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Offered by Janine Lechleitner, CPNP – Premier Pediatrics

One of the most common concerns presented to a pediatric provider is that of speech and language development. So how can a parent know if their child might be delayed? Following are some basic speech milestones according to age:

  • Birth-3 Months: cooing, has different cries for different needs, starts to smile.
  • 4-6 Months: coos and babbles, starts to laugh.
  • 7 Months – 1 Year: strings together multiple babbling sounds, points and waves, imitates sounds, says 1 or 2 words even if not clear.
  • 1-2 Years: uses multiple new words, starts to ask questions, says two word sentences, uses the sounds “p, b, m, h, and w” in words.
  • 2-3 Years: talks about objects/people not in direct sight, puts three words together, is understood by family and close friends, uses the sounds “k, g, f, t, d, n” in words.
  • 3-4 Years: uses pronouns, rhymes, uses some plural words, puts four words together, most people can understand your child, talks about his/her day.
  • 4-5 Years: uses all letter sounds but may make mistakes on harder sounds such as “l, r, s, v, z, ch, sh, th”, names letters and numbers, tells a short story, can keep a conversation going.

Each child develops at their own speed and even if all skills are not mastered it does not mean there is a problem. However if you answer “no” to most of your child’s age skills or if you have other concerns, please talk to your child’s provider.


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