[vc_row css=”.vc_custom_1462850584089{margin-top: 15px !important;}”][vc_column][vc_custom_heading text=”Childhood Developmental Screening & Milestones” font_container=”tag:h1|font_size:35|text_align:center|color:%23040060″ google_fonts=”font_family:Libre%20Baskerville%3Aregular%2Citalic%2C700|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1607931007561{margin-bottom: 10px !important;}”][vc_custom_heading text=”What to look out for in the development of your child” font_container=”tag:h2|font_size:20|text_align:center|color:%23040060″ google_fonts=”font_family:Libre%20Baskerville%3Aregular%2Citalic%2C700|font_style:400%20regular%3A400%3Anormal”][/vc_column][/vc_row][vc_row css=”.vc_custom_1423751086688{margin-bottom: 0px !important;}”][vc_column][vc_empty_space height=”15px”][vc_column_text]Together with vaccines, the Childhood Developmental Screening (CDS) subsidies were announced to be available for Singaporeans children at all Community Health Assist Scheme (CHAS) general practitioner clinics (GP clinics).

As of 1 November 2020, WL&H Medical will be able to provide your child with the Childhood Developmental Screening (CDS) with the mandatory childhood vaccinations under the National Childhood Immunisation Schedule (NCIS) at subsidised rates for qualifying individuals.[/vc_column_text][vc_single_image image=”19152″ img_size=”1067×800″][vc_empty_space height=”15px”][vc_column_text]While there are recommended ages in which a child should be able to complete certain tasks and have certain skills, it is critical to remember that every child develops at a different speed, even in the same family.

In line with the CDS milestones, here are some things that you can look out for in the development of your child at the given check-up points:[/vc_column_text][vc_column_text font_size=”15″]

Childhood Developmental Screening at
4 weeks:
Physical Developments
–          Able to hold head up for a few minutes
–          Lift hands toward face or mouth
–          Basic control over head movement
–          Arm thrusts
–          Gripping or making of a fist
–          Strong reflex movementsVisual, Auditory & Verbal Developments
–          Recognise family members with widened eyes or signs of excitement
–          See up to 45cm in front of them
–          Listening intently to parent’s speaking or singingSocial & Emotional Developments
–          Starting to coo
–          Turning toward familiar sounds
–          Begins to study human faces
Childhood Developmental Screening at
3 or 4 months:
Physical Developments
–          Raise head and chest and supports upper body with arms when lying on stomach
–          Stretches legs and kicks when lying on stomach or back
–          Open and closes hands
–          Pushes down with legs when feet are placed on a hard surface
–          Brings hands to mouth
–          Takes swipes at hanging objects with hands
–          Grasps and shakes hand toysVisual, Auditory & Verbal Developments
–          Follows moving objects
–          Starts using hands and eyes in coordination
–          Increased coo-ingSocial & Emotional Developments
–          Smiles at the sound of parents’ voices
–          Begins to imitate some sounds
–          Enjoys playing with other people and may cry should playing stop
–          Imitates some movement and facial expressions
Childhood Developmental Screening at
6 months
Physical Developments
–          Able to raise head to look at feet and lifts legs up to grasp the foot
–          Passing of objects from one hand to the other
–          Rolls from front to back and from back to front
–          Sits without support
–          Bounces when in a standing position
–          Bears more weight on legs
–          Rocks back and forth on hands and knees
–          Starts to “scoot” backwards
–          Tries to crawl
–          Uses raking grasps which progress into pinchingVisual, Auditory & Verbal Developments
–          Able to see across a room
–          Makes specific sounds linked to emotions
–          Responds when spoken to
–          Responds with soundsSocial & Emotional Developments
–          Recognises familiar faces
–          Experiences “stranger-danger”
–          Likes to look into a mirror
–          Begins to link vowel sounds together to imitate talking
–          Responds to their name
–          Able to make sounds of certain consonants
–          Learns about the world through taste and touch
Childhood Developmental Screening at
12 months
Physical Developments
–          Able to sit up without assistance
–          Able to crawl forward on belly
–          Assumes hands-and-knees position
–          Transitions from sitting into crawling position
–          Pulls self up to stand
–          Walks while holding onto furniture
–          Stands momentarily without support
–          May walk two or three steps without support
–          Develops finer motor skills like using pincer/pinching grasp
–          Bangs objects together
–          Takes out and returns objects into containers
–          Releases objects voluntarily
–          Pokes with index fingerVisual, Auditory & Verbal Developments
–          Tries to imitate scribbling
–          Responds to simple verbal requests and words like “no”
–          Understands simple gestures like the shaking of head for “no”Social & Emotional Developments
–          Babble with inflection
–          Able to say simple words like “dada” or “mama”
–          Exploring objects in different ways
–          Finds hidden objects
–          Association of words with images of the words
–          Imitates gestures
–          Begins using objects correctly
Childhood Developmental Screening at
18 months
Physical Developments
–          Starts to run but lacks coordination and falls frequently
–          Able to climb stairs while holding on with one hand
–          Able to stack toy blocks one above another to create a tower of up to four (4) blocks
–          Able to use spoons and cups to self-feed
–          Able to imitate scribbling
–          Able to turn 2 to 3 pages of a book at a time
–          Attains bowel controlVisual, Auditory and Vocal Development
–          Able to listen to a story or look at the pictures in a book
–          Able to say 10 words or more when askedSocial & Emotional Development
–          Capable of showing affection
–          Starts to explore the environment around them
–          Able to identify one or more body parts
–          Understands and is able to point to and identify objects
–          Starts to imitate domestic activities
–          Develops a sense of ownership, identifying people and things by saying “my”
Childhood Developmental Screening at
30 months
Physical Developments
–          Able to work without assistance
–          Able to raise body without using hands
–          Able to run
–          Able to climb up and down stairs
–          Able to kick a ball
–          Able to climb up and down furniture without assistance
–          Able to build a tower of at least 6 blocks
–          Able to turn pages on at a time
–          May start to develop a dominant hand
–          Able to put on simple pieces of clothing without helpVisual, Auditory & Vocal Development
–          Able to effectively communicate daily needs such as thirst, hunger and the need to use the toilet
–          Able to join two to three words in a sentence
–          Vocabulary of about 50 to 30 words
–          Able to recognise details
–          Can identify body partsSocial & Emotional Development
–          Starts to refer to themselves with their own name
–          Able to understand two-step commands
–          Starts imitating the behaviours of others, especially adults or older children
–          Develops the ability to make-believe play
–          Demonstrates increasing independence
–          Starts to become more defiant
–          “No” becomes a common response for the child
–          Starts to throw “Temper Tantrums” which pass quickly
–          Increased curiosity and fascination to explore through testing, tasting, pressing and squeezing
–          Starts to show signs of possessiveness and defensive behaviour by getting rough when asserting ownership over items.
Childhood Developmental Screening at
48 months
Physical Developments
–          Able to hop and stand on one foot for up to 5 seconds
–          Able to kick forward and catch a bouncing ball most of the time
–          Able to throw with overhand coordination
–          Can build a tower of up to 10 blocks
–          Has the ability to draw circles and squares, and draws a person with 2 to 4 body part
–          Capable of using scissors
–          Able to copy the writing of some capital lettersVisual, Auditory & Vocal Development
–          Increase vocabulary of over 1,000 words and can easily compose sentences of 4 to 5 words
–          Understands the concept of counting and may know a few numbers
–          Starts to be able to follow 3-part commands
–          Able to recall parts of a story they have heard
–          Understands the concepts of similarity and difference

Social & Emotional Development
–          Starts to argue with other children
–          Can plan games cooperatively
–          Able to dress and undress with assistance
–          Can attend to their own toilet needs
–          Becomes increasingly inquisitive and asks more questions
–          Becomes increasingly talkative due to the increasing capacity for language
–          May experience emotional unpredictability
–          Child is lively and sociable
–          Experience high need for muscular movement and is constantly engaged in activities

[/vc_column_text][vc_column_text]To find out more information you may follow the below links to news articles and government websites:

Learn about the Child Vaccines available for Government Subsidies at WL&H, click here.

Child Development Milestones by SingHealth: https://www.healthxchange.sg/children/baby-0-24-months/child-development-milestones-newborn-six

Straits Times Article: https://www.straitstimes.com/politics/parliament-subsidised-vaccines-for-children-and-adults-at-all-chas-gp-and-polyclinics

CHAS Reference Article: https://www.chas.sg/news_events_article.aspx?id=1635[/vc_column_text][/vc_column][/vc_row]