{"id":307,"date":"2026-10-19T13:44:47","date_gmt":"2026-10-19T08:14:47","guid":{"rendered":"https:\/\/www.perceptrehabilitation.co.in\/blog\/?p=307"},"modified":"2026-10-19T13:46:36","modified_gmt":"2026-10-19T08:16:36","slug":"child-developmental-milestones-0-6-years","status":"publish","type":"post","link":"https:\/\/www.perceptrehabilitation.co.in\/blog\/child-developmental-milestones-0-6-years\/","title":{"rendered":"Child Development Milestones from 0 to 6 Years: A Parent&#8217;s Checklist"},"content":{"rendered":"\r\n<p class=\"wp-block-paragraph\">Child development milestones are skills most children reach by a certain age, like sitting, walking, holding a crayon or putting on a jacket. They help parents and doctors spot when a child may need extra support.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">This guide covers movement, hand skills and self-care milestones from birth to six years, the areas occupational therapists work on most. It&#8217;s based on widely used milestone guidance, including the CDC&#8217;s milestone checklists and the Indian Academy of Pediatrics&#8217; developmental guidance.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">How to use this checklist<\/h2>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Milestones are ranges, not deadlines.<\/strong> The ages below are when most children, not all, have reached the skill.<\/li>\r\n\r\n\r\n\r\n<li><strong>Look at the overall picture.<\/strong> One late skill is rarely a concern. Several late skills across areas deserve attention.<\/li>\r\n\r\n\r\n\r\n<li><strong>Correct for prematurity.<\/strong> If your baby was born early, use their corrected age until about age two.<\/li>\r\n\r\n\r\n\r\n<li><strong>Loss of skills is always a concern.<\/strong> If your child stops doing something they used to do, speak to your doctor promptly.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Milestones by age<\/h2>\r\n\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table class=\"has-fixed-layout\">\r\n<thead>\r\n<tr>\r\n<th>Age<\/th>\r\n<th>Movement<\/th>\r\n<th>Hand skills<\/th>\r\n<th>Self-care and play<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td>2 months<\/td>\r\n<td>Holds head up during tummy time<\/td>\r\n<td>Opens hands briefly<\/td>\r\n<td>Calms when spoken to or picked up<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>4 months<\/td>\r\n<td>Holds head steady without support<\/td>\r\n<td>Holds a toy placed in hand; brings hands to mouth<\/td>\r\n<td>Smiles to get attention<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>6 months<\/td>\r\n<td>Rolls from tummy to back; pushes up on straight arms<\/td>\r\n<td>Reaches for toys; passes objects hand to hand (around 6\u20139 months)<\/td>\r\n<td>Enjoys looking in a mirror<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>9 months<\/td>\r\n<td>Sits without support<\/td>\r\n<td>Rakes small food towards self<\/td>\r\n<td>Looks for objects dropped out of sight<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>12 months<\/td>\r\n<td>Pulls to stand; walks holding furniture<\/td>\r\n<td>Picks up small items with thumb and finger (pincer grasp)<\/td>\r\n<td>Drinks from a cup you hold<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>18 months<\/td>\r\n<td>Walks alone; climbs on and off a sofa<\/td>\r\n<td>Scribbles; tries to use a spoon<\/td>\r\n<td>Feeds self with fingers<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>2 years<\/td>\r\n<td>Kicks a ball; runs<\/td>\r\n<td>Stacks a few blocks<\/td>\r\n<td>Eats with a spoon<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>3 years<\/td>\r\n<td>Climbs well; pedals a tricycle (around 3)<\/td>\r\n<td>Strings large beads; copies a circle<\/td>\r\n<td>Puts on some clothes alone; uses a fork<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>4 years<\/td>\r\n<td>Catches a large ball most of the time<\/td>\r\n<td>Holds a crayon between fingers and thumb, not in a fist<\/td>\r\n<td>Unbuttons some buttons; pours water with supervision<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>5 years<\/td>\r\n<td>Hops on one foot<\/td>\r\n<td>Copies a square and triangle; cuts along a line<\/td>\r\n<td>Buttons some buttons; dresses with little help<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>6 years<\/td>\r\n<td>Rides a bicycle with or without stabilisers<\/td>\r\n<td>Writes own name; draws a recognisable person<\/td>\r\n<td>Dresses independently; begins tying shoelaces<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">When to talk to your doctor or an occupational therapist<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Speak to your paediatrician, and consider an OT assessment, if your child:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Isn&#8217;t sitting without support by 9 months.<\/li>\r\n\r\n\r\n\r\n<li>Isn&#8217;t walking by 18 months.<\/li>\r\n\r\n\r\n\r\n<li>Still uses a fist grip on crayons at 4\u20135 years.<\/li>\r\n\r\n\r\n\r\n<li>Can&#8217;t manage basic dressing by 4 years.<\/li>\r\n\r\n\r\n\r\n<li>Seems much clumsier than peers, or avoids physical play.<\/li>\r\n\r\n\r\n\r\n<li>Has lost skills they already had.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">For signs beyond movement and hand skills, read our age-by-age list of <a href=\"https:\/\/www.perceptrehabilitation.co.in\/blog\/signs-child-needs-occupational-therapy\/\">signs your child needs occupational therapy<\/a>.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Why early support matters<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">A child&#8217;s brain develops fastest in the first few years. Support during this window, known as early intervention, often helps children catch up faster than support started later. Waiting to see if a child grows out of a delay can cost valuable time. Learn more about our early intervention programme.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Simple ways to support development at home<\/h2>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Tummy time every day<\/strong> from birth, for strong neck, shoulders and core.<\/li>\r\n\r\n\r\n\r\n<li><strong>Floor play instead of walkers<\/strong> so babies learn to roll, crawl and pull up.<\/li>\r\n\r\n\r\n\r\n<li><strong>Playdough, tearing paper and posting coins<\/strong> into a box for hand strength.<\/li>\r\n\r\n\r\n\r\n<li><strong>Letting children try<\/strong> to feed and dress themselves, even when it&#8217;s messy and slow.<\/li>\r\n\r\n\r\n\r\n<li><strong>Outdoor play<\/strong> such as climbing, swinging and running for balance and coordination.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Our parent&#8217;s guide to pediatric occupational therapy has more ideas.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Milestone assessments at Percept<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">If you&#8217;re unsure whether your child is on track, our occupational therapists in Indirapuram can carry out a play-based developmental assessment. You&#8217;ll get a clear picture of your child&#8217;s strengths, any areas of delay, and practical next steps.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>CTA:<\/strong> Book an assessment for <a href=\"https:\/\/www.perceptrehabilitation.co.in\/services\/occupational-therapy-in-indirapuram\">child development therapy in Indirapuram<\/a>. Download the free printable milestone checklist [link to PDF]. Call +91 88604 60038.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Frequently asked questions<\/h2>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">What are the main types of developmental milestones?<\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Milestones are usually grouped into movement (gross motor), hand skills (fine motor), language and communication, social and emotional, and thinking and learning.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">My child skipped crawling. Is that a problem?<\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Some children skip crawling and walk on time with no issues. If your child also has other delays, or seems weak or uncoordinated, mention it to your doctor.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">When should a child hold a pencil correctly?<\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Most children move from a fist grip to holding a crayon between fingers and thumb around age 4, with a mature grip developing by around 5\u20136.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">How do I use corrected age for a premature baby?<\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Subtract the number of weeks your baby was born early from their actual age. Use this corrected age for milestones until about age two.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Can occupational therapy help a child catch up on milestones?<\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Yes. OT helps children build motor, sensory and self-care skills, and early support often leads to faster progress.<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Planned: Tue 20 Oct 2026<\/p>\n","protected":false},"author":1,"featured_media":326,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[58],"tags":[],"class_list":["post-307","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-child-development"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Child Development Milestones 0\u20136 Years (Free Checklist)<\/title>\n<meta name=\"description\" content=\"Child development milestones from birth to 6 years: movement, hand skills and self-care by age, plus a free printable checklist and when to seek help.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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