Developmental surveillance is the process of monitoring child development over time to promote healthy development and to identify possible problems. Standardized developmental scriveners have greater sensitivity than baby milestones -based history taking. Unfortunately, Canadian screening guidelines, to date, are sparse, logistical barriers to implementation have slowed uptake of screening tests and physicians continue to rely on milestones. When using clinical impression as a framework for surveillance, clinicians may not know when to consider a baby milestones delayed because developmental attainments exist within an age range and there is an absence of referenced percentiles on available published tables, which are particularly problematic for the cognitive and social-emotional sectors, which are less familiar to physicians. A novel, five-sector milestone framework with upper limits, referenced to the best available level of evidence, is presented. This framework m...
In 7 month milestones baby’s prepping herself for crawling, you’ve got to
get your home ready. We know you probably baby-proofed when baby first came
home, but having a crawler changes everything. Get down on your hands and knees
to see what hazards are around that you'll need to guard against. That includes
anything baby could tumble over, bump into, climb, cut or pinch herself on, or
get tangled in.
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