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Speech and Hearing: Things to know as your baby grows

Ages and Stages
There are some of the milestones that mark the progress of young children as they develop speech and language skills

Birth to 3 months Birth to 3 months

  • looks at you while getting fed
  • quiets when hearing familiar voices and sounds
  • makes cooing and gurgling sounds
  • is startled by loud noises

What you can do:

  • look at your baby when feeding, bathing or changing him/her
  • talk and sing to your baby
  • make cooing and gurgling sounds back to your baby

3 to 6 months

  • turns eyes or head toward sounds
  • responds to you by making sounds and/or moving arms and legs
  • smiles and laughs
  • begins to make speech-like sounds – buh, ma, boo

What you can do:

  • smile and laugh with your baby
  • show interest in the sounds your baby is making and repeat them back
  • provide a variety of sounds (e.g., music, outside noises, animal sounds, toys) and show excitement in the sounds you hear
  • tell your baby what you are doing when you feed, bath or dress him/her

6 to 9 months

  • responds to hearing their own name
  • understands “No”
  • looks at common objects or family members when their names are mentioned
  • babbles sounds in a series – bababa, dadada, mamama

What you can do:

  • point to people, pictures and common objects and say their names
  • look at books, point to the pictures and name them
  • say sounds back and forth with your child as long as he/she is interested
  • sing songs

9 to 12 months

  • understands simple requests – “Give it to mommy”, “Don’t touch”
  • Understands simple questions – “where’s your ball?”
  • uses gestures or sounds to let you know what he/she wants or needs
  • says first word
  • begins to play pat-a-cake and peek-a-boo

What you can do:

  • encourage your child to use gestures and respond to them (e.g., when child raises arms to be picked up, say “You want up?” and then pick the child up)
  • talk about things you are doing using simple words and short sentences
  • Listen carefully to the sounds your child makes. You may hear their first word, e.g., ba for “ball”, u for “up”, mook for “milk”
  • play with your child and have fun

12 to 18 months

  • follows simple spoken directions, such as “Get the ball”
  • points to people, body parts or toys when asked
  • uses connected sounds that sound like sentences in a different language (jibberish)
  • uses 10 or more words
  • uses common expressions – oh no, all gone

What you can do:

  • look at books and tell stories about the pictures, or choose books that your child can hold (e.g., board, cloth or bath books)
  • talk back to your child when he/she talks to you
  • use real words, not baby talk (e.g., say “Give me” instead of ta ta and “bottle” not baba)
  • pay attention to what your child is saying, not how he/she says it
  • play games and use toys and objects that your child enjoys

18 to 24 months

  • uses 20 or more words
  • combines two or more words, such as “more juice”
  • uses many different speech sounds at beginning of words, such as p, b, m, t, d, n
  • takes turns “talking” back and forth with you
  • listens to simple stories, rhymes and songs

What you can do:

  • use different kinds of words when you talk with your child (in, big, happy, jumping)
  • encourage your child to play with other children (e.g., library story times, play groups)
  • name and copy different sounds your child hears (e.g., dog barking, bird singing, fire engine siren)
  • use the adult way of saying words or phrases without correcting your child directly (e.g., child says daddy car, you say “Yes, daddy’s in the car. Let’s go.”)