Definition of ‘Growth’ and ‘Development’

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.

Child Growth

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.


Child Development

Motor skills are actions that involve the use of your child’s muscles. It can be categorized as:

  • Gross motor skills (movement of the hands, legs, feet or around the body, for example, crawling, running and jumping)
  • Fine motor skills (small actions that involve manipulation such as holding objects with finger and thumb.)
  • Psychosocial is personal and social development enables children to interact and respond to their surroundings (smiling and waving at peoples.)
  • Language development is thought to proceed by ordinary processes of learning in which children acquire the forms, meanings and uses of words。

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.