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

For many women, fertility can feel like a ticking clock, whether you’re planning to start a family soon or considering delaying pregnancy. One of the most useful tools for understanding your fertility potential is the AMH test, which measures the Anti-Müllerian Hormone in your blood.

But one question that often comes up is: “How often should I get my AMH levels checked?”

In this blog, we’ll break it down, explore what AMH tells you about your fertility, and provide practical guidance for testing frequency.

What Is AMH and Why Does It Matter?

AMH is a hormone produced by small follicles in the ovaries. Its levels reflect your ovarian reserve, essentially the number of eggs remaining in your ovaries. While it doesn’t measure egg quality, AMH is a reliable indicator of egg quantity, making it a critical part of fertility assessments.

Key points about AMH:

• Stable throughout the cycle: Unlike hormones like FSH, AMH can be measured on any day of the menstrual cycle.

• Predictive of ovarian reserve: Higher levels indicate more eggs; lower levels suggest fewer eggs.

• Useful for planning: AMH helps women understand fertility potential, guide IVF treatment, or decide whether to freeze eggs.

However, it’s important to remember that AMH is just one piece of the puzzle. Egg quality, age, lifestyle, and overall reproductive health also play crucial roles in fertility.

Factors That Affect AMH Levels

AMH levels vary from woman to woman and can be influenced by several factors:

Typical AMH Levels by Age

Here’s a general guide to what AMH levels mean at different ages:

How Often Should You Check Your AMH?

There is no universal answer, as testing frequency depends on your age, fertility goals, and medical history. Here’s a practical guide:

Women Planning Pregnancy Soon

Under 35 and healthy: A single AMH test may be sufficient to establish a baseline.

Considering IVF or egg freezing: Your doctor may recommend repeating the test every 6–12 months to track ovarian response.

Women Over 35 or With Fertility Concerns

AMH declines more rapidly after 35, so annual testing is often advised.

Women with known fertility risks (e.g., endometriosis, previous ovarian surgery) may need testing every 6–12 months.

Women With PCOS

AMH is often elevated, which can mask fertility issues.

Testing may be less frequent unless undergoing fertility treatment.

Women Undergoing Fertility Treatments

AMH testing may be repeated every cycle to tailor medication dosage and predict egg retrieval numbers.

AMH and Fertility Planning

AMH levels can guide several important decisions:

Practical Tips for AMH Testing

• Consistency: Always use the same lab for follow-up tests when possible.

• Complementary tests: Combine AMH with antral follicle count (AFC) via ultrasound for a complete picture.

• Lifestyle matters: Maintain a healthy diet, exercise regularly, and avoid smoking or excessive alcohol to support fertility.

• Consult a specialist: AMH results should always be interpreted by a fertility expert who can guide next steps.

By discussing your results with a fertility specialist at advanced centers like Birla Fertility & IVF, you can make informed, personalized decisions about family planning, IVF, or egg freezing.

Limitations of AMH Testing

While AMH is valuable, it has its limits:

• Doesn’t measure egg quality: Older women may have a lower chance of conception even with normal AMH.

• Can fluctuate slightly: Lab differences and health conditions can cause variations.

• Not a guarantee of conception: AMH indicates quantity, but pregnancy depends on many factors.

Conclusion

AMH testing is a powerful tool for understanding ovarian reserve and guiding fertility decisions, but it’s not a standalone predictor of fertility. For most women, testing every 6–12 months is sufficient, with more frequent testing only in specific circumstances.

By knowing your AMH levels and consulting with a fertility specialist at centers like Birla Fertility & IVF, you can make proactive, informed choices about your reproductive health. Fertility may not wait for life to line up perfectly, but with the right guidance and planning, you can take steps toward your family goals with confidence.

Remember, AMH testing is a guide, not a verdict. It’s one step in understanding your fertility journey and making empowered decisions about your future.

In a study led by researchers at Mass General Brigham, pregnant individuals who stopped taking popular GLP-1 weight loss medications either before or early in their pregnancy were found to gain more weight and face higher risks of diabetes and hypertensive disorders during pregnancy.

They were also more likely to deliver preterm compared with people who had never taken GLP-1 drugs. The study, published in JAMA, shows that women who had used these drugs may face increased risks of preterm birth, diabetes, and pregnancy-related high blood pressure conditions such as preeclampsia compared with those who had not taken them.

Is It Safe To Consume GLP-1 Drugs In Pregnancy?

GLP-1 medications include brands like Ozempic, Zepbound, Victoza, Trulicity, and Wegovy. They were originally developed to manage diabetes and control blood sugar but have become widely used for weight management and obesity treatment. These medicines may also help with conditions such as sleep apnea, improve heart and kidney health, and lower the risk of strokes.

Drugs like Ozempic and Wegovy belong to a class called glucagon-like peptide-1 (GLP-1) receptor agonists, which promote weight loss by mimicking a hormone that reduces appetite.

Many people regain weight after stopping these drugs, but pregnant women are generally advised against taking them. This has raised questions about how to safely help women wean off these medications around conception without increasing other health risks linked to obesity or diabetes.

Weight Loss Drugs Before Pregnancy Linked To Greater Weight Gain

The research team, led by Dr. Jacqueline Maya, looked at health records for nearly 1,800 pregnancies between 2016 and 2025, mostly among women with obesity. They found that women who stopped GLP-1 medications before or early in pregnancy gained an average of 7.2 pounds (3.27 kilograms) more than those who had never taken these drugs.

“The popularity of weight loss drugs has grown dramatically, but guidelines recommend stopping them before pregnancy because there isn’t enough safety data for unborn babies,” said Dr. Maya, a pediatric endocrinologist at Mass General Brigham for Children, as reported by Science Direct.

Women in the GLP-1 group also had a 32% higher risk of exceeding recommended pregnancy weight gain, a 30% higher risk of developing diabetes, a 29% higher risk of hypertensive disorders, and a 34% higher chance of preterm birth. Interestingly, there were no differences in C-section rates or babies’ birth weight and length.

Dr. Camille Powe, an endocrinologist and co-author of the study, noted that more research is needed to understand the benefits and risks of using GLP-1 drugs around pregnancy. “We need further studies to find ways to manage weight gain safely and reduce pregnancy risks when stopping GLP-1 medications,” Powe said, according to Science Direct.

Can You Take Ozempic Or Wegovy During Pregnancy?

Currently, there’s no safe role for GLP-1 use during pregnancy. No GLP-1 drugs are approved for expectant mothers.

Dr. Michael Snyder, MD, medical director of the Bariatric Surgery Center at Rose Medical Center and FuturHealth’s in-house obesity specialist, explains that human data on GLP-1s during pregnancy is very limited. Animal studies indicate potential risks including fetal growth restriction, pregnancy loss, and skeletal abnormalities at higher doses.

When someone takes a GLP-1 drug, their appetite changes, and it’s not yet clear how this could affect a pregnant person’s nutrition.

Parenting test that ensures that individuals are ready to take responsibility of a child sounds good, until its turns into a trauma of lifetime, where not scoring enough or failing that test leads to separation of the child from his parents. So is the case of many parents in Denmark, who have to undergo this parental scrutiny. Keira, being one of them, had just given birth to her daughter last November, but she knew that she only had two hours before her newborn would be taken into care.

She tells BBC, “Right when she came out, I started counting the minutes,” she recalls, adding that she couldn’t stop looking at the clock to see how long they had together. When the moment came, Keira says she sobbed uncontrollably, whispering “sorry” to her baby. “It felt like a part of my soul died”

She is a Greenlandic parent, among many, living in Denmark, who are now fighting to get their children back after they were removed by social services. In many of these cases, authorities have relied on the competency assessments, known as FKUs. This test determines where parents are fit to raise their children.

What Is the Danish Parenting Competency Test?

The FKU, or “parenting competency test,” was a psychometric assessment used by Danish child protection authorities to evaluate whether parents were fit to raise their children. In theory, the test aimed to protect children by identifying families in crisis or parents unable to provide adequate care. In practice, however, it became a tool of controversy—especially when applied to Greenlandic families.

The test assessed parents in a series of areas, such as their responses to imagined scenarios, self-concept, physical and mental well-being, outlook on life, and plans for the future. Most importantly, it was based on Western conception of good parenthood and delivered in Danish, with minimal attention to Greenlandic language, customs, or kinship systems. This incompatibility resulted in regular misinterpretations of the capacity of Greenlandic parents and sometimes led to children being taken from their parents.

Greenlandic children have traditionally been disproportionately represented in Denmark's child welfare system. Approximately 7% of Greenland-born children and 5% of children who have at least one Greenlandic parent are placed out-of-home. That's in sharp contrast to only 1% of the general Danish child population.

"Not Civilized Enough To Act Like A Human Being"

These assessments, which were banned for use on Greenlandic families in May after decades of criticism, remain legal for Danish families. They often take months and involve cognitive exercises, personality testing, interviews, memory challenges, and general knowledge questions.

According to Keira, some of the questions she faced felt irrelevant and culturally disconnected. “Who is Mother Teresa?” and “How long does it take for the sun’s rays to reach the Earth?” were among the things she was asked. She also recalls being made to play with a doll and criticized for not making enough eye contact. Keira alleges a psychologist even told her the test was meant to determine “if you are civilized enough, if you can act like a human being”.

While defenders of FKUs say they offer an objective framework, critics argue the tests cannot reliably predict parenting ability and are designed around Danish cultural norms. They are administered in Danish, not Kalaallisut, Greenland’s primary language, something many say leads to miscommunication and unfair evaluations.

A Disproportionate Impact

Greenlanders are Danish citizens, and thousands live on the mainland for work, education, and healthcare. Yet studies highlight stark disparities. Greenlandic parents in Denmark are 5.6 times more likely to have their children taken into care compared to Danish parents, according to the Danish Centre for Social Research.

The Danish government announced plans to review around 300 cases involving Greenlandic children, including those shaped by FKU results. But as of October, the BBC found only 10 cases involving the tests had been reviewed—and not a single child had been returned.

Keira’s own assessment concluded she lacked “sufficient parental competencies to care for the newborn independently”. Despite the ruling, she keeps cots in her home, along with baby clothes and framed photos of Zammi. She visits her daughter once a week, bringing flowers or traditional Greenlandic dishes—“just so a little part of her culture can be with her,” she says.

No Chance Of Reviewing The Test

Unlike Keira, some parents will never see their cases reconsidered. Johanne and Ulrik, whose son was adopted in 2020, have been told their case will not be reopened. Johanne had undergone an FKU in 2019 that labelled her “narcissistic” and described her as having “mental retardation,” based on criteria then used by the WHO claims she rejects.

Their baby was also meant to be taken immediately after birth, but because he arrived prematurely on Boxing Day while social workers were on holiday, the couple spent 17 days with him. “It was the happiest time of my life as a father,” Ulrik says, describing those days of feeding, changing nappies, and helping Johanne pump milk.

When authorities eventually arrived, two social workers and two police officers, the couple begged them not to take their son. Johanne asked to breastfeed him one last time. Ulrik remembers dressing his child before handing him to foster parents: “I felt the most horrific heartbreak”.

The couple no longer have access to their son but hope to take their case to the European Court of Human Rights. Denmark’s social affairs minister told the BBC the government will not revisit adoption cases because each child is now with a “loving and caring family.”

Experts disagree sharply on the validity of FKUs. Former test administrator Isak Nellemann says the assessments “are very important, about the most important thing,” claiming that when results are poor, “in about 90% [of cases] they will lose their children”. He also argues that some components lack scientific validity.

However, Turi Frederiksen, a senior psychologist, told BBC that while imperfect, the tests remain “valuable, extensive psychological tools” and denies they are biased against Greenlanders.

Rare Union That Is The Only Ray Of Hope Of Childless Parents

Among the few who have successfully regained custody is Pilinguaq, whose daughter was returned more than four years after being placed into care. The mother still struggles to rebuild trust; even briefly leaving the room can cause her daughter to panic. “If I go to the bathroom and close the door, she will have a panic attack,” she told BBC.

Her two older children are expected to return home soon as well, decisions made by local authorities, not the national review.

Keira continues to prepare for Zammi’s first birthday by building a traditional Greenlandic sleigh decorated with a polar bear. Earlier this month she was informed that her daughter will not be coming home yet—but she refuses to give up.

“I will not stop fighting for my children,” she says. “If I don’t finish this fight, it will be my children’s fight in the future”.