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| Name | When to worry about speech delay in toddlers? - Dr. Satish Babu K |
| Video Uploader | Video From Doctors' Circle World's Largest Health Platform |
| Upload Date | This Video Uploaded At 12-06-2016 03:05:59 |
| Video Discription | A perceived delay in speech or a baby failing to speak like peers of his or her own age is definitely a concern for the parents. So we should know when to worry about it and when to take consultation with the doctor, therapist for that matter to sort out the problem at the earliest. Let us look at the development of the speech in a child. New born baby starts hearing from the moment it is born, though it doesn’t make any sense to the baby, the sounds keep falling to the ear and it reaches the brain slowly as the brain matures, it starts deciphering the sounds. So it starts making sense of the sounds. So the baby starts understanding what is being said or what is being communicated. Once that happens, the baby responds to the sound stimulus. So first 3- 4 months, the baby takes time in grasping the sound. After that it starts imitating. Speech develops by imitating the parents and other relatives around who keep vocalizing and speaking to the baby. First for that the baby has to hear the sound and understand it and reproduce it sensibly. The first 4 -6 months of age, the baby starts producing cooing or babbling sounds, atleast starts vocalizing. That means the baby is able to recognize sounds and reproduce it. It can even recognize the mother’s voice or the voice that is frequently spoken to the baby. By 6 – 9months the baby is able to grasp better sounds and probably you know produce sounds like mamma or baba, you know gently, it also tends to follow single or simple commands, like sit down, and stand up and come here, these kind of commands the baby can understand and follow. That means the baby is grasping sounds and making sense of it. By 9 months, 9 – 12 months we can say, that the baby is able to understand complicated sentences or two stage sentences and then produce one or two words, not as a sentence, but try to make or coin a sentence in that process. By 5months of age, the baby should be able to make simple sentences and should be able to understand complicated words or complicated sentences to follow the orders. If by 2 years of age, the baby is still not able to make these kind of atleast 2 word sentences or sensible speech, then it is time to worry about it and get to the doctor’s chamber as soon as possible. What are the warning signs of a possible problem? First and foremost, we should look at the baby’s ability to hear. If the baby is able to hear like his peers, atleast comparable to his own age children nearby or his siblings, then there should be a problem there. If the baby goes too close to the TV for example that means he or she is not hearing well, that he needs to go close to the TV to hear better. So that is one of the warning signs that is commonly seen. If the baby is inattentive, trying to call the baby for some reason and the baby is not responding to your calls consistently, not because your baby is concentrating somewhere else, not listening to your voice, even when the baby is not very busy, still he or she is not able to listen to your voice, then there is some problem. When the baby is not hearing well, obviously his speech will not be also developing very well. The other pointer we should look for is the baby starts using gestures rather than words using to communicate like for example the baby wants water, the baby just signs with the thumb towards the mouth, then it means that the baby has some problem in communicating. We should try to rectify that as early as possible. A baby which watches intensely whatever is happening around him or her but not responding to voice stimulus or sound stimulus again should be checked for any problems for hearing. A baby who doesn’t do a reflex action or doesn’t start crying when there is a loud noise around him like a door shut or a window pane falling should create a reaction, a fear reaction in the baby immediately. If that doesn’t happen or a cracker bursting nearby and the baby is not turning towards it, then there I some problem with the hearing. There are other issues which can lead to problem inspite of the baby hearing better, like a tongue tie is most common of that where if the baby is not able to lift the tongue above the floor of the mouth, we should look for that and get it corrected at the earliest so that the speech can develop comfortably. The most important thing that the parent can do is to keep talking to the baby right from birth. So the baby is getting used to the sound stimulus and starts making, and the brain also gets tuned to the sound stimulus and you know, the baby can develop speech at the earliest and then do not encourage gesture commands or gesture communications and demand the baby to speak atleast one word, like if the baby wants water, the baby should be able to tell atleast “water” clearly to get the water for him to drink. If we encourage gestures and keep providing the work, then obviously he doesn’t have the need to speak and he will not develop the language fluently. |
| Category | Howto & Style |
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