Newborn
During the first month of life most babies behaviour is automatic or reflexive. Reflexes are involuntary movements or actions. Babies will put more thought into their actions as their nervous system develops. Reflexes help identify normal brain and nerve activity. The following are some of the normal reflexes seen in newborn babies:
Rooting Reflex
This reflex ensures the baby can find and get food. Rooting helps the baby become ready to suck.
- Stroke or touch newborn on either side of cheek
- Baby turns to find breast to begin feeding
- Rooting begins to fade around 4 months
Sucking reflex
This reflex does not begin until about the 32 weeks gestation and is not fully developed until about 36 weeks. Premature babies may have a weak or immature sucking ability because of this. There are two stages to the action:
- Expression: activated when the nipple is placed between a newborn's lips and touches their palate. The baby will instinctively press the nipple between their tongue and palate.
- Milking: The tongue moves from areola to nipple, coaxing milk from the breast
Moro Reflex (Startle Reflex)
For most parents this is the most noticeable reflex their newborn exhibits.
- The stimulus is a sharp, loud noise or a sudden loss of support for the baby.
- Baby throws back their head, extends out the arms and legs, grimaces, then pulls the arms and legs back in
- A baby's own cry can startle them and begin this reflex
Palmer Grasp reflex
This reflex only lasts for a few months and is stronger in preterm babies. The grip is strong but unpredictable; though it may be able to support the child's weight, they may also release their grip suddenly and without warning.
- When an object is placed in the newborn's hand and strokes their palm, the fingers will close and they will grasp it.
- The reverse motion can be induced by stroking the back or side of the hand.
0-3 months
Babies between 0-3 months begin the transformation from a totally dependant newborn to an active responsive baby.
Cognitive development
- Begins to hold and play with small toys
- Shows interest in own hands
- Responds to sounds
- Looks from one object to another
Social and emotional development
- Enjoys a lot of physical contact and tactile stimulation
- Relaxes and tends to stop crying when picked up
- Smiles
- Recognises their parents
- Shows anticipatory excitement e.g. when a bottle-fed baby sees a bottle at feed time
- Responds to sounds
- Cries in varied pitch, length and volume to communicate different needs, such as hunger or fatigue
- Begins to babble, coo and repeat a string of the same sounds
- Shows interest in faces
- Watches your eyes and mouth when you speak
- Shows active interest in a person or object for at least one minute
- Imitates some movements and facial expressions
Gross motor development
- Holds head up for short periods while lying on stomach
- Lifts head when held at shoulder
- Kicks both legs equally and reciprocally when lying on back
- Rolls from side to side when lying on back
Fine motor development
- Makes jerky arm movements
3-6 months
Babies learn to co-ordinate their new percpective abilities including vision, touch and hearing.
Cognitive development
- Explores objects with their hands and mouth
- Reaches for a nearby object and grasps
- Responds to a rattle or a bell
- Traces the source of a sound with their eyes
- Recognises familiar people and objects
Social and emotional development
- Laughs in response to pleasurable interaction
- Turns towards sounds and voices
- Babbles regularly, using rhythms and inflections
- Differentiates between familiar people and strangers
- Shows curiosity when presented with new objects and sensations
Gross motor development
- Kicks and straightens legs when on back
- Plays with own hands and feet
- Lifts and holds head up high when on their stomach
- Bears weight on hands when on their stomach
- Rotates in a circular direction when lying on their stomach
- Sits with support and is able to hold their head steady
- Bears almost all weight on legs, with adult support
Fine motor development
- Reaches and grasps an object (raking grasp)
- Shakes a rattle
- Recovers an object they dropped if it is in reach
- Holds an object with both hands