Over the past two years I have written enough articles for the Fisher-Price® web site and tried to answer honestly and helpfully enough questions submitted by parents to know a good bit about what your concerns are. It pleases me when I get a comment from a parent agreeing with or adding to something I have written, as it reassures me that someone "out there" is paying attention to what I write. Well, this article is being written to reassure you who are "out there" on the net that "in here" at my desk you are also being listened to. And what many of you are saying is that you are worried that your infants and toddlers are not saying enough words, or else are saying them so poorly that they can't be understood. Of the parental questions sent to me this month, a full 50% expressed this concern about their toddlers ranging in age from about 18 to 30 months. So, even though I already have one article on this web site dealing with the topic (please look up Word Processing, Baby Style) I am going to do another on the same subject.
Most of us are familiar with the approximate ages at which most children exhibit various speech landmarks. If we aren't familiar with them, an intrusive grandparent or possibly competitive neighbor is sure to ask, "Oh, isn't he saying ma-ma and da-da yet?" But what many people do not know is that there is a wide range in the age at which these landmarks appear. One can always find many examples of obviously brilliant people who were quite delayed in talking; Winston Churchill, who helped hold Britain together during World War II with the power of his words, is reported not to have talked until he was 5 years old. In the following tabulation, I am going to mention a few speech landmarks of the early years but also give you an idea of the normal range of variability of its appearance:
|Landmark||Average Age||Range of Ages|
|Makes sounds |
when talked to
|3-4 months||2-5 months|
|Says "mama", "dada"||8 months||4-12 months|
|Says 1 word||12 months||9-15 months|
|Says 4-5 words||18 months||15-24 months|
|Puts simple words together||20 months||12-26 months|
|Repeats things||20 months||15-26 months|
|Uses pronouns like "me"||24 months||20-30 months|
|Has a vocabulary |
of 40-50 words
|24 months||20-30 months|
Incidentally, girl babies tend to achieve near the lower end of the range and boy babies at the upper end. Speech problems are far more common in boys than in girls.
The above ages and ranges refer only to expressive speech—the external part, the part we hear. And that appears to be the type that most parents worry about; that's what your neighbors and the grandparents needle you about. Actually, most speech and language experts consider receptive language—the part we don't hear—to be even more critical for the development of communication. Early examples of receptive language would be looking at the refrigerator, or simply becoming more active, if mother asks, "Do you want some milk?" or pulling a hand back if someone says, "No." So, even if what you are concerned about is the actual saying of words, set up a few little "tests" to determine if receptive language is proceeding even without actual speech production.
There are many specific actions parents can take when they have a child whose communication skills are lagging. Here are four general suggestions:
Even though in this article I have tried to offer some reassurance to parents who are worried that their toddlers are not progressing rapidly enough in their speech development, stressing variability as much as average age, I want to conclude by complimenting those of you who have expressed your concern. It reflects recognition of the importance of communication skills for all aspects of child development. It also shows that you are good observers—one of the most important skills a parent can have. The first three years of life make up a block of time during which the brain machinery is developing that enables us to talk, to listen, to remember what we hear, and to use that information in the solution of problems we encounter throughout our life span. The language input you offer your child during that time is a vital part of that process. Couple it with the emotional support that should be present in your interactions with your child and you have a solid foundation for happy and wholesome development.
Nuestros consejos para padres son sólo sugerencias. Le recomendamos también consultar a su proveedor de servicios médicos y contactarlo de manera inmediata si su pregunta es urgente o acerca de alguna condición médica.