Dr. Carole Keim MD takes parents through all the different developmental milestones that babies go through from newborn to one year of age. She details the types of development, how to play with your baby to enhance development, and how much screen time is okay for babies.Dr. Keim explains how your baby’s grasp will develop as they age through their first year and when they’ll be able to use their thumb and forefinger to pick up small objects, for example. She explains how far they can see when they’re newborn, when they start to recognize voices and then faces, when they develop object permanence (which is the same time they start to love playing peek-a-boo). She covers reflexes, speech patterns, tummy time, stranger anxiety, helpful play, and everything you need to know about how your baby is absorbing their world.This episode will cover: Types of developmentDevelopmental milestones by ageHow to play with your babyScreen timeTypes: 0:42Gross motor skills - use large muscle groupsFine motor - small muscle groupsVerbal/social - their interaction with family / peersIsolated delays are often benign; delays in 2-3 areas are red flagsThere is no advantage to pushing motor skills, but there is advantage in encouraging verbal/social skillsNewborn: 2:11Brief periods of wakefulnessEqual limb movementsResponds to parents voice/touchLooks briefly at parentsMoves in response to visual or auditory stimuliReflexes: grasp, rooting, moro1-2 weeks old: 4:20turns and calms to parents voiceCommunicates needs (wet diaper, hungry, tired) but has the same cry for allAble to fix briefly on faces or objectsFollows to midlineLift head briefly while prone 1 month: 5:36Responds to calming actions when upsetFollows parents with eyes; follows past midlineRecognizes familiar voicesResponsive smileAble to lift head during tummy time or while on parent’s chestCommunicates needs2 months: 6:57Start losing grasp/rooting/moro reflexes Looks at parentSocial smileStarts to comfort selfDifferent types of cryingCoosCan show signs of boredomLift chest briefly during tummy timeHead control while sitting supported4 months: 8:41Elicits social interactionsLooks at parents / watches them walk aroundAble to comfort/console selfStarts babbling / cooing expressively, squealing, and laughingResponds to affectionIndicates happy/sadAble to push up onto elbows (lifts chest fully while prone)Good head control Start rolling (front to back)Start reaching for objectsCan hold a bottle6 months: 10:52Socially interactive with parents - takes turns babblingMature babbling (consonants and vowel sounds)Recognizes familiar faces; beginning of stranger anxietyStarts to recognize own nameRolls over both waysSits (tripod)Starts showing pre-crawling behaviors (getting to knees, rocking, army crawl)Turns while seated Brings objects to mouthTransfers objects hand to handRaking graspGets distracted while eatingDiaper changes get more difficult because they try to roll9 months: 13:40Stranger anxietySeeks out parentsUses repetitive consonant and vowel soundsPoints at objectsObject permanenceInteractive games (responds to peek-a-boo)Explores environment with eyes, hands, and mouth3-finger graspPulls to stand3D diaper changes1 year: 17:07Imitates activitiesHands books/toys to parent to play with themWaves byeStrong parent attachment; separation anxietyProtodeclarative pointingImitates sounds/words (animal sounds)Speaks 1-2 wordsJabbers with inflectionIdentifies people when askedBangs two objects togetherStands alone2-finger graspFollows simple directions How to play with your baby and boost their development: 19:46All ages: talk and sing to your baby, narrate your dayNewborn up to 1mo: Help baby develop sleep and feeding routines; swaddle baby and place them face up to sleep in a crib or bassinet in parents’ room, use dim lighting and a quiet voice at night; help baby wake for feeding by picking them up, undressing, can use a wet wipe; tummy time on parents’ chests1 month: Awkward time because they are awake more.  Develop consistent routines for sleep and eating, cuddle and talk to baby often, do tummy time 15-30 mins 1-2x per day; let them look out windows, at ceiling fans, or at bold patterns2 months: Continue routines; hold baby, cuddle them, sing or talk to them; start to learn their likes and dislikes; continue tummy time 30 mins 1-2x per day4 months: as above, but also can let them sit supported; watch for signs of food readiness; can play music for baby6 months: Play time on the floor, let them sit in high chair (for meals and also to watch you / play), interactive/reciprocal play, make funny sounds, read to baby, hand them objects to put in their mouth, babies start to notice screens at this age (front camera feature, video chatting).  Officially no screen time til age 2 other than this.  Babies start to notice patterns and cause/effect at this age, can develop habits.  Start baby proofing at 6 months.9 months: Consistent positive discipline (one pickup rule for thrown objects, have cause-and-effect toys, have a “yes” space), expect them to explore the environment, read together, hand them toys that make noise when you squeeze or shake them12 months: Use distractions for discipline, verbally acknowledge good behavior, consider playgroups (they often won’t interact with other babies other than to point them out), encourage self-feeding, can help them start walking by holding onto hands or using rolling toys, say the name of objects they point to, name their emotions, tell them what’s ok to do instead of using ‘no’ Screen time: 33:10Officially, ONLY video chatting is ok up until age 1.5-2 years, age 2-5 years up to 1 hour per day, 5+ years up to 2 hours per day of recreational screen timeAt 18 months, ok to start educational programs, but you need to watch with themPBS kids, Pocoyo, Baby Bus, CocomelonChildren are affected by sounds on TV - avoid anything scary or violent while baby is in the roomScreen time is associated with developmental delays; it’s like overhearing a conversation as opposed to being engaged in oneYou (and other people) are your baby’s primary entertainment source for the first 2 years There are plenty of ways to entertain your baby that don’t involve screens: singing, talking, playing with them, reading to themIf you need a few minutes: keep preferred toys in a “yes” spaceComing up, Dr. Keim will go through the checkups and advice for the next several visits. Now babies are being seen every three months, so the next few visits will be 9 months, 12 months, 15 months and 18 months. Carole Keim is also working on a third edition of The Baby Manual coming out soon. And another book called The Baby Manual Step By Step which will go chronologically, a one chapter at a time guide. You just need to read one chapter that will go with whatever age your baby is and the closest checkup to your baby's age.All of the information in this episode is also in The Baby Manual book, which is available for purchase. Remember it is always okay to call your doctor or emergency services if you have concerns about your baby’s health.  Resources discussed in this episode:The Baby Manual - Available on Amazon--Dr. Carole Keim MD: linktree | tiktok | instagram Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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