Ask the Expert: Is My Child’s Development on Track?

Ask the Expert-1

These days we have so much information at our fingertips to help solve any parenting dilemma (admittedly, most of the times we may have too much). You could argue the Internet was both the best and worst thing to ever happen to parenting.

Despite the sometimes overwhelming amount of information, it’s still nice to consult a parenting expert once in a while to get some new ideas, advice and even a dose of perspective.

At LiveMom, we want to help answer your questions. We have a recurring feature called Ask the Expert, brought to you by Baylor Scott & White Health, that will take on a wide range of subjects, from potty training to car seats to dealing with kids and technology to anything in between.

Got a question? Post it below, on our Facebook page or email us and we’ll try to get it answered!

If a group of parents gathers with their kids, you’re bound to hear comments about development. We recently received this question from a reader looking for some advice:

When I’m at the park or a play group, or even at story time, I find myself looking around at the other children, comparing my son’s development to theirs. This is our first child, and I’m worried he’s not on track. There is so much to wade through online. How can I keep track of how he is growing without getting too paranoid?

We called upon Scott & White Clinic – Pflugerville pediatrician, Dr. Avni Shah, D.O., to help explain how a child grows and develops over time.  As she explains, the well check is a time to discuss and monitor this as well as so many other developmental factors for a child. 

Avni Shah, Pediatrician at Baylor Scott & White
Avni Shah, Pediatrician at Baylor Scott & White


Growth refers to physical measures, while development refers to gaining functional skills during childhood.  Medical professionals track the growth of your infant at well child visits. They look for early signs of health and progression.

“During the first months of life, weight gain serves as an important indicator of the child’s general wellness,” says Dr. Shah.

These are good indicators to see if your child is growing properly in the first year of life. As your child gets older, you will continue to attend yearly well-child visits, and your doctor will be able to assess the continued growth of your child.

During this period of childhood growth, it is important that you keep an eye on your child. If you are concerned, Dr. Shah suggests taking your child to see a pediatrician to ease any of your worries.

“The pediatrician makes an assessment as to whether there is cause for concern,” she says. The doctor can see your child’s growth over time, answer any questions you have, and even perform developmental screenings, if needed.


As your child grows, he or she will begin to develop functional skills. You may cheer when your child first lifts his head, and the excitement continues as he sits up, learns to crawl, and takes his first step.

These major milestones are part of growing up, and will happen naturally as your child gets comfortable and aware of his body and the world around him.

Dr. Shah outlines five areas of development, and explains that some children may have an isolated delay in one particular area. For example, your child may be ahead in gross motor skills, but lacking in social development.  This is important to identify early on so it can be corrected or treated quickly before the child develops further delays.

As a parent, it is important to be aware and attentive, but to avoid putting too much pressure on your small child. Dr. Shah says your child may need a little encouragement, but in time he may catch up with his peers and you might never notice a problem later.

The Five Areas of Development

As your child grows, you will notice development in five main categories.

AdvertisementThese five areas of development include:

  1. Gross motor—Major body movements
  2. Fine motor/adaptive—Involving the small muscles of the body
  3. Personal/social—Interacting with others
  4. Language—Communicating and verbalizing
  5. Cognitive—Brain skills allowing us to think, remember and learn

Gross Motor Skills

Motor development starts with the head and moves down the body. Dr. Shah says this is in line with the maturation of the brain. “There has to be neck control before sitting can be achieved,” she explains. Gross motor skills can be easily observed on a play structure or other area where children can have room to move around.

Fine Motor Skills

Fine motor skills require the small muscles of the body to work together. Cutting a paper with scissors doesn’t come easy the first time around, and these muscles require practice and repetition. You can do fine motor activities with your child to help him develop in this area and focus on small tasks like picking up a Cheerio, coloring, buttoning, or tying his or her shoes.

Personal/Social Skills

As your child develops and goes out into the world, you will see signs of interaction. During the early stages of development, you will notice your baby responding to your voice or recognizing your face. As he or she grows, your child will play alongside other children. This is called parallel play, and is a common step before your child actually plays with or engages with his playmate. In time, children will pretend play together and start to form bonds and positive associations with others.

Language Skills

Although your child may not say his or her first word for a long time, language understanding begins early on. You will start to notice a difference in the way your child cries, and you will hear his or her voice develop as your baby babbles and strings together sounds. It is always fun to hear their first words, and soon after your child’s language will expand dramatically.

Cognitive Skills

The brain is behind most of these developmental skills, but cognitive skills specifically focus on how a child thinks, remembers and learns. You will see your child’s mind and understanding grow over time. It starts with simple games like peek-a-boo, and soon your child will recognize shapes, colors and categories.

“Environmental factors like parental attitudes and actions, socio-demographic factors, and cultural and societal influences can negatively impact development such as skills acquisition in cognitive and language abilities,” says Dr. Shah.

Guidelines for Development

Parents have a large role in assisting with the development of their child. If you feel your child is behind in some of these areas, contact your doctor.

Remember, these steps are just guidelines and each child progresses differently.

Many people feel that well-checks are only for vaccines before school but remember, well-checks take into account all aspects of your child’s growth and development and it is important to assess that every year and more frequently as an infant.

For more information on Dr. Shah, call 512-509-0200 or visit

This post is sponsored by Baylor Scott & White Health.

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