Warning Signs / Red Flags in Child Development


If the child has any of the following problems, the child requires early intervention

Gross Motor and Fine Motor Skills

  • not rolling by 8 months
  • no sitting balance by 10 months
  • no creeping / crawling by 10 months
  • no get to sit from lying by 10 months
  • no standing by 12 months
  • no walking by 18 months
  • preferring to sit in W sitting position only
  • not using one side of the body
  • persistent fisted hands after 6 months
  • unusual creeping / crawling pattern like commando creeping or bunny hopping
  • walking on toes constantly
  • standing up from sitting keeping the hands on knees
  • no clapping with both hands by 12 months
  • keeping the thumb in palm constantly
  • no midline orientation of hands by 10 months

Cognitive / Social-Emotional Skills

  • no interest in the surroundings by 6 months
  • no discomfort after soiling even after 4 months
  • no smiling even after 4 months
  • showing very poor or no eye contact
  • no engaging in pretend play by 24 months

Communication / Expressive Language Skills

  • no response to sound / voice of familiar persons
  • no single word by 18 months

If a child has any of the following disorders, immediate early intervention should be started

  • Club feet
  • Spina bifida
  • Generalized Hypotonia
  • Generalized Hypertonia
  • Arthrogryposis
  • Down syndrome
  • Cerebral palsy
  • Infantile spasm
  • Seizure disorder
  • Hearing impairment
  • Visual impairment

The list of Red flags is very long, so it is very difficult to put everything here, please ask for developmental screening if you feel there is a concern