What Should I Do if My Baby is Not Meeting Developmental Milestones on Time?

And how an expert can help


Published:

Photo courtesy of FotoHelin/Shutterstock.com

Babies grow and develop on a certain, well-known path, with some variability in the age that they learn new skills. These skills are called developmental milestones and they are typically met within a particular window of time. 

There are milestones for your baby’s motor skills, language, social interaction, cognition and self-help skills. Sometimes, things don’t move along according to plan, and there can be delays in reaching certain developmental milestones. 

If you have noticed and are worried about a delay in your child’s development, it’s important to talk to your pediatrician about your concerns, even if they are small. Well-child visits are quick check-ins during which a pediatrician covers a lot of issues and relies on you to communicate any worries you may have. Trust your intuition and ask questions, or seek out specialty evaluations on your own. 

 

Intervention: The Sooner, the Better

It can be difficult to learn that your child is experiencing developmental delays or challenges, but the sooner intervention is introduced, the better the outcome will likely be. This is true of both minor and major delays, as even a minor delay may have the potential to build into a more significant one later. 

An infant can benefit from intervention as soon as possible, whether she has experienced a brain injury, medical illness or just seems to be struggling with certain skills. Early intervention can help your child learn new skills, achieve developmental milestones, enhance development, overcome challenges and support future success. 

A child’s earliest experiences play a critical role in his brain development. The human brain changes and develops rapidly in the first few years of life. Infants and very young children are constantly creating neural connections — more than a million per second. These neural connections lay the foundation for function, learning, skills and behavior. Brain development builds on itself. It relies on this foundation to build increasingly complex circuits. A strong foundation will provide the base for building future skills. 

Issues in the early foundational development can lead to problems down the line. This system is most plastic, or capable of change, during the first three years of life, when the brain is creating so many new connections. The brain rewires itself in response to experiences. 

Brain structures are like muscles that can be strengthened by repeated use, but also weakened or lost if not used. High quality, early intervention can help build a strong brain structure foundation, fill in holes and retrain poor patterns that may have already developed, thereby improving your child’s developmental outcome.

 

How an Expert Can Help

Any area of development may show signs of delay relating to motor skills, language, social interaction, cognition and/or self-help skills. Physical delays, such as difficulty reaching, rolling, sitting, crawling or walking, are often the first delays parents notice, but all areas of development are closely related at this young age. 

Pediatric physical therapists can evaluate and treat the aforementioned physical delays. Pediatric occupational therapists can evaluate and treat delays in fine motor skills, visual skills, sensory skills and self-help skills such as handling and playing with toys, hand-eye coordination, feeding and dressing. Pediatric speech therapists can evaluate and treat language delays. 

Early intervention services can be provided through a state program (learn more at beearly.nc.gov) or private providers of physical, occupational and/or speech therapy. Seeking out high quality, early intervention for a variety of developmental needs can help put your child on a path to success, improve her quality of life and teach you, as parents, how to support your child as she continues to grow and develop.

 

Rebecca Quinones and Rachel Gandy are founders of Babies On The MOVE, a Cary-based organization committed to helping children excel in motor development with in-home pediatric physical therapy and community-based infant movement classes for children of all abilities. Learn more at babiesonthemoverdu.com.

 

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January 2020

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5000 Whitewater Center Pkwy
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Cost: 20

Where:
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Cost: See website for fees

Where:
Downtown Raleigh
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View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
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More information

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500 S Salisbury St
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View map »


Sponsor: Let's Roam
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Cost: 0 – $10

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View map »


Website »

More information

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Cost: Free

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Jim Graham Building
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500 S Salisbury St
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Sponsor: Let's Roam
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Website »

More information

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Cost: $70/month

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Apex/Holly Springs, NC  27539
View map »


Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

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Cost: 20

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View map »


Sponsor: USNWC
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Sponsor: USNWC
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Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
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Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

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Triangle Restaurant Week (January 20-26, 2020) is a week-long celebration of culinary excellence designed to incorporate the premier Raleigh, Durham, Chapel Hill and surrounding area restaurants....

Cost: $15-$35

Where:
Participating Restaurants
, NC


Sponsor: Triangle Blvd
Telephone: 919-673-5784
Website »

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Take a hike after dark and enjoy the sights and sounds of a quiet night along the American Tobacco Trail. We will walk to the Beaver Creek bridge and back (about one mile total). Free for ages 4...

Cost: Free

Where:
American Tobacco Trail
1309 New Hill-Olive Chapel Rd.
Apex, NC  27502
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Sponsor: Harris Lake County Park and the American Tobacco Trail
Telephone: 919-387-4342
Contact Name: Joanne St. Clair
Website »

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Hounded by Death, the character of Everybody desperately seeks out everyone and everything they know in hope of finding something meaningful to take to the grave. These 90 minutes of theatrical...

Cost: Ticket prices start at $15

Where:
PlayMakers' Repertory Company
120 Country Club Rd
Chapel Hill, NC  27599
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Telephone: 919-962-7529

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Rumpelstiltskin-A Tale of Gold Book by Ellie FaggionMusic and Lyrics written by Brian Shrager and Ellie FaggionProduced by special arrangement with the author.Directed by Beth Wilson...

Cost: varies

Where:
Spiritual Twist Productions
1250 Aversboro Road
Garner, NC  27529
View map »


Sponsor: Spiritual Twist Productions
Telephone: 919-977-1976
Contact Name: Kathy MacDonald
Website »

More information

David Burney, lead singer for the acclaimed Johnny Cash tribute band Johnny Folsom 4, brings his one-man show to The ArtsCenter for three shows, January 24-26, 2020.  In “Hello, I’m...

Cost: $15 to $20

Where:
The ArtsCenter
300-G East Main St.
300-G East Main Street.
Carrboro, NC  27510
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Sponsor: The ArtsCenter
Telephone: 919-929-2787
Contact Name: Patrick Phelps-Mckeown
Website »

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Forget tourist-filled museums, make your own memories with a photo scavenger hunt tour in Raleigh! On a Let’s Roam scavenger hunt, you and your team will work together to wander throughout...

Cost: $11

Where:
500 S Salisbury St
raleigh, NC  27601
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Sponsor: Let's Roam
Website »

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Amongst the ancient oak trees is the heart of Raleigh. We'll help you see the forest for the trees and all its magic splendor. Tourist, local, or new to town, this is a lively small group activity...

Cost: $11

Where:
Downtown
500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

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Join the Museum and the Raleigh Astronomy Club to help you see the big picture — of the Universe! From comet crafts to solar observing, lectures to rocket launches, space enthusiasts of all ages...

Cost: Free

Where:
NC Museum of Natural Sciences
11 W. Jones St.
Raleigh, NC  27601
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Website »

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Join us for the Kids Exchange Spring/Summer Consignment Sale in February!   This FREE ADMISSION event is the largest kids consignment sale in the nation and is held at the NC State Fairgrounds...

Cost: Free

Where:
Jim Graham Building
1025 Blue Ridge Road
Raleigh, NC  27607
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Join us for the Kids Exchange Spring/Summer Consignment Sale in July! This FREE ADMISSION event is the largest kids consignment sale in the nation and is held at the NC State Fairgrounds at...

Cost: 0 – $10

Where:
Jim Graham Building
1025 Blue Ridge Road
Raleigh, NC  27607
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Website »

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RALEIGH (Jan. 16, 2020) – The North Carolina Association for Public Charter Schools will host its first school fair during National School Choice Week on Saturday, Jan. 25. The fair will take...

Cost: Free

Where:
Raleigh Convention Center
500 S. Salisbury Street
Raleigh, NC  27610
View map »


Sponsor: NC Association of Public Charter Schools
Telephone: 336-669-9996
Contact Name: Rhonda Dillingham
Website »

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Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
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Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

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Family Wildlife Series: Tricky Tracks Saturday, January 25 10-11 a.m. Come dressed for the weather so you can roam the park learning the fine art of “tracking”.   Make a cast of an animal...

Cost: Free

Where:
Blue Jay Point County Park
3200 Pleasant Union Church Road
Raleigh, NC  27614
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Telephone: 919-870-4330
Website »

More information

Join the statewide kickoff to Black History Month at the North Carolina Museum of History in Raleigh. Named a Top 20 Event by the Southeast Tourism Society since 2015, the 19th...

Cost: 0

Where:
North Carolina Museum of History
5 East Edenton Street
Raleigh, NC
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Website »

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Just in time to keep up with those home improvement resolutions for 2020, the Downtown Raleigh Home Show returns to downtown’s Raleigh Convention Center January 24-26, 2020  with a jam-packed...

Cost: Tickets are $12 for adults and free for children under 12. Advance $9 tickets

Where:
Raleigh Convention Center
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: Marketplace Events
Telephone: 904-608-3823
Contact Name: Liz Morgan

More information

Skate on an ice trail or free skate on 17,000 sq. ft of ice. Located in the Upper Pond of the Whitewater Center, the skating environment features three distinct programming areas and an on-ice...

Cost: 20

Where:
USNWC
5000 Whitewater Center Pkwy
Charlotte, NC  28214
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Sponsor: USNWC
Telephone: 704-391-3900
Website »

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Lights is a half-mile walking trail that leads viewers through a series of immersive light installations featuring  honeycombs, vines, crystals, and other natural features integrated into the...

Cost: Free

Where:
USNWC
5000 Whitewater Center Pkwy
Charlotte, NC  28214
View map »


Sponsor: USNWC
Telephone: 704-391-3900
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

Spanish Alive is providing Family Spanish classes starting in January! Join us to learn Spanish as an entire family in an immersive, fun environment. Our teachers are trained Spanish educators and...

Cost: $75-$216

Where:
Spanish Alive
156 E. Chatham St
Cary, NC
View map »


Website »

More information

Winter days find many animals curled up in their dens. They sleep warmly, awakening in spring ready to enjoy the renewed Earth. Discover how animals deal with cold weather and which ones hibernate...

Cost: For all ages; FREE. Registration is required for all family members,& childre

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Rumpelstiltskin-A Tale of Gold Book by Ellie FaggionMusic and Lyrics written by Brian Shrager and Ellie FaggionProduced by special arrangement with the author.Directed by Beth Wilson...

Cost: varies

Where:
Spiritual Twist Productions
1250 Aversboro Road
Garner, NC  27529
View map »


Sponsor: Spiritual Twist Productions
Telephone: 919-977-1976
Contact Name: Kathy MacDonald
Website »

More information

Come support your NC State Gymnastics team as they open the 2020 home season against the Towson Tigers on January 25th at 4 PM. Tickets start at just $3!

Cost: $3-$7

Where:
Reynolds Coliseum
2411 Dunn Ave
Raleigh, NC  27607
View map »

More information

Triangle Restaurant Week (January 20-26, 2020) is a week-long celebration of culinary excellence designed to incorporate the premier Raleigh, Durham, Chapel Hill and surrounding area restaurants....

Cost: $15-$35

Where:
Participating Restaurants
, NC


Sponsor: Triangle Blvd
Telephone: 919-673-5784
Website »

More information

Join us in Arendelle for Frozen-inspired STEAM activities for the whole family! Included in the ticket cost is dinner and dessert for the whole family, make your own sock Olaf and Frozen bouncy...

Cost: $35 per family

Where:
Kidzu Children's Museum
201 S. Estes Dr.
Chapel Hill, NC  27514
View map »


Sponsor: Kidzu Children's Museum
Telephone: 919-933-1455
Website »

More information

AML Wrestling presents our 5th Anniversary Celebration! WHEN: Saturday, January 25th, 2020WHERE: Winston-Salem Fairgrounds in theHome & Garden Building 408 27th Street NW/Gate #9 Winston-Salem, NC...

Cost: $5

Where:
Winston-Salem Fairgrounds
408 27th Street NW/Gate #9
Winston-Salem, NC  27105
View map »


Sponsor: AML Wrestling
Telephone: 336-831-0646
Contact Name: Tracy Myers
Website »

More information

Hounded by Death, the character of Everybody desperately seeks out everyone and everything they know in hope of finding something meaningful to take to the grave. These 90 minutes of theatrical...

Cost: Ticket prices start at $15

Where:
PlayMakers' Repertory Company
120 Country Club Rd
Chapel Hill, NC  27599
View map »


Telephone: 919-962-7529

More information

David Burney, lead singer for the acclaimed Johnny Cash tribute band Johnny Folsom 4, brings his one-man show to The ArtsCenter for three shows, January 24-26, 2020.  In “Hello, I’m...

Cost: $15 to $20

Where:
The ArtsCenter
300-G East Main St.
300-G East Main Street.
Carrboro, NC  27510
View map »


Sponsor: The ArtsCenter
Telephone: 919-929-2787
Contact Name: Patrick Phelps-Mckeown
Website »

More information

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Education Guide

The 2019-20 Education Guide offers 718 education resources in the Triangle, including area preschools, private schools, public school systems, charter schools, boarding schools and academic resources.

The Triangle Go-To Guide

Our Triangle Go-To Guide connects you to family fun resources across the Triangle. In our 2019-20 issue, explore 1,028 resources for family fun.