It’s Better To Know!

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It’s Better to Know!Learn the Signs. Act Early.Learning About Developmental Milestones

All of us want our children to be happyand healthy. We want what is best forthem. This story is about my family as welearn that “It’s Better To Know” aboutdevelopmental milestones.Developmental milestones are things most children can doby a certain age. Children reach milestones in how they play,learn, speak, and act. Milestones offer important clues abouta child’s development. The developmental milestones you willlearn about in this fotonovela will give you a general ideaof what to expect as your child grows. Not reaching thesemilestones, or reaching them much later than other children,could be a sign of a developmental delay.Trust your instincts. If you have concerns about your child’sdevelopment, the best thing to do is talk with your doctor.It’s Better To Know! was produced by the Organization forAutism Research with funding provided by the Departmentof Health and Human Services, Centers for Disease Controland Prevention.www.cdc.gov/actearlyiii

He’s fine.He’s moreinterested inhis cow!Hi Carlitos!C-a-r-l-i-t-o-s. Hedoesn’t always lookat us when we call hisname. I wonder why.How’s my baby boydoing?He’s okay, mom,but he doesn’talways look up whenwe call him.Have you talked tothe doctor aboutthat?No, why, should I?Remember the last timewe took him for a wellbaby check-up and 9-monthdevelopmental screening?I picked up this pamphletin the waiting room. Ittalks about developmentalmilestones. Did you get achance to look at it?Do you really thinkthere could besomething wrongwith him, mom?1

Please don’t be upset,dear. I’m just sayingthat it’s good to knowhow babies developlearn, and change.That’s all.This has some good informationabout signs to watch for. It’sgood to learn as much as you canabout your baby!I’ll look at it later That afternoon.He’s fine,Consuelo. You andyour mom worrytoo much.Mom thinks we shouldtalk to the doctorbecause Carlitosdoesn’t always respondwhen we call his name.I have to runsome errands, butI’ll be back and wecan take Carlitos tothe park.It’s not justthat, Carlos.My heart istelling me weneed to lookinto this.It’s probably just aphase he’s going through.It’s not anything toworry about.2

But whatif there’ssomething weshould be payingattention to?I need you to listento me, Carlos.Give him time.You’ll see Consuelo meets her Friendsat the park.You have gottenso big!Not too big, I hope. I wantmy baby to be healthy.Oh, Consuelo, I’m so gladto see you and your baby!May I hold him?3

Oh, he issuch a goodbaby.He’s a sweetie!I’m beginning toworry a little.Mom picked upthis pamphletfrom Dr. Garcia’soffice that saysCarlitos shouldbe responding tohis name but hedoesn’t alwayslook at us.This is good information.It’s important to know whatto look for in the differentstages of your child’sdevelopment.4

I could’ve used this whenPanchito was a baby.We would have talked withthe doctor earlier.He didn’t start talkinguntil he was much older.My sister noticed it, andI got angry at her.You wouldnever know thatfrom seeing himtoday.I didn’t know Panchitohad any problems.I hope my baby is okay!He’s doing well now but he didn’t start talkingwhen other kids did. We had a hard time facingthe truth. We were hoping that he would juststart talking on his own. Honestly, I think wewaited too long to get help.The pamphlet that mom brought homefrom the doctor says a baby his age shouldbe looking up when he hears his name Consuelo, let me give you some advice.If you have concerns, ask your doctor.Trust your instincts and act on them.5

The important thing isto educate yourself.It’s better to know.Where do we start?How do I find out more?Start with your family doctor.Tell him why you’re concerned.Before you go, sit down withCarlos and write down a listof questions to ask.I can seethat you learnedto be a woman ofaction. Good foryou!I wish I had acted earlier. Atleast now I know what’s goingon. I will do anything for him!My doctor is always sobusy. Do you think he’llhave time to listen to me?You need adoctor you can talkto who will listen toyour concerns aboutyour child.Now, I’m worried too.You don’t need toworry dear. Just bewell-informed.It’s better to know.6

Meanwhile, Carlos talksto his friend at work.So Consuelo is worriedthat there is somethingwrong with the baby.I’m sorry, man.What’s wrong?That’s just it. Hedoesn’t look at uswhen we call his name.What’s the big deal,Antonio? He’s just alittle baby, right?I felt the same way whenPanchito was a baby. Lorenainsisted that he should betalking, and he wasn’t.We found out that he had some speech problems. It took me longer thanLorena to see what was happening with him. Now, thanks to his speechtherapist, he talks all the time. He’ll be a lawyer before we know it!7

Now youhave me allworried.Maybe Consuelo is right!Look, I thought he would grow outof it. But Lorena was right, andPanchito got the help he needed.It’s better to know.Consuelo’smother showedus someinformationin a pamphletshe got at thedoctor’s office.Was it ondevelopmentalmilestones?That’s what it’scalled.That’s not what Iwant. Listen to whatI’m saying. Just besmart, man, and getsome information.Developmentalmilestones?Milestones are things your little kid shouldbe doing by certain ages as he develops andgrows. Think of them like road signs to lookfor when you drive. If your baby misses oneof those road signs, don’t wait. Just go tothe doctor, and ask about it.Look, there’s probably nothing to worryabout. But you should have him checked by adoctor. Take it from me. It’s better to know.8

That afternoon after work.Antonio gaveme some goodadvice.I had lunch with Antonio today.Did you know that his son didn’t starttalking until he was 3 years old?Yes, I sawLorena andPanchito at thepark and shetold me. You’dnever knowthat by seeingthat little boytoday.And what was that?He said to trust your eyes and ears. If yourchild is not doing the things other kids hisage are doing, ask for help. He also said thatlearning about developmental milestones reallyhelped Lorena and him.Lorena also encouraged me toask the doctor if it’s normalfor Carlitos not to respondwhen we call his name.Seeing the doctor doesn’t meanthere’s anything wrong. It’s justbetter to ask and be sure.9

I want to thank you, DoñaEmma, for making us moreaware of developmentalmilestones.I didn’t want to butt in,but it is better to bewell-informed.Of course you’reright: It’s betterto know.At the clinicI’m concerned that Carlitosdoesn’t always look at us whenwe call his name. Is that a signthat something’s wrong?Your baby’s development isnot that black and white.Before I answer yourquestion, let me ask yousome other questions, andthen let’s see where we are.The doctor examines the baby and asks several questionsabout Carlitos’development.You were wise to bring Carlitos in. It’s betterto be sure, especially with a young child. Hecrawls, is pulling up, points with his indexfinger, and has a beautiful smile. These are allgood signs to see in a 12-month-old baby.10

I’m not that concerned abouthis development, but he doesn’tseem to be hearing everything.That may explain why he doesn’trespond. We should order somehearing tests, just to find out.Thank you, doctor.Do you have any otherinformation we canread regarding childdevelopment?Yes, of course, Carlos. I’m veryglad to see you’re interested inlearning more about how yourbaby will develop.Look who’s here!IsCarlitosokay?I’m herefor mycheck-up.11Yes, he had a goodcheck-up, but weneed to take him infor hearing tests,just in case.Consuelo and I areglad we did this!

Three weeks later.So we took Carlitos infor his hearing tests andthey did find somethingthat affected his hearingand needs attention, butit’s going to be fine. I’mso relieved, and so gladwe checked.Informationalways helps.Healthy growth is somuch more than thephysical signs, isn’tit? I’m going to learnfrom you and starttalking to my husbandabout the milestonesright away so we’llboth know the signswhen our baby comes.Now that we know, we do our bestto take care of our son’s needsand share our experience withother parents. Our message to youis “It’s better to know.” If youlearn the signs, you can act earlyand get the help you need for youchild and your family!Our son had a speechdelay and avoided playingwith other kids. Theearlier you can identifythese things, the sooneryou can help your child. Ithas worked out well forPanchito. But, we learnedour lesson about theimportance of knowingabout developmentalmilestones.12

It’s Better to Know!Learn About Developmental MilestonesDevelopmental milestones are things most children can do by a certainage. Children reach milestones in how they play, learn, speak, and act.Each baby develops at its own pace, so it’s not possible to tell exactlywhen your child will learn a skill. Knowing what to look for is important.The developmental milestones you will learn about in this fotonovelawill give you a general idea of what to expect as your child grows. Notreaching these milestones, or reaching them much later than otherchildren, could be a sign of a developmental delay. Trust your instincts.If you have concerns about your child’s development, the best thing todo is talk with your doctor.At 2 months, I will expect my baby to payattention to faces, coo, gurgle, and smileat people. I know I should be concerned ifshe doesn’t turn her head towards sounds,doesn’t watch things as they move, or can’thold her head up.When Carlitos was 6 months old, he couldsit without support, copied some of thesounds we made, and liked to play withothers. He also babbled and laughed,rolled over in both directions, and showedcuriosity about things that were out ofreach. We know now that he should havebeen responding to his name as well.Carlitos is now 1 year old and he makessimple gestures, has favorite people andtoys, pulls up to a standing position, says“ma-ma” and “da-da,” finds hidden objects,follows simple directions, and tries to copywords. Yet, Carlitos often does not respondto his name. This concerned us, so I urgedCarlos and Consuelo to talk to the doctorabout it. We are all so glad they did!13

It’s Better to Know!Learn About Developmental MilestonesBy 2 years old, Panchito was excited to playwith other children, showed more and moreindependence, used sentences with two to fourwords, followed two-step instructions, walkedup and down stairs without help, ran, kickedballs, and climbed. However, we were concernedbecause Panchito was not yet talking. Most2-year-old children are already using two-wordsentences. We took him for a check-up andshared our concerns with his doctor. We werehappy we did. If your 2-year-old child isn’ttalking; doesn’t walk steadily; or doesn’t knowwhat to do with common things, like a brush,phone, fork, or spoon, it’s important totalk with your child’s doctor.I cannot wait for Carlitos to turn 3 years oldso I can teach him to play soccer! He will beginto show affection for playmates, carry on aconversation using two to three sentences, andenjoy playing make-believe. His developmentmight be off track if he can’t speak in fullsentences, can’t work simple toys, or isn’tinterested in playing with other children.Panchito is 4 years old and, thanks to the earlyhelp we got him, he overcame his speech delay.Anyone can understand him now! He hops andstands on one foot, describes what he likes todo, tells stories, names colors, and counts. He’snever had any problems playing with other kids,using “me” and “you” correctly, sleeping, andusing the toilet. If he had experienced a delayin these activities, it would have been cause forconcern. My baby is growing up!Knowing about these developmental milestonesis a way you can make sure your baby is ontrack. To learn more about developmentalmilestones, visit www.cdc.gov/actearly.Remember, it’s better to know!Developed in collaboration withthe Organization for Autism Research.14

It’s time to change how we view a child’s growth.As they grow, children are always learning new things. Below are just some of thethings you should look for as your child grows. Use this as a guide, and if you have anyconcerns, talk with your child’s doctor and call 1-800-CDC-INFO to get connected withyour community’s early childhood intervention system.At 6 months, many children respond to own name respond to other people’s emotions and often seem happy copy sounds like to play with others, especially parentsAt 1 year (12 months), many children use simple gestures, like shaking head “no” or waving “bye-bye” say “mama” and “dada” and exclamations like “uh-oh!” copy gestures respond to simple spoken requestsAt 1 ½ years (18 months), many children play simple pretend, such as feeding a doll point to show others something interesting show a full range of emotions, such as happy, sad, angry say several single wordsAt 2 years (24 months), many children say sentences with 2 to 4 words follow simple instructions get excited when with other children point to things or pictures when they are namedAt 3 years (36 months), many children show affection for friends without prompting carry on a conversation using 2 to 3 sentences copy adults and friends play make-believe with dolls, animals, and peopleAt 4 years (48 months), many children tell stories would rather play with other children than by themselves play cooperatively with othersQuestions to ask your child’s doctor: Is my child’s development on track for his or her age? How can I track my child’s development? What should I do if I’m worried about my child’s progress? Where can I get more information?Adapted from CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5, Fifth Edition, edited by Steven Shelov andTanya Remer Altmann 1991, 1993, 1998, 2004, 2009 by the American Academy of Pediatrics and BRIGHT FUTURES:GUIDELINES FOR HEALTH SUPERVISION OF INFANTS, CHILDREN, AND ADOLESCENTS, Third Edition, edited by JosephHagan, Jr., Judith S. Shaw, and Paula M. Duncan, 2008, Elk Grove Village, IL: American Academy of Pediatrics.www.cdc.gov/actearly 1-800-CDC-INFOLearn the Signs. Act Early.

Learn the Signs. Act Early.www.cdc.gov/ActEarly1.800.CDC.INFOCS254568-A

It’s Better to Know! Learn About Developmental Milestones Developmental milestones are things most children can do by a certain age. Children reach milestones in how they play, learn, speak, and act. Each baby develops at its own pace, so it’s not possible to tell exactly when your child will learn a skill. Knowing what to look for is .

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