Posted by: Indonesian Children | March 29, 2009

Developmental milestones and feeding skills birth to 36 months

 

 

Age (months)

Development/posture

Feeding/oral sensorimotor

 

Birth to 4–6

Neck and trunk with balanced flexor and extensor tone
Visual fixation and tracking
Learning to control body against gravity
Sitting with support near 6 months
Rolling over
Brings hands to mouth

Nipple feeding, breast, or bottle
Hand on bottle during feeding (2–4 months)
Maintains semiflexed posture during feeding
Promotion of infant–parent interaction

6–9 (transition feeding)

Sitting independently for short time
Self-oral stimulation (mouthing hands and toys)
Extended reach with pincer grasp
Visual interest in small objects
Object permanence
Stranger anxiety
Crawling on belly, creeping on all fours

Feeding more upright position
Spoon feeding for thin, smooth puree
Suckle pattern initially Suckle suck
Both hands to hold bottle
Finger feeding introduced
Vertical munching of easily dissolvable solids
Preference for parents to feed

9–12

Pulling to stand
Cruising along furniture
First steps by 12 months
Assisting with spoon; some become independent
Refining pincer grasp

Cup drinking
Eats lumpy, mashed food
Finger feeding for easily dissolvable solids
Chewing includes rotary jaw action

12–18

Refining all gross and fine motor skills
Walking independently
Climbing stairs
Running
Grasping and releasing with precision

Self-feeding: grasps spoon with whole hand
Holding cup with 2 hands
Drinking with 4–5 consecutive swallows
Holding and tipping bottle

>18–24

Improving equilibrium with refinement of upper extremity coordination.
Increasing attention and persistence in play activities
Parallel or imitative play
Independence from parents
Using tools

Swallowing with lip closure
Self-feeding predominates
Chewing broad range of food
Up–down tongue movements precise

24–36

Refining skills
Jumping in place
Pedaling tricycle
Using scissors

Circulatory jaw rotations
Chewing with lips closed
One-handed cup holding and open cup drinking with no spilling
Using fingers to fill spoon
Eating wide range of solid food
Total self-feeding, using fork


REFERENCE

  1. Arvedson JC, Brodsky L. Pediatric Swallowing and Feeding: Assessment and Management, 2nd ed. Albany, NY: Singular Thomson Learning, 2002.
  2. Bosma JF. Development of feeding. Clin Nutr 1986;5:210–218.

 

Supported by

PICKY EATERS CLINIC

KLINIK KHUSUS KESULITAN MAKAN PADA ANAK

JL TAMAN BENDUNGAN ASAHAN 5 JAKARTA PUSAT, JAKARTA INDONESIA 10210

PHONE :62 (021) 70081995 – 5703646

Email : judarwanto@gmail.com

https://mypickyeaters.wordpress.com/

 

Clinical and Editor in Chief :

DR WIDODO JUDARWANTO

email : judarwanto@gmail.com,

 

Copyright © 2009, Picky Eaters Clinic Information Education Network. All rights reserved

 


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