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Red Flags

“Red Flags” are essentially warning signs that an aspect of your child’s development may warrant a referral to a specialist.


•  No babbling by 9 months
  No first words by 15 months
  No consistent words by 18 months
  No word combinations by 24 months
   Slowed or stagnant speech development
  Problems understanding your child’s speech at 24 months of age; strangers having problems understanding your child’s speech by 36 months of age
  Not showing an interest in communicating

Also, talk to your health professional anytime you or another caregiver has concerns about your child’s speech and language development or other problem that affects your child’s speech or understanding of language, such as:

•  Excessive drooling.
  Problems sucking, chewing, or swallowing
  Problems with control and coordination of lips, tongue, and jaw
•  Stuttering that causes a child embarrassment, frustration, or difficulty with peers.
  Poor memory skills by the time your child reaches kindergarten age (5 to 6 years)
  He or she may have difficulty learning colors, numbers, shapes, or the alphabet

other communication “red flags” include:

  Failure to respond normally, such as not responding when spoken to. This may include signs that the child does not hear well, such as not reacting to loud noises
  A sudden loss of speech and language skills. Loss of abilities at any age should be addressed immediately
  Not speaking clearly or well by age 3

Developed by Healthwise Staff. Primary Medical Review: Susan C Kim, MD-Pediatrics. Specialist Medical Reviewer: Louis Pellegrino, MD- Developmental Pediatrics. 12/2010. http://www.webmd.com/parenting/tc/speech-and-language-development-red-flags-topic-overview