Welcome to the world, little one. Your baby’s developmental milestones from birth to 24 months+. Off to a great start. As you navigate your way through parenthood, you and baby will have many exciting adventures together. To help you both get off to a great start, this quick-reference guide has lots of information on infant and toddler developmental milestones, including: •crying, sleeping, napping •feeding, hunger cues, diapers •physical development, cognitive development •social development, language skills As you and baby embark on a tender journey, here are a few things to keep in mind along the way: •Babies reach developmental milestones at their own pace, one baby step at a time. •You are baby’s first friend and your exchanges help baby with future relationships. A little lovin’ goes a long way! •When you’re busy taking care of baby, don’t forget to take care of yourself. You both need a little pampering. Read on to learn more as your baby grows. BIRth+ Hello, world! HungeR CueS & FeeDing MiLeSTOneS Yournewbornishereandyou’rebusygettingtoknoweachother.For baby,it’sallonebigadventure.Forparents,it’sabeautifulandchallenging learningexperience.Baby’smainneedsrightnowarefeeding,sleeping and being soothed. CRYing Language SkiLLS 2–3 hrs daily Begins vocalizing around 3 months. to communicate hunger, discomfort, fatigue and loneliness. At this age, you should respond immediately to baby’s cries. SLeePing ZZZZZZZZZ daily (approx.) 3 stools and roughly 6 wet diapers daily of breast milk and/or infant formula daily (every 1–3 hours). Fully and partially breastfed babies need a vitamin D supplement. speak to your doctor about how to give baby vitamin D. •In 1st month: has limited or no head control and needs head support •By 2 months: lifts head when on tummy and holds head up when held at shoulder •By 4 months: can lift head and chest, and can support self on forearms when placed on tummy COgniTiVe DeVeLOPMenT SOCiaL DeVeLOPMenT •Enjoysboldcolours;likeslooking at people •By end of 3 months: follows moving objects;recognizesobjectsandpeople •Copiessomebodymovementsand facial expressions •By end of 2 months: communicates with faceandbody;smiles,frowns,grimaces DiaPeRS In the first couple of days, baby passes a greenish-black substance called meconium. In general, in the first month, baby has at least 8–12 feedings MOTOR/PHYSiCaL DeVeLOPMenT 15-18 hrs new babies sleep and wake as much as they need to. the amount of time they stay awake is longer as they get older. MeaLS •Increasedarmandlegmovement,gazesintentlyatcaregiver,rootsfornipple,brings handstoface,sucksonfist •Cryingandfussingcanbealatesignthatbabyisveryhungry •Stopsorslowsdownsucking,fallsasleeporspitsoutnipplewhenfull the frequency of bowel movements varies from baby to baby. Keeping a diary will help you track what is normal for your baby. bReaSTFeeDing iS beST health Canada recommends exclusive breastfeeding for the first 6 months of life, and continued breastfeeding for up to 2 years or longer. Breast milk gives baby immune building antibodies and the right balance of nutrients. Breastfeeding also helps baby emotionally bond with you. 4 months+ Gurgling noises and big smiles. Babyisgrowingandgettingexcitedabout,well,justabouteverything. Especiallyplaytimeandallthethingshandscantouch.Handsareso fascinating!What’smore,themanycutenoisesandsmilesyou’rehearing andseeingareagoodindicatorofbaby’sexcitementandgeneraldelight. And with your support, the gurgles and smiles will only get bigger as baby starts sitting up and watching the world from a new vantage point. HungeR CueS & FeeDing MiLeSTOneS •Gazesintentlyatcaregiver,bringshandstomouth,socializesduringfeeding •Cryingandfussingcanbealatesignthatbabyisveryhungry •Maybedistractedornoticesurroundingsmorewhenfullandturnheadawayfrom breast or bottle MOTOR/PHYSiCaL DeVeLOPMenT MeaLS 4–6 feedings of breast milk and/or infant formula daily. Language SkiLLS Vocalizes pleasure and displeasure; makes sounds while being spoken to. SLeePing ZZZZZZZZZ •Cansitupwithsupport •By 6 months:canrollfrombacktoside;pushesuponhandswhenontummy •Useshandstoreach,grasp,bangandsplash;swipesatandreachesforobjectsinview COgniTiVe DeVeLOPMenT SOCiaL DeVeLOPMenT •By 6 months: turns head and looks in directionofnewsounds;respondsto own name •Smilesandbabbleswhengivenattention •Patsandpullsatyourhairandface daily (approx.) 15-16 hrs Will probably take 3 naps during the day. CRYing It’s perfectly normal for babies to have crying spells that last 20–60 minutes or longer. In the first 5–6 months, crying may increase in intensity. sometimes, despite your best efforts, baby may seem inconsolable. soft music or singing, rocking, walking, and massaging are all ways to soothe a crying baby. nOuRiSHMenT FOR babY. PeaCe OF MinD FOR YOu. Probiotics are part of what gives breast milk its naturally protective qualities. nestlé® Good start® Probiotic™ contains B. lactis,* which contributes to baby’s healthy digestive tract flora and can help keep baby’s tummy healthy. DiaPeRS the frequency of bowel movements varies among infants. Babies don’t need to have a bowel movement every day. If stools appear normal, even if baby turns red or strains during a bowel movement, there is no need for concern. * There are 130 million B.lactisineach3fl.oz.(100mL)bottleofNestlé®GoodStart® Probiotic.™ 6 months+ Ohbaby,you’regrowingupsoquickly. Atthisstage,baby’sdevelopmentison‘fast-forward.’It’sanidealtime for sitting up, looking around and exerting a wee bit of independence. Sowhat’sthemostinterestingthingforbabyrightnow?Baby’smouth! It’sagreatexploringtool––andlittlefingersfitintheresowell. MeaLS Language SkiLLS Begins to babble in series of different sounds. 3–5 feedings of breast milk and/or infant formula daily. Introduction of iron-rich solid foods. Breast milk or infant formula is still baby’s main source of nutrition throughout the first year. •By around 6 months:babyisreadyforfirstsolidfoods.Startwithiron-richfoods •Reachesforspoon/foodwhenhungry •Slowsdowneatingwhenbecomingfull •Clenchesmouth,turnsheadawayfromspoon/foodwhenfull MOTOR/PHYSiCaL DeVeLOPMenT •Cansitindependently •By 8 months:canrollbothways(fronttobackandbacktofront);supportswholebody weightonlegs;controlsupperbodyandarms •Useshandstoreachandgrasp;“rakes”foodwithfingers SLeePing ZZZZZZZZZ daily (approx.) 15-16 hrs Will probably take 2 naps during the day. CRYing By now, baby will be an experienced crier. During the first nine months, crying is baby’s best way of communicating. Comforting baby every time he cries will not spoil him. Baby will learn that you are attentive and ready to respond to his needs. It’s a good idea to speak with your doctor if you are concerned about baby’s crying. HungeR CueS & FeeDing MiLeSTOneS DiaPeRS starting solids can change the colour and texture of baby’s stools. It can also change how often baby has a bowel movement. Babies don’t need to have a bowel movement every day. If stools are soft and easy to pass, there is no need for concern. COgniTiVe DeVeLOPMenT SOCiaL DeVeLOPMenT •Tracksmovingobjectsandcanfind partially hidden ones •Exploreswithhandsandmouth •Strugglestogetobjectsthatareout of reach •Enjoyssocialplayandisinterested in mirror images •Respondstoothers’expressionsof emotion and often appears joyful •Maydevelopstrangeranxiety nOuRiSHMenT FOR babY. PeaCe OF MinD FOR YOu. nestlé® Good start® 2 Probiotic™ is the only stage 2 formula containing Probiotic B. lactis* for baby’s tummy. It is enhanced with iron and calcium to complement your growing baby’s diet. When it comes to introducing solids, healthcare experts recommend baby’s first foods be iron-rich, such as nestlé® Gerber® starter Cereals with Probiotics.** *Contributestobaby’shealthydigestivetractfloraandcanhelpkeepbaby’stummyhealthy.Thereare130million B.lactisineach3fl.oz.(100mL)bottleofNestlé®GoodStart® 2 Probiotic.™ ** 1 billion B.lactis per 28 g serving. 8 months+ Lookout,baby’sonthemove! HungeR CueS & FeeDing MiLeSTOneS Baby’spersonalityreallyshinesthroughatthisstage,alongwithahankering to explore anything and everything. Hiding is fun and peek-a-boo is, too. Forparents,thisisthetimetoputextrafocusonbaby’ssafetyandensure childproofingmeasuresareinplace. •Reachesforfoodandshowsexcitementwhenhungry •Canchewandmashfoodwithgums •Batsspoonawayfrommouthwhenfull CRYing Language SkiLLS You have developed a strong bond, so baby may cry when left with other caregivers. Baby may also cry when hearing another baby cry. by 12 months: puts sounds together as though talking; understands simple requests and questions. SLeePing ZZZZZZZZZ MOTOR/PHYSiCaL DeVeLOPMenT •Startstocrawlwithstomachoffoffloor;sitsuprightwithoutsupport;maybeabletopull self to standing •By around 12 months:walksholdingontoyourhandsorfurniture;getsuptositting positionfromlyingdown;pincergrasp(thumbandforefinger)develops •Beginstoself-feedfingerfoodsandmanipulateobjects(e.g.spoon) COgniTiVe DeVeLOPMenT SOCiaL DeVeLOPMenT •Triestofindobjectsyouhavehidden •Connectsanimalswithactionsand sounds(e.g.meow,bark) •Developsstrongermemoryskills •Startstoseecauseandeffect(e.g.things fallwhendropped) •Newmobilitypiquescuriosityand increases exploration of world •Beginsshowingemotionssuchasaffection, anger, joy or fear •Respondswhenotherpeople express emotions daily (approx.) 14-15 hrs Will probably take 2 naps during the day. DiaPeRS Babies who eat a variety of food will pass stools that vary in colour and consistency. new foods such as fruits and vegetables may result in softer stools of different colours. For example, a baby who eats green vegetables may pass green stools. MeaLS 3–4 meals of solid foods daily, plus 2–4 feedings of breast milk or infant formula. nOuRiSHMenT FOR babY. PeaCe OF MinD FOR YOu. nestlé® Good start® 2 Probiotic™ is the only stage 2 formula containing Probiotic B. lactis* for baby’s tummy. It is enhanced with iron and calcium to complement your growing baby’s diet. nestlé Gerber® stage 2 Cereals are iron-fortified and are the only cereals with Probiotic B. lactis.** *Contributestobaby’shealthydigestivetractfloraandcanhelpkeepbaby’stummyhealthy.Thereare130million B.lactisineach3fl.oz.(100mL)bottleofNestlé®GoodStart® 2 Probiotic.™ ** 1 billion B.lactis per 28 g serving. 12 months+ Happy 1st birthday, little one. HUNGER CUES & FEEDING MILESTONES A whole year has gone by, already! Your baby is entering the realm of toddlerhood, and with this exciting milestone comes greater mobility and independence. But that doesn’t mean baby needs you any less. It fact, you’re needed more than ever. Sleeping ZZZZZZZZZ daily (approx.) 12-14 hrs 1 nap; usually stops having morning naps between 1 and 2 years old. By 2 years, most children have a 1–2 hour nap after lunch. Language Skills •Says “mama” or “dada” with at least one other word that has meaning •Communicates a need without crying •Stops an action if you say “no” Mama Dada NO Meals 3 meals & 2 snacks of solid foods daily, plus 2–3 cups of breast milk, infant formula or whole cow’s milk per day. •Your toddler’s appetite will vary; trust your toddler’s cues for hunger and fullness •Able to drink from a cup or straw; chews skillfully and efficiently •Rejection of new foods; expresses desire for specific foods •Plays with food and throws it when full •Appetite may decrease due to slowing down of growth MOTOR/PHYSICAL DEVELOPMENT •Crawls on hands and knees or scoots around on bum •Pulls up to standing position and stands briefly without support •Walks around holding onto furniture or an adult’s hand •Walks up and down stairs with help •Puts objects into a container and takes them out •Self-feeds easily with fingers; pincer grasp (thumb and forefinger) developed COGNITIVE DEVELOPMENT SOCIAL DEVELOPMENT •Can lead parent by pointing. Explores objects in different ways (shaking, banging, throwing, dropping) •Knows the names of familiar objects •Responds to music •Can turn a few board-book pages •May be shy or anxious around strangers •Has favourite toys and people •Tests limits to actions and behaviours •Responds to own name and comes when called Nourishment for baby. Peace of mind for you. Toddler Behaviour Hitting, or even biting, is a normal part of learning to express frustration and anger. Be patient and help teach your toddler to say “I’m angry” or “I’m tired.” Gerber® Graduates® Toddler Drink helps fill in any nutritional gaps in your little one’s diet. For a delicious cereal made with fruity pieces and 15 essential vitamins and minerals, including iron, try Nestlé Gerber® Toddler Cereals. Our Toddler Drink* and Cereals** contain Probiotic B. lactis that contributes to a healthy digestive tract flora. * 1 billion B. lactis per 200 mL serving. ** With 1 billion B. lactis per 35 g serving. 24 months+ The terrific twos and beyond. Two-year-olds are busy little people. Using their imagination is a favourite new pastime and should be encouraged at every turn. Your toddler is probably walking more easily now, with the inclusion of running in his movement repertoire. Picking up new words and imitating people is also so much fun at this age! Meals 3 meals & 2–3 snacks of solid foods daily, plus whole cow’s milk. Following Canada’s Food Guide will help your toddler grow and thrive. Language Skills Starts to put words together; combines phrases such as “want that” and “no more” with gestures and points to objects. HUNGER CUES & FEEDING MILESTONES •Holds and drinks from a cup; chews skillfully and efficiently •Molars are present; uses tongue to clear food from lips •Prefers familiar foods MOTOR/PHYSICAL DEVELOPMENT •Begins to run and throws or kicks balls •Can sit in booster seat or at table •Climbs into and gets down from chairs without help •Manipulates small objects; builds tower of 4 blocks or more Want that No More Sleeping ZZZZZZZZZ daily (approx.) 12-14 hrs COGNITIVE DEVELOPMENT SOCIAL DEVELOPMENT •Follows simple instructions •Begins to sort by shape and colour •Independence is growing •Completes simple shape-matching puzzles •Turns board-book pages easily one at a time •Copies the behaviour of adults and other children •Gets excited about being with other children •Plays alongside other children •Shows increasing independence; shows defiant behaviour •Begins to play “make-believe” By 2 years, most children have a 1–2 hour nap after lunch. POTTY TRAINING Every child is different, but many kids are ready to begin toilet training between the ages of 2 and 4 years. Your little one may be ready if he or she can stay dry in diapers for several hours in a row, follow simple instructions, and walk to the potty. Stay relaxed, patient and positive. It usually takes between 3 to 6 months. •Uses utensils well •Eats/drinks with minimum spilling •Uses words like “all done” and “no more” when full Nourishment for baby. Peace of mind for you. Gerber® Graduates Toddler Drink provides 28 nutrients, including 25 vitamins and minerals, to help support growth and development. For a delicious and nutritious snack, try Gerber® Graduates® Yogurt Melts.® Every toddler-sized piece has the yummy taste and wholesome goodness of real fruit and yogurt with active cultures.* * 7 million CFU per 7 g serving. Learn more, as baby grows. There’s only so much we can say in this guide about all the exciting baby milestones. That’s why we created nestle-baby.ca/development to help you learn even more. Visit us online today to grow your knowledge, as baby grows. American Academy of Pediatrics. Committee on Nutrition. Pediatric Nutrition Handbook. 6th Ed. Elk Grove Village, IL: American Academy of Pediatrics, 2009:121-122. Canadian Paediatric Society. Caring for Kids: Feeding your Baby in the First Year. http://www.caringforkids.cps.ca/handouts/feeding_your_baby_in_the_first_year Accessed February 28, 2013. Canadian Paediatric Society Position Statement. Vitamin D supplementation: Recommendations for Canadian Mothers and Infants. Paediatrics & Child Health. 2007; 12(7):583-589. Dietitians of Canada. Feeding your Baby Solid Foods when Breast and Formula Feeding. PEN The Global Resource for Nutrition Practice. June, 2012. Doré N, Le Hénaff D. From Tiny Tot to Toddler; a practical guide for parents from pregnancy to age two. Québec, Institut national de santé publique du Québec, 2012. 736 pages. Joint Statement of Health Canada, Canadian Paediatric Society, Dietitians of Canada, and Breastfeeding Committee for Canada. Nutrition for Healthy Term Infants: Recommendations from Birth to Six Months. 2012. http://www.hc-sc.gc.ca/fn-an/nutrition/infant-nourisson/recom/index-eng.php Accessed January 24, 2013. MyHealth.Alberta.Ca. Sleep-Toddlers. https://myhealth.alberta.ca/alberta/Pages/Sleep-Toddlers.aspx Accessed January 24, 2013. Nipissing District Developmental Screen. www.ndds.ca Accessed December 12, 2012. Sacks, D. Canadian Paediatric Society: Guide to Caring for Your Child from Birth to Age Five. Ontario, Canada. John Wiley & Sons Canada, Ltd., 2009. SickKids. About Kids Health. www.aboutkidshealth.ca Accessed December 12, 2012. Toronto Public Health. What is Shaken Baby Syndrome? http://www.toronto.ca/health/shakenbaby/index.htm Accessed December 12, 2012. *DMPT13E*