Growth – is a process of change or an increase in physical size such as weight and height, circumferences of the head and chest over time.
Development – the process of growth and change in capabilities over time, as a function of both maturation and interaction with the environment.
This book offered to our patients provides guidance, knowledge and advice to parents / guardians in various aspects of child care and to record your child’s growth and development from the age of one month up to 6 years.
Various types of chart in this book can be used as a rough guidance to determine whether your child has a normal growth or vice versa.
Motor skills are actions that involve the use of your child’s muscles. It can be categorized as:
As a reference, the development schedule for each age group is listed below.
However, you must remember that each child has a different pattern of development and may not be appropriate with the table below.
|Age||Gross Motor Skills||Fine Motor Skills||Psychosocial||Language|
|3 Month||Good head control||Hands together at midline of the body||Starting to smile. Regards face of the mother or guardians.||Vocalization with intonation. Responds to his name|
|6 Month||Sits with steady head, roll over.||reach and grasp an object||Smile, laughs loudly. Raises hand for cuddling. Distinguishes mother from others||Responds to human voices. Responds appropriately to friendly and angry tones.|
|9 Month||Sits without support. Crawl on hands and knees.||Passes cube from hand to hand. Use forefinger to push or roll small objects.||Starting interaction (wave goodbye) and plays games(peek-a-boo)||Uses one or more words with meaning|
|12 Month||Stands steady alones. Walks with holding on to people or furniture||Throws object in containers. Bring a spoon to mouth. Good in pincer grasp.||Able to cooperate when dressing up. Indicate wants when need something.||Understands simple instructions. Practices inflection|
|15 Month||Stand and walk without support. Able change direction without losing balance when walking.||Passes toy to other hand when offered a second object. Able to take off their socks by themselves.||Interact easily with strangers.||Has vocabulary of approximately 5-20 words. Is able to follow simple commands.|
|18 Month||Climb on an adult chair and turns the body to sit down. Runs.||Scribbles with crayons. Build tower with cubes. Drinks from cups.||Demands doing things by themselves. Greets people.||Some echolalia (repeating a word or phrase over and over)|
|24 Month||Walks up and down stairs alone.
Jump with two feet raised.
|Turns pages of books, points at pictures. Wash own hands. Rotate the bottle lid.||Remove shirt by themselves. Does simple clarification.||Can name a number of objects common to his surroundings. Vocabulary of approximately 150-300 words.|
|3 Years||Balance on 1 foot for a few seconds.||Copies vertical lines. Sorts and matches colour by red, blue and yellow.||Plays games like ‘hide and seek’ and ‘role-playing’ games. Able to start toilet training.||Names common objects in picture books or magazines|
|4 Years||Hops on one foot. Pedal tricycle.||Copies circles. Matches simple shapes like round, square and triangle.||Dress and undress without help. Toilet Training.||Can repeat 4 digits when they are given slowly|
|5 Years||Skips or brad jumps. Balances on one foot for about 10 seconds||Copies squares and triangles. Draws a face. Buttons one or more buttons||Goes to toilet and clean them up without help. Obey simple rules. Help with simple house chores.||Enjoys listening to stories. Asks simple who and what questions.|
Most children share the similar pattern of growth and development, however, the rate to achieve a full development may differ among them. If you have any concerns about the growth and development of your child, please talk to your doctor.