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My grandbaby is 10mo. old and weighs 13 1/2 lbs. He seems fine mentally, is bright eyed and happy, but hasn't crawled. He eats normal, I think, but still doesn't seem to be growing properly. The parents (my kids, of course) think he is fine and says their doctor has said he'll watch it. I think I may be over reacting, but I am concerned. Has anyone else had an underweight 10mo. old (and I mean this underweight) that isn't crawling. He does sits up, but not from a crawling position as he doesn't get up on his knees. He sits alone when sat on the floor. He plays peek-a-boo and waves bye-bye. AND...is cute as can be.:D

 

I haven't stated my concerns to my kids because, well, they are the parents, and I don't want to be causing them undo concern, but as a grandma I'd like to hear he is okay. kwim.

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If your dgs is going to all the well checks and the pediatrician hasn't referred him to a specialist yet, I wouldn't worry too much yet. I know that's easier said than done...

 

I do have a friend with a son who sounds like your dgs. He's 5 now and very active, but he's still very small for his age. He did have PT when he was a baby for a couple of months, but that was discontinued once he was walking.

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they were 6.5 and 7.11 at birth. They were skinny compared to my cousin's babies, but healthy. They never had those puffy wrists that you normally see on my cousin's kids, but the doctor wasn't concerned. I breastfed them exclusively for the first 7-8 months.

 

Sorry, I don't recall when they started to crawl - I know, bad mommy.

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MY youngest was 14 pounds at 1 year. Now at 7 1/2, she is 42. Not a large child, ever- when born she was just 6 pounds.

 

She did walk at 9 months, and crawl around 6, but she had a big sister to keep up with. If he is waving and interacting, sitting up and the Dr isn't concerned, I wouldn't worry. I have read that growth charts that Drs use are actually very skewed due to 50 years of formula feeding as hte norm in the US.

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I agree that if the doctor isn't worried, then I would try not to, either.

 

While I don't know about the weight issue, my ds, now 13years, never crawled. He rolled from one place to the other, then around 13+ months, he pulled himself up and started 'walking', using the couch to hang on to. It was several more weeks before he would let go of the couch to venture to the coffee table.

 

As an aside, my ds, while never crawling, also didn't speak much until he was nearly three...now THAT worried us! I kept asking the doctor if it was "normal" for an almost three year old to speak only 4 or 5 words. Looking back, we think he just did things in his own time...the rolling got him where he wanted to go, and he was able to make himself understood by pointing, so why 'waste' energy talking? That's what we think, anyway...

 

There is such a wide spectrum of "normal", that when the wee ones are outside the core of normal, we tend to worry (right or not, we're moms/loved ones). It's so hard to wait, and not imagine the worst. If the doctor seems OK with it, then waiting is what you'll have to do. If things don't improve and you are still worried, then there is nothing wrong with a second opinion either, even if it just eases your mind. :001_smile:

 

(the other) Heather in Al

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We live in an old house and dh didn't want them crawling on cold floors.Even when I put them down on blankets though they didn't.We used those walkers on wheels that the experts so dislike.My youngest especially liked hers because it allowed her to follow everyone from room to room.

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My ds crawled at 9 or 10mo and literally started walking the next day. I don't think that's a reason to worry by itself. (watch for fm delay when he's older....but that's also a temporary and common issue)

 

Being underweight isn't a reason to worry by itself either. If it's coupled with legthargy or not growing by height, then I would be getting a 2nd opinion.

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My 18 yo was a small baby (for me) and he was only 15#s at a year. He did have some digestive issues so I am sure that played a part too and the Dr's weren't concerned @ his weight. I don't remember if he was late with his miliestones other than getting teeth. He is now 150#s and healthy :D

 

If the Dr isn't worried than the baby is probably fine, but it be worth keeping an eye on.

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The baby's ped should be charting his growth curve in terms of height and weight. The ped will also be measuring the baby's head circumfrence. I think he sounds fine, small in terms of weight, but fine. He is sitting, playing peek-a-boo, waving, generally interacting with those around him. You didn't mention his diet but I assume he is eating well?

 

My 5yo didn't roll over well until around 8 months; he sat unassisted by 10 months. He did more of a low crawl than anything but never got up on his knees. He was walking by his first birthday.

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At 10 mos old, my kids were 20 and 25 pounds, respectively. They also both crawled around 7 months. However, my niece was about 15 pounds at 10 mos and she didn't ever crawl...went straight from scooting to walking.

 

If the doctor is not concerned, then you shouldn't be either. There could be lots of reasons for your grandson being so small. Did he have reflux or anything when he was very little? I have a friend whose baby did and it took them forever to get him to eat without spitting up. He is gaining weight now, but is still very small in comparison to other babies his age.

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My 3rd child was (and still is) "underweight." She was 6 1/2 lbs at birth, and between 12-13 lbs at a year. She didn't crawl much, and didn't take her first step until after she turned 1. However, she seemed to be progressing at a steady rate. It wasn't until she turned 4 that she actually made it onto the weight chart, but her pediatrician just kept marking her progress under the chart and it followed a basic upward curve.

 

Now she's 6 and weighs about 38 lbs. She isn't a picky eater, and eats a good variety of foods. We try to add a bit of extra cream or butter to whatever she eats, just to keep up her caloric intake a bit. We also gave her a tsp. of cod liver oil (lemon flavored) a few days a week. Her speech was hard to understand until she was about 3 1/2 or 4, but she's a whiz at math and is learning to read quickly.

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The key being is thre a basic upward movement of the growth chart.

 

My DD idn't have that - yet they STILL wouldn't refer her to an Endo till she was 7 years old.

 

COuld it be "something"? Yes, i have experience with the extremes though, so i'm not the one to ask.

 

the Magic Foundation has a vareity of growth issues they have info on, that might help you some.

 

http://www.magicfoundation.org/www

 

They also have the various growth charts posted for kids - formula vs breast and all that.

http://www.magicfoundation.org/www/docs/7/growth-charts

 

My kids weren't big or heavy - and my only one with delays did have a genetic condition to contribute to the delays.

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just tipped the scales at 17# on her first birthday. She is still a little thing, small framed but very healthy.

 

As an infant, she was in the 4th percentile for weight. "She's great!" said the doc. "Somebody has got to be in the 4th percentile! She is very healthy so don't worry."

 

At age 7 she was at 50th percentile in both height and weight. "She's perfect!" said the doc (a new doc in a new town). "Don't let gramma tell you she's too skinny, she is exactly where she should be!"

 

If he is a first child and not around siblings or other older babies very often, he may just not have any huge incentive to crawl. My oldest ds only attempted crawling after spending a morning with a month-older friend who was working diligently on that process (he had older brothers & sisters!). The next day, ds was up rocking on his hands and knees.

 

If you want to ask about your grandson, maybe you could ask his mom casually about his percentiles, if the ped charts it. Talking about something concrete like numbers may come off differently than going right to the point of your concern that he is too small. You could wonder aloud how he compares to his parents, perhaps. As far as the crawling, I can't remember any doc or baby book ever giving a benchmark age for that, it can vary so widely. Only one of my four walked before 15 months, and the dd mentioned above just stood up and walked 15 feet on the first go!

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It is true that some children never crawl. As a physical therapist for under 3's I would be concerned with such things as whether or not he is getting into sitting by himself, getting around in some way to interact with toys (such as rolling, scooting, or commando crawling on his belly), or bearing weight on his legs. Muscle tone is also an issue...when you pick him up or move him around does he feel loose or tight. If he is not interacting with his environment but only able to see/play with toys placed near him, his cognitive development could become delayed.

 

I would not recommend waiting for a pediatrician to become concerned...yes, there are many great pediatricians but their coursework in child development is limited and they only see the child at intervals for a very short amount of time, many times depending on parental report to form their opinions. I have seen sooooo many kids whose pediatricians never raised a concern who later went on to have major problems that could have been addressed much earlier. (Please don't think I am downing pediatricians, I am not at all. I am just saying they often work on limited information.) I find, where I live, that it is often the parents who first become concerned, then bring it up to the pediatrician and it is often the therapists who are in the home on a regular basis who see the need for specialist consults.

 

You are in a tough position, as a grandmom, especially if the parents are not concerned. I can tell you, from the limited information you have provided, that unless the baby is moving on his belly somehow, bearing weight on his feet, and getting into sitting, he will most likely qualify for early intervention services in your state. Whether or not everything will change in the next 2-3 months...no one knows...there are no crystal balls. But in the event that he doesn't quickly get it all together and catch up, it would benefit him to start services now rather than wait until he is a year old and not doing all those things.

 

As far as the weight goes...if he is growing along a curve...even if it is his own curve under the normal curve, it is probably not a problem. (The pediatrician would be the best one to address this.) The low weight plus developmental delays however could indicate failure to thrive or some other issue. I had two kids who were 17lb at a year but developing normally so their low weight...which is still pretty low (13yo is 80lb and 6.5yo is 38lb)...was never a concern.

 

If you have any other questions feel free to PM me.

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How big are the parents? Is he following the growth curve or falling off? How about head size? Is that following the same path as well?

 

Personally, I don't think it would hurt to have him checked out again. Early intervention can be very helpful. Being small is not a huge concern, some delays are not a big deal but when you have a very small baby with delays, I think that a visit to a developmental pediatrician might be in order.

 

Do you see anything else concerning? Floppy or high tone? Vision/hearing concerns? Social interaction?

 

What diet is he on?

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I have a friend with a very small baby. I was worried, but she brushed it off. He was tiny, not crawling or walking at almost a year. He did play with toys, and interacted with people.

 

Then about a month after his first birthday he got up and walked. He is still a skinny little thing, but gaining. Just slowly.

 

He does have an older brother, about 13, who is a petite (is that the right word for a boy?) young man. So it does run in their family.

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If the baby is being followed by a ped and went to the 9 month checkup - I wouldn't worry about it.

 

My 7yo was 8 pounds at birth. He grew normally - at 6 months he was almost 16 pounds. At 9 months, he was...almost 16 pounds.

 

It was downhill from there - the lactation consultant told me to feed him bread with real butter to get him to gain weight. He lost more. He was hospitalized twice, tube fed, and at one point on more than 1100 calories a day and STILL losing weight.

 

At the same time, he was having 10 bowel movements a day and most of the time it was within 30 minutes of eating and in the same form it went in.

 

It wasn't until I put him on a gluten free diet that he stopped losing weight. He spent 6 months on a liquid (PediaSure) diet before he was better. There was never a definitive diagnosis (he eats gluten now without digestive issues.)

 

I wasn't worried at first - I figured he was just smaller and he would be fine. He wasn't, and without intervention he wouldn't be here today. He does have long lasting consequences of this (he has severe learning disabilities.)

 

I am telling you all this not to scare you, but as a sort-of warning. He had a VERY good ped who saw him every morning for months (Even on his days off!) He seemed fine developmentally. When things started downhill, it went down hill FAST!

 

Just make sure that mom is taking the baby to the ped. Staying on a much slower growth curve is one thing, but watch for a baby who falls off of his curve!

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I wouldn't be concerned about his weight as long as he IS growing, and as long as he is eating/ nursing. (assuming that dr is not concerned) I would be concerned if he LOST weight.

 

The crawling thing..... well, *I* would be concerned, but I'm neurotic. However, I have worked in preschools and day care centers and have seen quite a few 10 month olds who are not crawling. There seems to be a huge diversity; you have the 10 month olds who are practically running and those who still stay where you put them.

 

Does he attempt to pull up? Does he support his weight if placed in upright position (like, on a couch or against a chair or in a lap holding onto fingers)? How does he respond when he is placed on his tummy?

 

I would encourage a lot of tummy time. I would probably start doing Itsy Bitsy Yoga with him and infant massage. I'd do baby sit ups (lay him on back and pull him to sit and then stand when he holds onto my fingers). I'd put him on his tummy and at least experiment with how he experiments if one leg at a time is pushed to knees, to sort of push through crawling. But, while I would be watchful (and I'm neurotic enough that I might call early intervention to have a PT take a look at him for my own peace of mind), I wouldn't be alarmed yet.

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Wow! I left for the day and came back. I am surprised at all the responses! Very helpful stuff in here:). Thanks so much.

 

At 8 mos. we noticed he began to lose weight. Well, not so much lose weight, but he was growing longer and not getting heavier. Dil took him to the ped. At this point baby refused to eat; he would only take the breast. The ped said to make him eat. Dil and ds prayed and baby ate. Dil gives him cereal with formula in the morning, bananas with avacado and olive oil, sweet potatoes, and I'm not sure what else. He loves mashed potatoes! He has regained the lost weight, but obviously still small. My dil is only 4'10", though, and has a hard time gaining weight herself.

 

When baby lies on his belly, he can only lift himself up with his arms. He doesn't make any crawling attempts on knees, belly, or otherwise. When he is sat on the floor, he stays where he is. He does reach for toys, but doesn't make an attempt to go after toys beyond his reach. He will place weight on his legs if you stand him up. If placed in a standing position, he will take little steps while you hold him. However, he doesn't have a lot of muscle.

 

I am going to try to find a tactful way to express my concerns. He is probably fine, but I don't want to assume that and be sorry. kwim? Any ideas on what to say. What would you receive from your parents?

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that even though the baby weighed 6.5 at birth, it probably lost weight before it started gaining. Yes, doubling at 6 months is desired (mine doubled much quicker, but then slowed down).

 

I think if the baby is wetting diapers, pooping regularly, getting enough calories and is mentally as progressed as you are saying, it is probably just fine. I'm sure the doctor would refer them if he felt real concern.

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Wow! I left for the day and came back. I am surprised at all the responses! Very helpful stuff in here:). Thanks so much.

 

At 8 mos. we noticed he began to lose weight. Well, not so much lose weight, but he was growing longer and not getting heavier. Dil took him to the ped. At this point baby refused to eat; he would only take the breast. The ped said to make him eat. Dil and ds prayed and baby ate. Dil gives him cereal with formula in the morning, bananas with avacado and olive oil, sweet potatoes, and I'm not sure what else. He loves mashed potatoes! He has regained the lost weight, but obviously still small. My dil is only 4'10", though, and has a hard time gaining weight herself.

 

When baby lies on his belly, he can only lift himself up with his arms. He doesn't make any crawling attempts on knees, belly, or otherwise. When he is sat on the floor, he stays where he is. He does reach for toys, but doesn't make an attempt to go after toys beyond his reach. He will place weight on his legs if you stand him up. If placed in a standing position, he will take little steps while you hold him. However, he doesn't have a lot of muscle.

 

I am going to try to find a tactful way to express my concerns. He is probably fine, but I don't want to assume that and be sorry. kwim? Any ideas on what to say. What would you receive from your parents?

So, my question is still this: do his parents use a walker or an infant seat or one of those "jolly jumper" things? Sometimes those gizmos do interfere with normal development.

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Wow! I left for the day and came back. I am surprised at all the responses! Very helpful stuff in here:). Thanks so much.

 

At 8 mos. we noticed he began to lose weight. Well, not so much lose weight, but he was growing longer and not getting heavier. Dil took him to the ped. At this point baby refused to eat; he would only take the breast. The ped said to make him eat. Dil and ds prayed and baby ate. Dil gives him cereal with formula in the morning, bananas with avacado and olive oil, sweet potatoes, and I'm not sure what else. He loves mashed potatoes! He has regained the lost weight, but obviously still small. My dil is only 4'10", though, and has a hard time gaining weight herself.

 

When baby lies on his belly, he can only lift himself up with his arms. He doesn't make any crawling attempts on knees, belly, or otherwise. When he is sat on the floor, he stays where he is. He does reach for toys, but doesn't make an attempt to go after toys beyond his reach. He will place weight on his legs if you stand him up. If placed in a standing position, he will take little steps while you hold him. However, he doesn't have a lot of muscle.

 

I am going to try to find a tactful way to express my concerns. He is probably fine, but I don't want to assume that and be sorry. kwim? Any ideas on what to say. What would you receive from your parents?

 

It is so true that there are many kids who never crawled, kids who were fine after a slower than average start, etc... My problem with just assuming the baby will be fine because other children were fine is that there are babies out there who don't turn out to be just fine. Having him assessed by a professional is the only way to know if he is fine. Even if he just needs a therapy for a very short time, it would be better to act now than wait. According to the things you've provided, he is doing those thing typical of a 5-6 month old.

 

I generally expect a 6 month old to be able to assist with his arms and lead with his head when pulled to sit, pivot in circles to get a toy when on his belly, be able to prop on his belly lifting his chest and upper belly off the floor, sit well when placed, bring his feet to his mouth, and bear weight on his legs. There are other things I look at like muscle tone, strength, balance reactions, etc... but I couldn't easily explain them to you.

 

You could possibly obtain some information about Early Intervention in your state. Here, they have handouts for parents with "What your baby should be able to do" at certain age levels. Many times people only see/hear what they are ready to see/hear so I would approach it very gently and in a non-accusatory/confrontational way. Maybe "there was a woman on an internet board" or "I had a friend whose" child was a lot like ? and they had him assessed through Early Intervention?

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Was he more on target before 6 months or so? Could he have some food allergies/intolerances when she started adding food?

 

His development sounds much like my 12dd's--although she was a better weight---likely due to the steroids she was on for asthma. Anyway, she sat at 9 months, crawled at 12 months, walked at 18 months. She didn't have great muscle tone/strength. She was diagnosed with very mild CP.

 

Now at 12 she is doing very well. It took her longer to learn to ride a bike and she doesn't have quite the coordination for sports that most kids her age have. Her endurance isn't great either but the casual observer wouldn't notice.

 

I would see if they would consider seeing the Early On people (from the Health Department) or seeing a developmental pediatrician. Early intervention can make a big difference for some of these kids.

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I have a low-weight baby. He's almost 2 now, and weighed about 23lbs at 21mo. visit. He was a healthly 8lb 11oz at birth, but within a few months dropped down to the 6th percentile, and then the 3rd percentile, where he's stayed. My DH and I are above average height and average weight, as are our other kids.

 

My DS2 had serious constipation issues, didn't walk crawl (and at that it was more of a scootch) until about 13 or 14mo., and didn't walk until about 15 or 16 mo. (I'm told that 18 months and still not walking is when pediatricians will often send the child off to a specialist). We also had noticed he had hypotonia at about, hm,maybe around 6 months. (This is when the muscles aren't as reactive as they should be. Wwe noticed this first during Dr. visits when you pull a baby forward from a lying position by it's arms at that age, they should offer some resistance and help pull up a little bit with their own strength (like a little sit-up). My DS didn't, he just flopped back completely, in the arms and in the neck.)

 

In my concern, we brought him to a pediatric neurosurgeon (per pediatrician's request) at about 14 months. She checked him for all sorts of "weird" possibilities. I can't remember what they were, but all were very rare but very serious. They checked certain reflexes, certain physical measurements, and a few blood tests, etc. If any had come back positive, it would have been an indicator of certain disorders. But all of these were fine, along with the fact that he was meeting normal milestones otherwise (his vocabulary, his eye contact, etc.) So she said we would just watch it and not worry for now.

 

Well, right around the time he DID start to walk (15/16 mo.), many of these problems went away! It was wonderful! Within the first week of him walking, his constipation issues subsided. Apparently the movement helped his digestive system move things along. His other muscles began to develp more since he was more active, and things started to fall into place. He still is a very lightweight child, but healthy, active and normal in most ways. We watch to make sure he's staying on the growth curve (even though it IS at the 3% mark!), and have to go get weighed every 3 months instead of 6 as most kids do at this age. But all is well.

 

So, I would advise that if you are able, ask your kids to bring DGS to a specialist to eliminate all the big bad possibilities? Then your mind will rest easy. Maybe do a little Internet research to show then why you are concerned. The biggest issue sticking out in my mind is the thyroid one. Signs of a thyroid problem include, slow digestion, hypotonia, and slow growth. (all of my DS's symptoms) A simple and quick blood test can show if thyroid function is OK. BUT, if it IS a problem and untreated, permanent brain damage can occur, or worse. Anyway, my point is, no reason to no eliminiate it as an issue, right?

 

OK, i'm rambling now, but just thought I'd share my experience. Hope you DGS is well and that you can stop worrying (do we ever?? hee hee!)

 

Hang in there - Stacey in MA

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I don't know about the weight issue, but fwiw, my firstborn never crawled. She sat up, swished her legs back and forth to get around & finally started walking at 18 months. Now, she is a very bright & healthy 11 year old.

 

Same story here - no crawling; walked at 14 months. But not underweight - quite the opposite! (Fat baby!):)

 

I agree with other posters - if they're doing the dr. check-ups, and dr's not concerned, I wouldn't be either at this point.

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My grandbaby is 10mo. old and weighs 13 1/2 lbs. He seems fine mentally, is bright eyed and happy, but hasn't crawled. He eats normal, I think, but still doesn't seem to be growing properly. The parents (my kids, of course) think he is fine and says their doctor has said he'll watch it. I think I may be over reacting, but I am concerned. Has anyone else had an underweight 10mo. old (and I mean this underweight) that isn't crawling. He does sits up, but not from a crawling position as he doesn't get up on his knees. He sits alone when sat on the floor. He plays peek-a-boo and waves bye-bye. AND...is cute as can be.:D

 

I haven't stated my concerns to my kids because, well, they are the parents, and I don't want to be causing them undo concern, but as a grandma I'd like to hear he is okay. kwim.

 

 

All my babies were thin, like their dad was when he was a baby. I was more average sized as a baby, but skinny as a child (I mean skinny in the 1960s, not by today's standards--knobby knees and ribs showing, but healthy as a horse). I had one dc who didn't crawl until he was a year, but he had low muscle tone. Early Intervention was helpful. The MD suggested it when he was 9 months, but I asked to wait until he was a year, and the MD agreed. However, ds wasn't sitting up on his own yet, either. Mostly the OT facilitated ds's learning, and by 2.5 he had amazingly good balance for his age, so he improved. If the doctor and the parent's aren't concerned, I wouldn't be as there are many different healthy developmental curves.

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See, I think the pediatrician gave really awful advice on insisting that he eat.

 

Before a year, a child's primary food source should be breast milk or formula. It has the greatest concentration of nutrients. It's what babies NEED.

 

Food, for infants, in my experience and research, is for practice and recreational purposes only. If a baby wants to eat solids, that's fine and great. But solids should never be at the expense of breast milk or formula. That is the priority.

 

The things you are describing concern me. He does sound developmentally delayed, although it may be mild.

 

What I have said in similar circumstances is, "You know, it seems like he's not moving around as much as he should be at his age. Did you know you can call the infant/ toddler intervention people and they'll come out and do an evaluation? It's a win-win situation. It's free; it's fun for the baby, and it's cool to watch! If they find a problem, you get good therapy early on at an age that greatly increases the likelihood of fixing the problem. And if it's not a problem, that's great! You know it, and you don't have to worry and you can tell everyone who asks if he's crawling yet not to worry. But pediatricians often don't have much training in child development, ironically. Here's the number, if you want it. But as a neurotic Grandma, it would make ME feel better to have the a-ok from a pediatric physical therapist."

 

My older daughter received speech and OT from early intervention. I LOVED it. The speech therapist and I became good friends, and because of the intervention so early in her life, she was caught up to age level by the time she was two and ahead by two and a half. There is no question in my life that had she not received that therapy, the outcome would have been MUCH more serious.

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