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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.
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.
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:
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:
By six months, babies start experimenting with sounds and use their voice to play. Major developments include:
By the first birthday, there are some significant communication milestones that have been achieved:
In this stage, children learn to understand and use words in a consistent manner. Some of the important milestones are:
By two years of age, children usually have more developed communication skills:
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.
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
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Shoko Kawata, Japan’s first mayor to take maternity leave, has been named one of TIME Magazine’s 100 most influential rising stars.
The 35-year-old mayor of Yawata City in Kyoto Prefecture sparked a national debate, earlier this year, after announcing she would take maternity leave following the birth of her first child. Her decision came as Japan struggles with declining birth rates and efforts to support women in work and public life.
“I was so surprised because the reaction was so big,” Kawata told the BBC.
Kawata gave birth to a baby girl on September 15. Her decision drew both support and criticism, with some praising her for making it easier for women to enter politics, while critics questioned whether elected officials should step away from public duties after childbirth.
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Kawata defended her decision, saying women should not have to choose between public office and starting a family.
“If we were to criticise politicians taking maternity leave, it means we are effectively excluding all women in their 20s through 40s - women who are capable of becoming pregnant - from public office,” she told the BBC.
Japan provides maternity leave for municipal employees, but there is no specific legal framework for local elected officials. Kawata therefore worked with her office to arrange a 16-week transfer of authority to Deputy Mayor Shigeto Nose, while planning to work remotely when possible.
After giving birth, Kawata said her experience as a new mother would also shape the policies she pursues.
“I want to confront the many challenges facing parents and children today from that same perspective, as someone living through them myself,” she wrote on X.
Kawata’s experience also highlights the physical and emotional demands women face after childbirth.
While attention often shifts to the newborn, mothers also need adequate rest, nutrition, medical care and emotional support. For working women, pressure to return to work can add to the challenges of postpartum recovery.
The World Health Organization says the first six weeks after childbirth are a critical period for both mothers and babies, with a large proportion of maternal and infant deaths occurring during the postnatal period.
Read More: Lessons From The Lindsay Clancy Case: Can Families Spot Early Signs Of Postpartum Psychosis?
After delivery, the uterus gradually contracts back towards its pre-pregnancy size, which can cause cramping. Women can also experience postpartum bleeding and discharge, known as lochia, for several weeks.
Hormonal changes, particularly the rapid drop in estrogen and progesterone, can affect mood. Breast engorgement, nipple sensitivity and pelvic-floor changes can also occur, sometimes causing urinary leakage or discomfort.
New mothers are also adjusting to sleep disruption, feeding and the demands of caring for a baby.
Many women experience the “baby blues,” a temporary period of mood changes after childbirth. This is different from postpartum depression, which is more severe and can last longer.
Adequate rest, practical support, medical follow-up and mental-health care can all play an important role in postpartum recovery.
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Unsafe sleep factors, including soft bedding, sharing a sleep surface with another person or animal, and sleeping on a surface other than a crib or bassinet, were identified in 73% of sudden unexpected infant death (SUID) cases in the US, according to a new report from the US Centers for Disease Control and Prevention (CDC).
SUID includes sudden infant death syndrome (SIDS), accidental suffocation and strangulation in bed, and deaths from unknown causes. In 2024, SUID claimed the lives of about 3,400 babies in the US.
Even after decades of public health efforts to promote safer sleep practices, sleep-related deaths remain a major cause of infant mortality.
The report analyzed 4,861 SUID cases recorded between 2020 and 2024 across 31 US jurisdictions.
The CDC found that 73% of the deaths involved at least one unsafe sleep factor. These included:
These categories could overlap, meaning an infant could have had more than one unsafe sleep factor.
The CDC found that most deaths occurred among infants who were:
Read More: Rare Pregnancy Infections Linked To 3-Fold Higher Autism Risk: What Is TORCH?
The American Academy of Pediatrics (AAP) recommends a safe sleep environment to reduce the risk of sleep-related infant deaths.
The AAP recommends placing babies on their backs to sleep, using a firm, non-inclined sleep surface, room-sharing without bed-sharing, and avoiding soft bedding and overheating.
It also recommends human milk feeding, avoiding exposure to nicotine, alcohol, marijuana, opioids, and illicit drugs, routine immunization, and pacifier use as measures associated with lower SIDS risk.
“Babies should always be placed on their backs to sleep. Tummy time is important for developing strength and motor skills, but it should take place only when the baby is awake and being actively supervised,” Dr. Leana Wen, an emergency physician and clinical associate professor at George Washington University, was quoted as saying by CNN.
Once babies can roll from their backs to their stomachs and back again on their own, parents do not need to keep repositioning them during sleep. However, they should still place babies on their backs at the start of every sleep.
Wen recommends that the crib should be empty or nearly empty. Parents should use a firm mattress covered with a fitted sheet and avoid pillows, blankets, quilts, bumper pads, and other soft objects.
If parents are concerned about the baby getting cold, they can use a wearable blanket or well-fitting sleep clothing instead of a loose blanket.
The AAP recommends room-sharing without bed-sharing, ideally for at least the first six months.
This means keeping the baby’s crib or bassinet close to the parents’ bed for easier feeding and comforting, while ensuring the baby sleeps on a separate surface.
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Feeding a newborn is one of the first and most important decisions parents make after birth. There is often debate around breastfeeding versus formula feeding. It is necessary to know the difference between exclusive breastfeeding and formula feeding to help families make informed choices based on the baby’s needs and even the mother’s health. Here, an expert explains both breastfeeding and formula feeding.
Know that caring for a newborn usually involves many questions about feeding. Some mothers tend to exclusively breastfeed, while others use formula due to various issues such as low milk supply or other circumstances.
But remember that every family’s situation is different, and parents should make feeding decisions only after consulting the doctor. The priority should be to give the baby safe, adequate nutrition for prompt growth and development.
Also read: Don’t Miss a Beat: Why Every Newborn Deserves a Heart Check
Exclusive breastfeeding means feeding a baby only breast milk for the first six months of life. So, the baby will not be given water, formula, juice, or solid foods unless the doctor recommends. So, breast milk consists of nutrients, antibodies, and healthy fats, which are important for the baby’s growth and brain development. Breast milk is important for the baby and can help prevent infections, diarrhoea, and respiratory illnesses, and boosts the baby’s immunity.
Talking about formula feeding, this means giving a baby specially prepared infant formula to provide the nutrients needed for growth. So, formula milk is given when breast milk cannot be given to the baby. Now, modern infant formulas are carefully developed to support healthy growth. However, it doesn’t contain the natural antibodies and immune-protective factors that are present in breast milk. Formula milk should always be prepared safely as per the doctor’s instructions to reduce the baby’s chances of infections or any nutritional problems.
Breastfeeding is crucial for the baby as it tends to provide complete nutrition and health benefits for both mother and baby. It also helps enhance the mother and the baby’s bond and reduces the mother’s risk of breast and ovarian cancers. However, some women will be unable to breastfeed their babies due to certain medical conditions, medications, insufficient milk supply, or other challenges.
So, in such a situation, infant formula is a safe and nutritious alternative when used correctly under medical guidance. Even those babies who are formula-fed can also grow and develop well when they receive appropriate nutrition, are vaccinated, and are taken for regular health check-ups. Instead of comparing feeding methods, ensure to feed the baby well.
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