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Delayed development
Hello Doctor,
My baby was born full-term on 27 September 2025 with a birth weight of 3 kg. He is now around 10 months old and weighs 9.5 kg. He is breastfed and also eats solid food well (about half a bowl twice a day).
I am concerned about his motor development. He can roll over on his own, crawls very fast on his tummy (army crawling), bears weight on his legs when supported, and can sit only for about 2–4 minutes without support before losing balance. He is not yet getting into the hands-and-knees crawling position and is not crawling on all fours. He also cannot stand without support.
His other developmental milestones seem good. He smiles, makes good eye contact, responds to his name, understands simple interactions, says sounds like "mama" and "papa," claps, and holds toys well with both hands.
Could you please advise:
1. Does this suggest an isolated motor developmental delay?
2. What could be the possible causes?
3. Which investigations do you recommend (ultrasound, MRI, ,
Answers (4)
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Mild delay in motor milestones
Early intervention is needed
Consult pediatrician/ developmental pediatrician
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There is delay in motor milestones from your history and needs detailed examination. Consult your paediatrician.
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Greetings
The overall growth, social, communication, and fine motor skills are reassuring, but independent sitting and crawling on all fours should typical develop by 10 months.
This clinical presentation suggests a mild gross motor delay rather than a global developmental delay.
Possible causes include benign muscle hypotonia, mild motor dyspraxia, environmental factors, or underlying neurological/neuromuscular conditions.
A formal clinical evaluation, including a detailed physical exam, neurological assessment, and developmental scoring, is recommended first.
Routine neuroimaging like ultrasound or MRI is not routinely indicated initially unless physical findings indicate focal deficits or regression.
Early intervention through targeted physical therapy and structured floor play is advised to support motor progression.
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Needs detailed history and examination.
Kindly consult with a pediatrician nearby
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.