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The Wonder Years

Helping Your Baby and Young Child Successfully Negotiate The Major Developmental Milestones

Written by American Academy Of PediatricsAuthor Alerts:  Random House will alert you to new works by American Academy Of Pediatrics
Edited by Tanya Remer AltmannAuthor Alerts:  Random House will alert you to new works by Tanya Remer Altmann


List Price: $13.99


On Sale: September 23, 2009
Pages: 224 | ISBN: 978-0-307-49336-1
Published by : Bantam Bantam Dell
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From America’s most trusted pediatric authority comes an indispensable, easy-to-use guide to helping your baby and young child flourish in the first five years of life—physically, mentally, and emotionally.

The first five years of a child’s life are filled with major developmental and behavioral milestones. During this period your infant becomes an individual who has mastered a range of skills—from walking to making conversation–that prepares him or her to enter the world beyond home and family. For parents, this wondrous time provides an opportunity to help children fulfill their potential. The Wonder Years shows you how to make the most of it.

Written in the same warm and accessible language that has endeared the Academy’s bestselling Caring for Your Baby and Young Child: Birth to Age 5 to millions of parents for over fifteen years, this doctor-approved resource features a variety of fun-filled activities, tips, and hints, and offers the most dependable, authoritative, up-to-date information on child development, including:

• Ideal patterns of growth at every stage—and normal variances
• Parent-child activities that help you monitor and promote your
child’s development
• Easy ways to create an enriching home environment
• A “behind-the-scenes” look at what’s going on in your
child’s developing brain
• Information on aiding children with special needs–from ADHD, autism,
and learning disabilities to those who are gifted
• Advice on consulting specialists, including nutritionists, occupational therapists, and counselors
• Tips on safety and injury prevention
• How factors like birth order and gender impact development

With five hundred full-color photographs and illustrations, developmental time lines, charts, and graphs, this family-friendly book is the definitive guide no parent or caregiver can afford to be without.

From the Hardcover edition.


Chapter One

Understanding the Stages

Motor Skills are those that require the coordinated movement of a muscle or a group of muscles. Gross motor movements are the large movements of the limbs and body, which are associated with crawling, running, and jumping. Initially, however, they are required to support your baby’s body—enabling her to hold her head up steadily and sit without support–rather than moving it.

Gross motor skills depend on the strength of the large muscles that support and move the neck, back, arms, shoulders and legs. In addition, the brain has to mature so that it is able to send the appropriate messages to these muscles. Fine motor skills also rely on muscle strength and messages from the brain but they produce more delicate movements, such as picking up a small object with the finger and thumb.

In early life, the parts of the brain that control ad coordinate movement are immature. They gradually develop in a head-to-toe sequence, starting with the area responsible for controlling the movements of the head and neck, followed by the area that controls the movements of the arms and trunk, and finally the part that controls the movements of the legs. This sequence development is illustrated in the milestones, head control in achieved before sitting, which is in turn learned before walking.

What happens

For a new skill to be learned, nerve pathways are laid down and the corresponding muscles are strengthened so that they can respond to the nerve impulses and produce the required movement. Motor skills are very complex; in addition to nerve pathways and muscle strength they require coordination of the muscles involved and balance. All of these are developed and reinforced through practice.

Both gross motor and fine motor skills develop throughout childhood; many activities require the two types of movements to occur at the same time.

The sequence of events

As with the other aspects of development, the stages of movement generally follow a recognized pattern, the achievement of one milestone forming the building block on which the next is built. The early movement milestones do not actually enable a baby to move from one place to another, but rather form the foundation for the more complex movements to come like rolling over and later walking. Achieving good head control, the first major movement milestone, is needed for all other movements to occur. As with the other milestones, it is achieved through trying to do it again and again but it can be helped along by the right environment and activities.

Aiding your child’s progress

There are many things you can do to encourage gross motor achievements and share your child’s joy as she progresses from rolling over for the first time to crawling, walking and later running.

Look at the way your baby moves and find activities that use these movements. Vary the activities frequently as babies and toddlers have short attention spans.

Never push you child to learn but rather provide an environment that nurtures her development. Take her lead—she will soon let you know what she can manage and what needs to wait. Make her surroundings interesting and challenging, so that they encourage her to be active and to practice her skills. Always praise her efforts whether she succeeds or fails.

Seeking Advice

As we have said before, every child is different and there can be a marked variation in the timing of the acquisition of skills from child-to-child. This variation is determined by a number of factors, two of the main ones being the time the parents achieved their milestones, and the opportunities given to practice a particular activity. Also, it is important to remember that premature babies tend to achieve their milestones later than full-tern babies. In some cases, delayed learning can indicate an underlying problem. Always seek advice from your pediatrician if you have any concerns. Remember, no one knows your child better than you do. Your child’s pediatrician will be happy to see you and check that all is well with your little one.

From the Hardcover edition.
American Academy Of Pediatrics|Tanya Remer Altmann

About American Academy Of Pediatrics

American Academy Of Pediatrics - The Wonder Years
Steven P. Shelov, M.D., M.S., F.A.A.P., pioneered and developed several of the parenting publications for the American Academy of Pediatrics, including Caring for Your Baby and Young Child, The First Year of Life, and A Guide to Your Child’s Symptoms, now published as The Big Book of Symptoms. In 2002, he was presented with the Lifetime Achievement in Education Award by the AAP, its highest award for pediatric education. In 2009, Dr. Shelov received the Clifford G. Grulee Award, recognizing his outstanding service to the AAP. He is currently Professor of Pediatrics at the Stony Brook School of Medicine and Associate Dean for Medical Student Education at the Winthrop University Hospital Clinical Campus of Stony Brook.
The American Academy of Pediatrics is an organization of 62,000 primary care pediatricians, pediatric medical subspecialists, and pediatric specialists dedicated to the health, safety, and well-being of infants, children, adolescents, and young adults.

About Tanya Remer Altmann

Tanya Remer Altmann - The Wonder Years
Tanya Rember Altman MD, FAAP is a board-certified pediatrician in private practice, clinical instructor at UCLA, and a columnist for Los Angeles Family magazine. As an active Fellow of the American Academy of Pediatrics (AAP), she is on the executive board of the section on media and co-chairperson of the media resource team. Dr. Altman has regularly appeared as a medical expert on numerous television programs including Santa Barbara's morning news and Lifetime's "What Should You Do?" She is currently a regular guest on the PBS parenting show "A Place of Our Own" and on the Food Network program, "Take It Off!"

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