Developmental Red Flags
to Emotional, Cognitive and Behavior Skills
As your baby grows, it's only natural to wonder if everything
is okay. How can you tell what your baby should be able to do
How can you tell if your child is on target to develop her
emotional, cognitive, and behavior skills? Look for the red flag
in each age group. If you notice these behaviors with your
child, discuss your concerns with your doctor.
Thankfully, there are many ways to deal with delays in child
development and behaviors.
These include in-home services, outpatient (you take your child
to a clinic), inpatient (following injury or surgery) and school
based services. Which type of therapy should you choose?
Visit our Therapy
Options area to learn more.
Ask a Therapist
We understand developmental milestones and the challenges of
Special Needs children. We spend a great deal of time with
families understanding the inner workings of childhood routines
and interactions. Ask us about your child today!
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From Our Readers
Thank you so much for your help and reply! It truly is appreciated!!
Courtney in Crawford, AK
Developmental Delays in Premature and Late Preterm Babies.
A Summary of the article by Maureen Salamon, HealthDay that
appeared on USAToday.com February 2011
Recent studies seem to indicate that even babies who are
considered "late preterm", meaning they were born between 34-37
weeks gestation have more developmental delays than full term
babies and in turn this can affect their later progress in
In a study that was reported online February 14, 2011 in the
Journal of Pediatrics, researchers in Boston concluded after
analyzing data on 6,300 full term and 1,200 late preterm babies
- Late preterm babies were 52% more likely to exhibit severe cognitive
delays and 43% more likely to show milder delays in their cognitive
- Late preterm babies were 56% more likely to show severe motor delays
and 58% more likely to show mild motor delays.
In the past babies born between 34-37 weeks gestation were simply
considered small, but thought to be much like their full term peers and not
at all considered to be preterm babies.
According to this article's statistics, 13% of all births are preterm in the
USA. But, late preterm births have increased 25% since 1990 and now account
for 7-9% of all births.
This new data has huge implications for us as early intervention providers,
especially since it was cited that the majority of these late preterm babies
receive little or no developmental follow-up after birth.
One organization also reported that between 5-40% of all births were
elective deliveries, meaning babies were being born early for no apparent
medical reason. Just an extra 1-2 weeks in the womb can make a world of
Some other interesting conclusions of this study were that the brain of a
baby born at 34 weeks gestation weighs 35% less than it would in a full term
infant at 40 weeks.
The researchers also noted that social factors and gender had the
greatest impact on mental scores. But, gestational age had the most impact
on motor delays. Boys were also found to have more delays than girls.
Limitations of this study included a lack of information on possible
newborn medical complications and the possible weaknesses of infant
developmental testing to determine delays, but the researchers felt their
findings were consistent with other current studies on late preterm infants.
The study also found that late preterm infants are at higher risk for
respiratory problems, worse academic performance in school and even later
"There's a reason why normal gestation is 40 weeks," said Dr. Marty
Ellington Jr., chairman of the department of pediatrics at Lenox Hill
Hospital in New York City. He also cited that these late preterm infants are
not getting automatically referred to early intervention like the very
premature infants do.
Dr. Ellington indicated that the gender and medical issues of late preterm
babies can't be changed, but that their referral to developmental follow-up
and access to early intervention services may help them avoid future issues
with academics later on in life.
Cognitive Skills by Age Group
Cognitive Skills under 4
Cognitive Skills 4 to 8 Months
Cognitive Skills 8 to 12 Months
Cognitive Skills 12 to 24 Months
Cognitive Skills 24 to 36 Months
Cognitive Skills 36 to 48 Months
Cognitive Skills 48 to 60 Months
Developmental Delays in
Premature and Late Preterm Babies
To find Early Intervention Support contacts in your State,
visit our Contacts by
State page. If you have a question or comment for us,
please visit our Contact
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