Is my child normal? Milestones and red flags for referral

Frank Oberklaid1, Kim Drever

  • 1Centre for Community Child Health, Royal Children's Hospital, Melbourne, Victoria. frank.oberklaid@rch.org.au

Australian Family Physician
|September 7, 2011
PubMed

Insights

Early detection of developmental problems in children is crucial for lifelong health. A comprehensive approach called developmental surveillance, incorporating parental concerns and skilled observation, is recommended over traditional methods.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Primary Care Medicine

Background:

  • Developmental problems in young children are prevalent and can have lasting effects on health and well-being.
  • Early identification of these issues enables timely intervention, potentially altering a child's developmental path and maximizing their potential.

Purpose of the Study:

  • To advocate for a comprehensive developmental surveillance model.
  • To propose this broader concept as a replacement for traditional early detection methods like milestone checklists, parent recall, screening tests, and clinical judgment.

Main Methods:

  • Developmental surveillance integrates eliciting parental concerns.
  • It includes skilled observation of the child's development.
  • It provides age-appropriate guidance on health and development to parents.

Main Results:

  • General practitioners and other professionals in close contact with children are well-positioned for monitoring development.
  • These professionals can detect problems early and intervene to optimize child development.
  • Standardized tools can aid general practitioners in gathering parental concerns and informing clinical decisions.

Conclusions:

  • Developmental surveillance offers a more effective approach to early detection and intervention for childhood developmental problems.
  • This method supports optimizing child development, promoting long-term health, and enhancing overall well-being.
  • It empowers healthcare professionals to provide targeted support based on child's needs and parental input.
Abstract

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