Developmental Milestones: What to Expect Month by Month

Developmental milestones are skills and behaviors that most children achieve by a certain age. Understanding these benchmarks — and the wide range of normal — helps parents track their baby's development, recognize early signs of developmental delays, and have productive conversations with their pediatrician.

About the CDC 2022 Developmental Milestones

This guide is based on the CDC's updated Learn the Signs. Act Early. milestone checklists, revised in 2022. The new guidelines reflect what 75% of children achieve by the given age (previously based on 50%), making them a more reliable "minimum baseline" rather than a median estimate. These milestones are checked at well-child visits at 2, 4, 6, 9, 12, 15, 18, and 24 months.

Milestones at 2 Months

Motor

  • Can hold head up briefly when on tummy
  • Moves both arms and legs
  • Opens and closes fists

Language/Communication

  • Makes cooing sounds (vowel sounds)
  • Turns toward sounds
  • Reacts to loud sounds

Social/Emotional

  • Social smile — smiles spontaneously, especially at faces (key 2-month milestone)
  • Starts to look at familiar faces
  • Calms with rocking, holding, or sucking

Cognitive

  • Pays attention to faces
  • Follows objects with eyes
  • Recognizes familiar people at a distance

Milestones at 4 Months

Motor

  • Good head control — holds head steady unsupported
  • Pushes up on arms during tummy time
  • Brings hands to mouth
  • Bats at objects

Language/Communication

  • Coos and babbles (consonant + vowel combinations beginning)
  • Turns head toward sounds
  • Makes sounds when you talk to them

Social/Emotional

  • Smiles spontaneously at people
  • Likes to play with people; cries when playing stops
  • Copies some movements and facial expressions

Milestones at 6 Months

Motor

  • Sits with support — can sit with hands propped forward for balance
  • Rolls from tummy to back and back to tummy
  • Reaches for objects with one hand; passes objects hand to hand
  • Rakes pellet-sized objects (raking grasp)

Language/Communication

  • Babbles with consonants — "ba ba," "da da" (reduplicative babbling)
  • Responds to name being called
  • Uses sounds to express pleasure and displeasure

Social/Emotional

  • Recognizes familiar faces; becomes anxious with strangers
  • Likes to look at self in mirror

Cognitive

  • Looks around for dropped objects
  • Begins to understand cause and effect (shakes rattle to make sound)

Milestones at 9 Months

Motor

  • Sits independently without support
  • Crawling begins for some (range: 7–12 months)
  • Pulls to standing with support
  • Pincer grasp beginning (picking up objects with thumb and finger)

Language/Communication

  • Responds to name (red flag if not present)
  • Understands "no"
  • Uses gestures (waving, clapping)
  • Variegated babbling ("ba-da-ga")

Social/Emotional

  • Stranger anxiety peaks (9–12 months)
  • Looks to caregivers for reassurance in new situations

Cognitive

  • Object permanence developing — will search briefly for hidden objects
  • Explores objects by banging, throwing, shaking

Milestones at 12 Months

Motor

  • Pulls to standing; cruises along furniture
  • First steps for some (range: 9–18 months for walking independently)
  • Refined pincer grasp — picks up small objects precisely

Language/Communication

  • First words appearing ("mama," "dada," "uh-oh")
  • Points to objects of interest
  • Responds to simple verbal requests with gestures

Social/Emotional

  • Separation anxiety peaks
  • Shows objects to caregivers
  • Joint attention — follows caregiver's pointing finger

Milestones at 18 Months

Motor

  • Walking independently (must be present by 18 months — red flag if not walking by this age)
  • Climbs onto chairs and furniture
  • Scribbles spontaneously with crayons
  • Throws ball overhand

Language/Communication

  • Vocabulary of at least 5–10 words
  • Points to body parts when named
  • Follows simple 2-step instructions

Social/Emotional

  • Parallel play — plays alongside but not yet with other children
  • Shows affection toward familiar people
  • Engages in simple pretend play (feeding a doll)

Cognitive

  • Full object permanence — searches for hidden objects
  • Pretend play beginning (cause-and-effect understanding well established)

Milestones at 24 Months (2 Years)

Motor

  • Runs (falls occasionally but fluid running gait)
  • Kicks a ball
  • Climbs furniture independently
  • Stacks 4–6 blocks

Language/Communication

  • Two-word phrases ("more milk," "go away," "daddy shoe")
  • Vocabulary of 50+ words
  • Points to objects in pictures

Social/Emotional

  • Plays alongside and occasionally with other children
  • Parallel and beginning associative play
  • Shows a range of emotions

Wide Range of Normal

Developmental timelines show wide variation in healthy children. Walking, for example, is normal anywhere from 9 to 18 months. The milestones above represent what most children can do by the listed age — not the earliest age at which a skill might appear.

Important factors in interpreting milestones:

  • Correct age for premature babies: Use corrected age until 2–3 years
  • Second languages: Bilingual children may appear to have smaller vocabulary in each language individually — total vocabulary across both languages is what matters
  • Temperament and personality: Cautious children may walk later; social children may talk earlier
  • Birth order: First-born children sometimes talk earlier; younger siblings sometimes walk earlier

Medical disclaimer: This guide presents general developmental milestone information based on CDC 2022 guidelines. Developmental assessment requires a complete clinical evaluation. If you have any concerns about your baby's development, discuss them with your pediatrician promptly. Early intervention services are available and highly effective when developmental delays are identified early.

Milestone Tracking Tools

Frequently Asked Questions

What are the four domains of developmental milestones?

The four developmental domains are: (1) Motor development — both gross motor (rolling, sitting, walking) and fine motor (grasping, pincer grip); (2) Cognitive/adaptive development — problem-solving, object permanence, cause-and-effect understanding; (3) Language/communication — both receptive (understanding) and expressive (babbling, words, phrases); (4) Social/emotional development — bonding, social smile, separation anxiety, play with others.

My baby hasn't rolled over yet at 5 months. Should I be concerned?

Rolling from tummy to back typically happens between 3–5 months, and from back to tummy between 4–6 months. A 5-month-old who has not yet rolled is within the wide range of normal. However, if your baby shows no head control by 4 months, no social smile by 3 months, or no reaching for objects by 6 months, discuss this with your pediatrician. Development varies widely, and a single milestone delay in isolation is usually not cause for alarm.

When should babies say their first words?

Most babies say their first recognizable words (mama, dada, uh-oh) between 10–14 months, though the CDC 2022 guidelines note first words as a milestone by 12 months. By 18 months, most children have a vocabulary of at least 5–10 words. By 24 months, most are saying simple 2-word phrases ("more milk," "daddy go"). Late talkers who understand language well (good receptive language) often catch up. Discuss any speech concerns with your pediatrician.

How are the CDC 2022 milestone guidelines different from previous guidelines?

The CDC updated its developmental milestones in 2022 based on a systematic review of the scientific literature. Key changes include: milestones are now based on what 75% (not 50%) of children achieve by the given age, making them more like "bright-line" indicators; several milestones were shifted to later ages to better reflect when most children actually achieve them; and new milestones were added for cognitive, social-emotional, and language domains.

What are red flag signs that warrant immediate evaluation?

Developmental red flags that warrant prompt pediatric evaluation: no eye contact or social smile by 2 months; no babbling by 12 months; no single words by 16 months; no two-word phrases by 24 months; loss of previously acquired language or social skills at any age; not responding to name by 9 months; not pointing to objects by 14 months; no walking by 18 months. Loss of skills (regression) is always a red flag regardless of age.