It is recommended that your child be assessed by the Paediatrician of your choice at frequent intervals, especially in the first 12-18 months of life. This is not just to administer the “shots” which are due, but also so that his development may be monitored.
The earlier that any abnormalities in this area are detected, the better. 

Development is a continuous process from Conception to Maturity. The sequence of development is roughly the same in all children, but the rate of development varies from child to child. For example, a child has to learn to sit before he can learn to walk, but the age at which children learn to sit and to walk varies considerably. The fact that one child is developing in an area at a faster rate than another does NOT mean he is more Intelligent.
We should be careful not to fall into the trap of comparing the development of siblings or that of other kids known to us.
The following milestones are merely Guidelines which we use in monitoring development, and are taken from “The Development of The Infant and Young Child” by R.S. Illingworth.


Milestones of Sitting

Newborn Pulled to sit – complete head lag
4 weeks Held sitting – rounded back.  Momentarily lifts the head up.Pulled to sit – almost complete head lag.
12 weeks   Head mostly held up when supported sitting, but it tends to bob forward.
16 weeks Only slight head lag in beginning of movement when pulled to sitting position.  In sitting position – head wobble when body is swayed.  Back curved only in lumbar region.
20 weeks No head lag when pulled up.  No head wobble when body swayed by examiner. Back Straight.
24 weeks Sits supported in pram or high chair.  Lifts head off couch when about to be pulled up.
28 weeks Sits on floor with hands forward for support.
32 weeks Sits momentarily on floor without support.
36 weeks Sits steadily on floor for 10 minutes.  Leans forward (but not sideways) and recovers balance.
40 weeks Can go over into prone and change from prone to sitting.Can pull self to sitting position.
48 weeks Can twist round to pick up object.
15-18 months      Seats self in chair


Milestones of Standing & Walking

Newborn Walking reflex (first 2-3 weeks) – elicited for several more weeks when the neck is extended.
8 weeks Held in standing position, able to hold head up more than momentarily.
24 weeks Bears almost all weight.
28 weeks Held standing, bounces with pleasure.
36 weeks Stands holding on to furniture.  Pulls self to stand.
44 weeks Standing, lifts foot.
48 weeks Walks holding on to furniture.  Walks 2 hands held.
52 weeks Walks, one hand held.
13 months Walks, no help
15 months Creeps up stairs.  Gets into standing position without help. Kneels without support. Cannot go round corners or stop  suddenly.
18 months   Can get up and down stairs without help.  Pulls wheeled toy. Seats self on chair.  Beginning to jump (both feet).
2 years                 Up and down stairs alone, 2 feet per step.  Walks backward in imitation. Picks up object from floor without falling.  Runs. Kicks ball without overbalancing.
2 1/2 years Jumps with both feet.  Can walk on tiptoes.
3 years Jumps off bottom step.  Goes up stairs, one foot per step; down 2 feet per step. Stands on one foot for seconds. Rides tricycle.
4 years Goes down stairs, one foot per step. Skips on one foot.
5 years Skips on both feet.

Milestones of General Understanding

4 weeks Watches mother intently as she speaks to him.
6 weeks Smiles
8 weeks Smiles and vocalises.
12 weeks Much interest in surroundings. Excited when toy presented. Recognises mother. Turns head away when nose cleaned. Squeals of pleasure. 'Talks' a great deal when spoken to.
16 weeks Anticipates and excites when feed prepared. Shows interest in strange room.  Laughs aloud.
20 weeks Smiles at mirror image.
24 weeks Displeasure at removal of toy. Holds arms out to be picked up.  Likes and dislikes. Smiles and vocalises at mirror image.When he drops cube he looks to see where it has gone to. Excites on hearing steps. Beginning of imitation.  Laughs when head is hidden in towel.
28 weeks Expectation in response to repetition of stimulus. Imitates acts and noises. Tries to attract attention by cough. Enjoys peep-bo games. Responds to name. Keeps lips closed when offered food which he does not want.
32 weeks Reacts to cotton wool swab by grasping his mother's hand and pushing it away. Reaches persistently for toys out of reach. Responds to 'No'. Imitates sounds.
36 weeks Compares 2 cubes by bringing them together. Puts arms in front of face to avoid having it washed.
40 weeks Pulls clothes of mother to attract attention. Waves bye-bye.  Patcake.Repeats performance laughed at. Looks round corner for object. Responds to words, e.g. 'Where is daddy?'  Holds object to examiner but will not release it.
44 weeks Drops object deliberately, to be picked up. Helps to dress.
48 weeks Rolls ball to examiner. Will give toy to examiner. Anticipates body movements when nursery rhyme being said. Interest in picture book. Plays peep-bo, covering face.Plays game 'up, down'. Shakes head for 'No'.


Milestones of Feeding & Dressing

24 weeks Drinks from cup when it is held to lips.
6 months Chews.  Eats biscuit.
15 months Manages cup, picking it up, putting it down without much spilling. Rotates spoon near mouth. Feeds self fully, no help. Takes off shoes.
18 months   Takes off gloves, shoes, socks, unzips. No more rotation of spoon.
2 years Puts on and takes off shoes, socks, pants.
3 years Dress self fully apart from buttons behind. May put shoes on to wrong feet. Unbuttons front and side buttons.
5 years        Can tie shoe lace.


Milestones of Speech

5- 6 week    Vocalises.
12 weeks              Squeals of pleasure.'Talks' when spoken to.
16 weeks Laughs aloud.
20 weeks Razzing, 'Ah-goo'.
28 weeks Syllables 'ba', 'da', 'ka'.  Four or more different sounds.
32 weeks Combines syllables – 'da-da', 'ba-ba'.
48 weeks One word with meaning. Imitates sounds.
1 year         2 or 3 words with meaning. Imitates animals.
15 months Jargon
18 months Jargon, but many intelligible words.
21-24 months        2 or 3 words joined together (not in imitation). Repeats things said. Uses “I', 'me', 'you'.
2-3 years Lisping and some 'stuttering' common.
3 years Normal Speech.

Dr. John Royes