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Yeah if she said not crawling or walking at 9 months i probably wouldnt say anything but sitting up and rolling over should absolutely be happening by 9 months.
As far as I can understand, this baby hasn't even had genetics testing yet - is that something the PT would order?
You're welcome. As nana said, the PT would not order the tests, but s/he could suggest the mother ask the doctor to do so if s/he felt there was a reason. Again, as nana said, genetic testing is usually not necessary.
Quote:
Originally Posted by ClaraC
I agree. First time moms often don't recognize a delay, or they're in denial, but for the day care not to raise a huge red flag by 6 months old seems remiss to me. And the pediatrician, if the child is getting well-checks should have referred the baby to testing at 6 months.
I dunno. Except for the rolling over, he's not exactly delayed, to use the term accurately. And even with that, the dr. may have said, "let's wait till 9 months and see where he is at that point". https://www.cdc.gov/ncbddd/actearly/milestones/
You're welcome. As nana said, the PT would not order the tests, but s/he could suggest the mother ask the doctor to do so if s/he felt there was a reason. Again, as nana said, genetic testing is usually not necessary.
I dunno. Except for the rolling over, he's not exactly delayed, to use the term accurately. And even with that, the dr. may have said, "let's wait till 9 months and see where he is at that point". https://www.cdc.gov/ncbddd/actearly/milestones/
No, this is pretty delayed in sitting also. Most babies are able to sit unassisted between 6 and 7 months. I also wonder about holding his head up when he is on his tummy, though this was not mentioned.
No, this is pretty delayed in sitting also. Most babies are able to sit unassisted between 6 and 7 months. I also wonder about holding his head up when he is on his tummy, though this was not mentioned.
Actually, no. Note on the CDC milestone chart that at 6 months "Begins to sit without support". The AAP says that by 8 months, "your baby probably will be sitting without support." Note use of "probably". There are a few with "normal" development who do so later. That's why doctors don't refer kids too soon. https://www.healthychildren.org/Engl...12-Months.aspx
Actually, no. Note on the CDC milestone chart that at 6 months "Begins to sit without support". The AAP says that by 8 months, "your baby probably will be sitting without support." Note use of "probably". There are a few with "normal" development who do so later. That's why doctors don't refer kids too soon. https://www.healthychildren.org/Engl...12-Months.aspx
Mine were early sitters - they were sitting along by 4 months old. I still think 9 months is pretty late. By 11 months, they are usually able to get into a sitting position by themselves.
Yeah...being on the later end of 'normal' is still concerning. I know of an 18 month old who still isnt walking and according to aap 18 months is the far end of normal but they are still seeing a neurologist.
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Quote:
Originally Posted by Katarina Witt
Actually, no. Note on the CDC milestone chart that at 6 months "Begins to sit without support". The AAP says that by 8 months, "your baby probably will be sitting without support." Note use of "probably". There are a few with "normal" development who do so later. That's why doctors don't refer kids too soon. https://www.healthychildren.org/Engl...12-Months.aspx
I've done well baby checks in the homes of teenage mothers, as a consultant in a private nonprofit. If a baby wasn't moving at all (and that would be defined by the baby not turning over) at 6 months old, I could refer the baby to the city clinic and they'd have to be seen within that week of being referred.
The baby described by the OP has significant delay by any standard.
Yeah...being on the later end of 'normal' is still concerning. I know of an 18 month old who still isnt walking and according to aap 18 months is the far end of normal but they are still seeing a neurologist.
When my son was little, 16 months was the cap for delayed walking. But I googled it, its been changed. There might be other concerns that are sending them to the neurologist too.
As for the OP, its just an excuse to bash this mother's parenting for holding the baby a lot, which is absurd. There are places on earth where babies are held nearly every second of every day and they still meet milestones. And this baby is getting time in different positions at day care.
And I don't buy that the PT was that incompetent to flip out on the mom like that. If they were, they need to be fired and the mom should look for a new PT.
But no matter the cause, the child needs PT. And hopefully the doc plans on investigating what is causing it.
If it were my child, I would want PT first, unless there were other symptoms that would lead you to consider an illness that could progress and no time to lose. If the child showed progress, then you would know restricted movement was the problem and that a few more months of PT and more crawl time will help them catch up.
If they did not show progress, then you would know there is an issue that needs to be further investigated. You could justify the far more expensive tests to the insurance company with the lack of results from PT. Those may not get approved without that kind of documentation. You would also have the therapist's notes and initial and discharge evaluations to help the doctor make a diagnosis or know where to look (e.g., if strength improves on one side but not another or range of motion is more limited in one area). Also, you wouldn't want to run a bunch of tests on a young child that may involve radiation or pain or sedation unless they were absolutely necessary.
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