Notify your pediatrician of developmental delays if:
- By 4 months:
- Does not reach for and grasp toys
- Does not babble
- Does not bring objects to mouth
- Does not push down with legs when feet are placed on a firm surface
- Does not turn head to locate sounds
- Does not imitate sounds you make
- Moro reflex (when startled, throws out arms and legs, extends neck, and then quickly brings arms back together) is still present
- By 5 months:
- Tonic neck reflex (when head turns to one side, arm on that side will straighten, with the opposite arm bent up as if child is holding a fencing sword) is still present
- Stiff extremities (arms and legs)
- Floppy tone
- Head lag present when body is pulled up to a sitting position
- Does not roll over in one direction
- One or both eyes consistently turn in or out
- Persistent tearing, eye drainage, or sensitivity to light
- Refuses to cuddle
- Does not smile
- Does not show affection for primary care giver
- Does not seem to enjoy being around people
- Does not respond to sounds
- Is inconsolable at night
- By 6 months:
- Cannot sit with assistance
- Reaches with one hand only
- Does not laugh or make squealing sounds
- By 7 months:
- Does not actively reach for objects
- Does not get objects to mouth
- Does not follow objects with eyes at both near (1 foot) and far (6 feet) distances
- Does not bear weight on legs
- Does not try to attract attention






