days of a child's life lay the foundation for lifelong growth, and development. The first question that pops up in every parent's mind is whether they should to stick to exclusive breastfeeding or alternate it with mixed feeding.

While breastfeeding remains the most effective way to give a baby the healthiest start, there are a few myths surrounding mixed feeding that need to be debunked.

As we observe World Breastfeeding Week 2026, the theme "Breastfeeding for a Sustainable Start in Life: Strengthen What Works" reminds us that breastfeeding is one of the most important phases of health in children's lives.

Breastfeeding Vs Mixed Feeding

HealthandMe spoke to Dr. Priya Bansal, Senior Consultant, Gyanaecology and Gynae Oncology, Medanta, Noida and Dr Barkha Pandey, HOD Paediatric Department, MBBS, MD Paediatric, Park Hospital, Palam Vihar about the myths surrounding breastfeeding vs mixed feeding.

Dr Priya Bansal said that when we talk about infant feeding, it's important to move away from the idea that there's a "right" or "wrong" choice for every family. She explains, "While exclusive breastfeeding for the first six months is the ideal recommendation because of its well-established health benefits, the reality is that every mother's journey is different."

Explaining the benefits of breastfeeding, Dr Barkha Pandey spoke about why breast feeding is the gold standard.

Dr Barkha Pandey further added, "Exclusive breastfeeding is the best feeding practice for all healthy infants during the first six months of life. This means only breast milk—no water, formula, animal milk, or other foods unless medically indicated. Breast milk provides all essential nutrients, along with antibodies and bioactive factors that protect against infections, support brain development, and promote healthy growth.

Dr Bansal went on to explain about the times when new mothers adopt mixed feeding. Dr Pandey said that there are situations where mixed feeding is necessary, and supplementation should never be seen as failure.

Dr Bansal said, "Some women may experience delayed milk production, have underlying medical conditions, or need to return to work earlier than planned. In such situations, mixed feeding can be a practical and safe option when introduced with the right medical guidance. What concerns us more is when formula is started because of misconceptions like assuming the baby isn't getting enough milk without any medical assessment."

Also read: World Breastfeeding Week: How The First 1,000 Days Of Breastfeeding Shapes A Child's Health For Life

How Long Should You Breastfeed Your Baby?

There are many doubts about how long you should continue to breastfeed your baby. Most experts agree upon the six-month rule of breastfeeding for well-rounded development of the baby, Dr Pandey clarifies if you should keep going even after six months.

She said, "At six months, complementary foods should be introduced to meet increasing nutritional needs. However, breastfeeding should continue alongside complementary feeding until at least two years of age and beyond, for as long as mother and child wish. Even after solids begin, breast milk continues to provide nutrition, immunity, and emotional security."

Both the experts stress upon the fact that while exclusive breastfeeding is the way to go, the priority is always safe, adequate nutrition and supportive, non-judgemental care. When supplementation is needed, parents should be guided with reassurance and clinical guidance, not guilt.

“My child is a picky eater; he hardly eats anything, so should I start giving him a protein shake?” As a pediatric dietitian, I hear this question most often from parents. Be it on the attractive shelves of a supermarket or a post on social media, you will find products that promise your child will be taller, stronger, sharper, and no wonder why parents might feel the fear of missing out!!

But here’s the reassuring truth: No, most healthy children don’t need protein powders/ protein biscuits.

Before talking about this “trendy” supplement, it is important to understand why protein is important and what its functions are.

Why Is Protein Important?

Protein is called the building blocks, and rightly so cause it helps build muscles, stronger bones, good skin, hormones, enzymes, and antibodies. Meaning, for good immune function, for growth and development, or be it for tissue repair, we all need protein.

However, protein is just a block of this big puzzle; we equally need good carbs and good fats along with it. In fact, good carbs, if included in balanced quantities, help protein do its job; we dietitians call it the “protein-sparing action”.

So The Question Arises: Are Children Getting Enough Protein?

Interestingly, Yes. Many of the parents assume that their child is getting less protein cause they are skipping/ refusing or eating small portions, but in reality including small portions even plays a big impact, as child requires less protein than adults and some of the rich protein sources like curd, milk, paneer, eggs, dals, lentils, soya products, lean meat, fatty fishes, nuts & dry fruits do provide good amount of protein.

Let’s take a 5-year-old for an example; A glass of milk along with nuts in the morning, a bowl of thick dal in lunch, and a serving of paneer/ curd in a regular dinner easily meet their daily requirements without any supplements.

Do Protein Powders Make The Children Taller?

No, the child drinking protein powder will not decide the baby’s height. It is influenced by several factors like genetics, overall nutrition, good sleep, regular physical activity, etc. So no direct evidence is found that suggests drinking protein powder only will help children gain height.

So What About The Child Who’s Into Sports?

Most of the time, they also DON’T need the protein powder.

Physically active children usually need more energy overall—not just more protein. A balanced diet with nutritious high-protein meals and snacks is enough for the majority of young athletes. Milk after practice, peanut butter on whole-grain bread, boiled eggs, yogurt with fruit and seeds, or homemade sprouts chaat are all excellent recovery foods.

Then Who Needs Protein Powders?

Children who have been clinically diagnosed with vitamin and mineral deficiencies, or have had some chronic illnesses or surgeries, or have some inborn errors of metabolism will need protein powder.

Are There Any Downsides To Protein Powders?

Many commercial products marketed for children contain added sugars, flavourings, or ingredients that may not be necessary. Some provide far more protein than a child actually needs, along with high sodium and trans fats. Perhaps the biggest concern is that supplements can create a false sense of security. Parents may feel they've "covered nutrition" with a scoop of powder while the child continues to miss out on the benefits of a balanced diet.

Whole foods offer much more than protein. A bowl of dal provides fiber and minerals. Eggs contain choline, which produces acetylcholine- a neurotransmitter necessary for brain development. Dairy products contribute calcium and vitamin B12. Nuts and seeds provide healthy fats like omega-3 and antioxidants. These nutrients work together in ways that a supplement simply cannot mimic.

What Can The Parents Do Instead?

• Include protein in all three major meals: include curd, paneer, 1 bowl of thick dal, a piece of chicken or egg, add flaxseed chutney as a side.
• Do not panic if the child is eating less on some days; it's okay for the appetite to fluctuate according to their moods.
• Make protein familiar and fun- make besan cheelas with different chutneys, make roti pizzas with paneer and cheese on top, make paneer paratha.
• Involve them in cooking; this reduces the chances of picky eating as they feel included in the process.
• Eat together as a family.

In conclusion, always remember that more isn’t always better; as far as the children’s requirements are concerned, they can definitely be fulfilled by adding good, mindful protein options in day-to-day meals. As parents, it's natural to want the very best for your child. The good news is that the best nutrition doesn't usually come from a jar—it comes from a colourful plate, shared family meals, and healthy eating habits built over time.

But remember the simple rule: natural food first, supplements only when they are medically needed.

(By Payoshini Kulkarni, Nutritionist at Cloudnine Group of Hospitals, Pune)