Deviations from Typical Developmental Trajectories Detectable at 9 Months of Age in Low Risk Children Later Diagnosed

Michael Davidovitch1, Nataly Stein2, Gideon Koren3,4

  • 1Department of Child Development, Medical Division, Maccabi Healthcare Services, 27 Hamered St., 6812509, Tel Aviv, Israel. davidom@netvision.net.il.

Insights

Autism Spectrum Disorder (ASD) may be detected by 9 months of age. Early milestone delays in communication and motor skills during well-child checkups can signal the need for further evaluation and intervention.

Area of Science:

  • Developmental Pediatrics
  • Neurodevelopmental Disorders
  • Early Childhood Intervention

Background:

  • Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition.
  • Early identification and intervention are crucial for improving outcomes in children with ASD.
  • Routine Well Care checkups offer opportunities for developmental screening.

Purpose of the Study:

  • To track the developmental trajectory of infants later diagnosed with ASD during the first 24 months of life.
  • To identify early deviations in developmental milestones during routine Well Care checkups.
  • To compare developmental achievements of infants with ASD to typically developing children and those with other developmental impairments.

Main Methods:

  • Longitudinal study of 335 low-risk infants.
  • Tracking developmental milestones during the first 24 months of life.
  • Comparison with typically developing children and children with non-autistic developmental impairments.

Main Results:

  • Infants later diagnosed with ASD showed normal milestone acquisition in the first 6 months.
  • By 9 months of age, infants with ASD began to show delays in language/communication and motor skills.
  • These delays were significant when compared to both typically developing and non-autistic delayed children.

Conclusions:

  • Routine Well Care checkups can be effective in identifying early signs of developmental delay in infants.
  • Failure to achieve specific milestones by 9 months may indicate a need for further ASD evaluation.
  • Earlier detection through regular checkups can facilitate timely referral for diagnosis and treatment.

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