Neck holding. Sitting with support. Sitting without support. Standing with support. Walking with support. Crawling. Standing without support. Walking without support. Running. Walking upstairs. Riding tricycle.
Key Developmental Milestones: Fine Motor Age 4 months 5 mon month thss
Milestones Grasps a rattle or rings when placed in hand. Reac Reache hess out out to to an an obj objec ectt and and hold holdss it it wi with bot both han hands ds (inte intent ntiional onal reaching with bidextrous grasp. Holdi olding ng obje object ctss with with crud crudee gras grasp p from palm palm (palm palmar ar gras grasp) p).. Holdi olding ng smal smalll obj objec ectt, li like a pel pelllet, et, bet betwe ween en inde index x fi finger nger and and thu thumb mb (pincer grasp).
Milestone Turns head to sound. Cooing Monosyllables (‘ma’, ‘ba’) Bisyllables (‘mama’, ‘baba’) Two words with meaning Ten words with meaning Simple sentence Telling a story.
Immunization Schedule And Meningitis Immunization is important to protect your baby from those diseases that can be fatal for him. It is important to follow the immunization schedule accurately. If you miss an immunization date then consult your doctor immediately and he will give you a new date. If the baby is very ill when immunization is due then you consult your doctor and reschedule immunization. But if your baby has a slight cold or cough then you can go ahead with immunization. If your baby has had an acute reaction to a dose of immunization consult your doctor before you give him the booster dose.
After an immunization shot the baby is likely to have slight fever, give him the recommended dose of paracetamol and that should help him. If the injection sight is swollen do not worry, as this is normal. Consult your doctor about the reactions that various injections will have on your baby. If your baby has any of the following conditions then he is ill: •
Is not feeding normally for over 24 hours.
•
Vomiting continuously.
•
If is suddenly beings to breathe noisily and rapidly.
•
Has wet only 4 nappies or less in the past 24 hours.
•
Presence of blood in stools or urine.
•
Cries continuously and it sounds different from the normal way he cries.
•
Lacks energy and is not alert.
•
Has a skin rash.
Consult
your
doctor
if
you
are
concerned
about
the
wa y
the
baby
is
behaving.
Given below is the ideal immunization schedule for babies: •
At 11/2 months:
1.
B.C.G B.C. G (injecti (injection) on) If If not not given given at at birth birth to to the the baby. baby.
2.
D.P D. P.T .T.. - 1 (in (inje ject ctio ion) n)
3.
O.P O. P.V .V.. - 1 (do (dose se)) •
At 21/2 months:
1.
D.P D. P.T .T.. - 2 (in (inje ject ctio ion) n)
2.
O.P O. P.V .V.. - 2 (do (dose se))
3.
At 31 31//2 mo mont nths hs::
4.
D.P D. P.T .T.. - 3 (in (inje ject ctio ion) n)
5.
O.P O. P.V .V.. - 3 (do (dose se)) •
1.
At 9 months: Meas Me asle les s (in (inje ject ctio ion) n)
•
16 to 24 months:
1.
D.P.T .T.. Boos Booster ter (in (injec jectio tion) n)
2.
O.P O. P.V .V.. Boo Boost ster er (do (dose se))
Another illness that is a cause of great concern among parents is meningitis. When this affects infants and small children, it can be fatal if not treated promptly. Meningitis is the inflammation of the meninges, the membranes that cover the brain and spinal cord. Inflammation can be caused either by bacteria or viruses. Meningitis Menin gitis caused by bacte bacterial rial infection infection is more fatal than the one caused by viral infection. infection. Meningitis Meningitis is
contagious as it is airborne. It spreads when an infected person sneezes, coughs, laughs or talks and tiny droplets of fluid from his throat and nose become air borne. Infants are more susceptible to meningitis as their immune system is still developing. The number of cases of meningitis among infants has dropped greatly every since the Hib vaccine was introduced. A Hib vaccine safeguards the child against the attack of meningitis. But vaccines have not been developed for all the strains of meningitis. Hence parents continue to be worried about meningitis. Some symptoms of meningitis are: •
Stiffness in the neck.
•
Swollen fontanel - swelling of the soft spot on the baby's head.
•
The baby is listless and is not his usual energetic self.
•
The baby looks very pale.
•
The baby is not alert.
•
The baby has a purple rash.
•
The baby cries in a high-pitched voice and seems to me moaning.
•
The baby has very high temperature.
•
The baby has suddenly become sensitive to light.
Though meningitis seems like a deadly disease, it can be cured, if diagnosed at the right time and treated promptly.
Key Developmental Milestones: Personal Social Age 2 months 3 mont months hs 6 mon month thss 9 months 12 mont months hs 36 mont months hs
Milestone Social smile Reco Recogn gniizing zing mothe other r Smi Smiles les at at mi mirror rror imag imagee Waves ‘bye-bye’ Plays Plays a simp simple le ball ball game game Know Knowss gen gende derr.