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Here - Health Promotion Agency

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How your child will grow<br />

You should also talk to your health<br />

visitor or GP if, after the age of two,<br />

your baby’s height curve does not<br />

follow a centile line or starts to veer<br />

upwards or downwards from it.<br />

GENERAL DEVELOPMENT<br />

Some health visitors may ask your<br />

child to do little tasks, such as<br />

building with blocks or identifying<br />

pictures. Others may simply watch<br />

your child playing or drawing, and<br />

get an idea from this observation,<br />

and your comments, of how your<br />

child is doing. If you look at the<br />

development chart on page 31, you’ll<br />

have an idea of the kind of physical<br />

and verbal skills they’re looking for.<br />

If your child seems slow in one<br />

particular area of development,<br />

you’ll have the opportunity to<br />

discuss what the reason may be, and<br />

whether anything useful needs to be<br />

done to speed things up.<br />

EYESIGHT<br />

A baby should be able to see from<br />

birth. Eyesight develops gradually<br />

over the next six months.<br />

By the first review, you’ll have<br />

noticed whether or not your baby can<br />

follow a colourful object held about<br />

20 cm (8 in) away with his or her<br />

eyes. If this isn’t happening you<br />

should mention it.<br />

At birth a baby’s eyes may roll away<br />

from each other occasionally. If a baby<br />

is squinting all, or much, of the time,<br />

tell your health visitor and your GP.<br />

If your baby is squinting, you’ll need<br />

to be referred to an orthoptist or<br />

ophthalmologist who specialises in<br />

understanding children’s eyes.<br />

It is important that any vision<br />

problems are identified as soon as<br />

possible, particularly if your child has<br />

any other disability (cerebral palsy or<br />

Down’s syndrome) as visual<br />

impairment can cause serious<br />

educational and social difficulties.<br />

Children themselves may not know<br />

that their vision is impaired. Eye<br />

examinations are available free of<br />

charge to all children under 16 years<br />

of age, and they do not have to be<br />

able to read to have one.<br />

HEARING AND TALKING<br />

Hearing and talking are linked. If<br />

your child can’t hear properly, he or<br />

she will have great difficulty learning<br />

to talk and may need to be taught<br />

other ways of communicating. So<br />

the sooner hearing problems are<br />

discovered the greater the chance<br />

that something can be done.<br />

It isn’t only hearing that is<br />

important though. Babies don’t learn<br />

to talk unless they’re talked to, even<br />

if, at first, the conversation is limited<br />

to making noises at each other. By<br />

learning to take it in turns to make<br />

babbling noises, your baby is learning<br />

what a conversation feels like. Most<br />

parents quite naturally join in<br />

babbling sessions with their babies<br />

and so they’re very often the first<br />

people to notice if there’s a problem.<br />

If you’re ever worried about your<br />

child’s language development, talk to<br />

your GP or health visitor. Your child<br />

may be helped by referral to a<br />

speech and language therapist.<br />

Babies born within areas that are<br />

implementing the newborn hearing<br />

screening programme will be offered<br />

a hearing test within a month of<br />

birth. Alternatively, your baby may<br />

be offered a hearing distraction test<br />

at 6 to 8 months old. For more<br />

information on screening, go to page<br />

5. If there’s no apparent problem, but<br />

you’re still worried, ask for another<br />

appointment. If a problem is found,<br />

your baby will need to have a<br />

follow-up assessment because hearing<br />

loss may be temporary due to a cold<br />

or a passing infection.<br />

If your child doesn’t seem to hear<br />

properly at the second appointment,<br />

or you are still worried, ask for a<br />

referral to a specialist.<br />

TIPS FOR HELPING YOUR<br />

CHILD LEARN TO TALK<br />

•<br />

Start talking to your child<br />

right from birth – say<br />

what you are doing<br />

about the house, e.g. when<br />

unpacking shopping.<br />

• Start looking at books with<br />

your baby from an early age.<br />

• Point things out when going<br />

for a walk, e.g. ‘There’s a<br />

bus, the bus is red.’<br />

• Have fun singing nursery<br />

rhymes and songs, especially<br />

those with actions.<br />

• Encourage your child to<br />

listen to different sounds.<br />

• Gain your child’s<br />

attention when you<br />

want to talk together.<br />

• Increase vocabulary by<br />

giving choices, e.g. ‘Do<br />

you want an apple or<br />

a banana?’<br />

• Give your child<br />

opportunities to talk.<br />

• Don’t have the television<br />

on as a background noise.<br />

• If your child says something<br />

incorrectly, say it back the<br />

right way. Do not make<br />

your child repeat it.<br />

BILINGUAL CHILDREN<br />

Many children grow up in a<br />

family in which more than<br />

one language is spoken. It can<br />

give children a good head start<br />

and they don’t usually have<br />

problems. The important<br />

thing is to talk to your child<br />

in whatever language feels<br />

comfortable to you. This may<br />

mean one parent using one<br />

language and the other using<br />

another. Children usually<br />

adapt to this very well.<br />

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