Early Identification of Developmental Delays in Children Below 2 Years
The first two years of a child’s life are the most critical period for brain growth and development. During this time, children rapidly acquire skills related to movement, speech, social interaction, and thinking. Identifying developmental delays early—before the age of 2—can make a significant difference in a child’s long-term outcomes.
12/1/20252 min read
What Is Developmental Delay?
A developmental delay occurs when a child does not achieve expected milestones at the typical age. These delays may affect one or more areas:
Gross motor skills (sitting, crawling, walking)
Fine motor skills (grasping objects, transferring toys)
Speech and language (babbling, first words)
Social and emotional skills (smiling, eye contact, responding to name)
Cognitive skills (problem-solving, understanding simple instructions)
Why Early Identification Matters
Early detection allows timely intervention when the brain is most adaptable. Studies show that children who receive early support often:
Develop better communication and social skills
Improve motor coordination
Reduce the severity of long-term disability
Gain confidence and independence earlier
Delaying evaluation may lead to missed opportunities for improvement.
Key Developmental Milestones Before 2 Years
By 6 Months
Smiles and laughs
Rolls over
Responds to sounds
Brings hands to mouth
By 9 Months
Sits without support
Babbling (“ba-ba”, “da-da”)
Responds to name
Shows curiosity
By 12 Months
Stands with support
Says 1–2 meaningful words
Waves or claps
Understands simple commands
By 18 Months
Walks independently
Uses 5–10 words
Points to show interest
Follows simple instructions
By 24 Months
Combines two words
Runs and climbs
Plays simple pretend games
Identifies body parts
If a child is consistently missing milestones, it is important to seek medical advice.
Important things to keep in mind
Warning Signs Parents Should Not Ignore
No smiling or eye contact by 3–4 months
Not sitting by 9 months
No babbling by 9–10 months
Not walking by 18 months
No meaningful words by 18 months
Poor response to name or sounds
Loss of previously achieved skills
Trust your instincts—parents are often the first to notice concerns.
How Developmental Screening Is Done
Pediatricians use:
Growth and developmental history
Standardized screening tools
Observation of play and interaction
Hearing and vision assessment
If needed, the child may be referred to specialists such as developmental pediatricians, speech therapists, or physiotherapists.
Role of Early Intervention
Early intervention may include:
Speech and language therapy
Occupational therapy
Physiotherapy
Parental guidance and home activities
These therapies are most effective when started early and tailored to the child’s needs.
What Parents Can Do
Attend regular well-baby checkups
Monitor milestones using age-appropriate charts
Provide a stimulating, responsive environment
Talk, read, and play with your child daily
Seek help early—do not wait and watch
Conclusion
Early identification of developmental delays in children under 2 years can change the course of a child’s life. With timely evaluation and intervention, many children catch up or make remarkable progress. If you have any concerns about your child’s development, consult your pediatrician without delay.
Early action today leads to a brighter tomorrow.
