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Normal development

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  • 1. NORMAL DEVELOPMENT OF A CHILD
    • Dr. M.V.SINGH
    • MD (Paeds), DCH
    • Assistant Professor
    • Department of Pediatrics
    • UP Rural Institute of Medical Sciences Saifai, Etawah
  • 2. DEVELOPMENT
    • Definition : Maturation of functions. Related to myelination of the nervous system.
    • Variety of skills and optimal functioning
  • 3. RULES OF DEVELOPMENT
    • Development proceeds in cephalo-caudal direction
    • Sequence of development remains same
    • Development in different spheres may be dissociated
    Spheres of developments are- Gross motor, Fine motor Language and Social
  • 4. DEVELOPMENTAL HISTORY
    • Take developmental history in 4 different spheres
    • Gross motor
    • Fine motor
    • Language
    • Social
  • 5. DEVELOPMENTAL HISTORY
    • Developmental history should be age and case appropriate
    • Details should be asked in younger children age up to 3 years of age
    • Details should also be asked in those with developmental delay, MR and seizures
  • 6. DEVELOPMENTAL HISTORY
    • Ask about major milestones which mother likely to remember
    • Index case’s development should be compared with the other siblings and children of his age
  • 7. Gross Motor Mile Stones
    • Neck holding – 3 months
    • Sitting with support – 5 months
    • Sitting without support – 8 months
    • Standing with support – 9 months
    • Walking with support – 10 months
    • Crawling (creeping) – 11 months
    • Standing without support – 12 months
    • Walking without support – 13 months
    • Running – 18 months
    • Walking upstairs – 24 months
    • Riding tricycles- 36 months
  • 8. Fine Motor Mile Stones
    • Grasp a ring – 4 Month
    • Bidextrous grasp – 5 Month
    • Palmer grasp – 7 Month
    • Pincer grasp – 9
    • Feeding self with spoon with some spillage – 15 Month
    • Puts on shoes and shocks – 2 yr
    • Drawing a vertical line – 2 yr
    • Drawing a circle – 3 yr
    • Drawing a cross – 4 yr
  • 9. Developmental Mile Stones: language
    • Turn head to sound – 1 Month
    • Cooing – 3 Months
    • Monosyllables – 6 Months
    • Bisyllables – 9 Months
    • Two words with meanings – 12 Months
    • Ten words with meanings – 18 Months
    • Simple sentence – 24 Months
    • Telling a story – 36 Months
  • 10. Developmental Mile Stones: Social
    • Social smile – 2 Months
    • Recognizing mother – 3 Months
    • Smiles at mirror image – 6 Months
    • Waves “bye-bye” – 9 Months
    • Plays a simple ball game – 12 Months
    • Knows gender – 36 Months
  • 11. DEVELOPMENTAL QUOTIENT(DQ)
    • Developmental Quotient (DQ)=
    • Developmental age X 100
    • Chronological age
    • <70% indicates developmental delay
  • 12.
    • Developmental delay vs regression
    • Global developmental delay
    • Differential developmental delay
    • Delay in motor development: Hemiplegia, Paraplegia, CHD, Rickets, floppy infants
    • Delay in speech: hearing impairment hypothyroidism, autism
  • 13. Red Flag Signs In Child Development
    • Mile stones
    • No visual fixation
    • No vocalization by
    • No sitting without support by
    • No standing alone by
    • No walking alone by
    • No single words by
    • Lack of imaginative play
    • Age
    • 2 months
    • 6 months
    • 9-10 months
    • 16 months
    • 18 months
    • 18 months
    • 3 yrs
  • 14. thank you TIME TO WAKE UP

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