Your Baby is: 30 Months Old

Guiding their Journey: Neurodevelopment at 30 Months Old

We understand that waiting to see how your child’s development unfolds can be both challenging and filled with hope. At this point in your child’s developmental journey, you may begin wondering how you will continue to work with healthcare providers to guide your child’s journey and determine the next steps to support his or her unique path of growth and success.

As always, we are here to provide you with the tools you need to know and understand how to navigate this journey, no matter where it takes you.

30 Month Visits

Neurodevelopment

Support

Developmental Resources

30 Month Visits

During this period, you may have scheduled visits with healthcare providers specializing in monitoring and supporting your child’s development. These visits play a crucial role in assessing their progress and addressing any concerns you may have.

Your medical and early intervention teams can help navigate you through the next course of support for your child, whether that's a new support program, a special education service, or therapy provided within a school setting, usually for ages 3-5.

Before Your Visit
During Your Visit
After Your Visit

Know Before You Go

One of the hardest parts of this journey of unknowns is knowing what questions you may want to ask or things you "should" be doing. Here are a few different questions to think about as you prepare for a 30-month visit with either your child's medical team:

Development

If applicable, collect information (therapy reports or daycare concerns) to bring to this appointment.

What is typical or atypical about my child's development in [area]?

What are the short or long-term impacts in this developmental area?

Do we need to worry about other neurodevelopmental disabilities (such as Autism)?

I'm finding it surprising that...

I am worried that...

Feeding

My child is having trouble with (fill in the feeding concern.)

What are the appropriate next steps?

Seizure Risk

What do they look like? How should I report concerning movements?

What type of seizures (if any) is my child at risk for?

Is there a need for future EEG/MRI?

What should I know about anti-seizure medications?

Take Your Time

Clinical visits can be overwhelming - whether you have to travel far, you may be understandably nervous, anxious, or worried about your baby and their development. Know that your child's team is there to help you and your child. It's okay to ask for clarification on how to reach your team in between appointments and their concerns, as well as time to process new information or to repeat information you've heard.

History

This is how your provider gets to know you and your child!

The provider will ask you questions about interval development, feeding, abnormal movements, and any major changes since you were last seen.

Exam

The provider will perform a thorough neurologic exam and will look for expected vs. atypical findings in the developmental areas listed below.

Debrief

The provider will review and discuss findings from the neurologic exam.

Next Steps

The provider will leave time for you to ask questions, discuss your concerns, and celebrate victories.

Ask about next steps: recommended therapies, early interventions, equipment needs, and recommended educational resources.

Back Home & Next Steps

You've made it through the visit, and you may feel many ways - relief, sadness, frustration, confusion, hope, joy... some, all, or none of the above! It's very normal to feel like you forgot to ask certain questions, and this is the time when, in between appointments, you can feel once again like you're back in the wild. You're NEVER alone. We have some tips below, and we are always here to provide support.

Follow-Up

Ask for clarification on the follow-up schedule with the provider (this may vary depending on the provider.)

Create appointments for the referred or recommended therapies and early interventions.

Monitor

Take notes and videos, or monitor your child’s progress to share with your provider, therapy, or early intervention specialists.

Monitor for seizures, loss of skills, or lack of developmental progress.

Seek Resources

The provider will give "anticipatory guidance," including milestones to focus on, what to expect, what to look out for, and when to call.
Anticipate discussion around transition to school-based therapy /IEP / early childhood education at three years of age.

30-Month Know-Before-You-Go Guide

Neurodevelopmental Guide: 30 Months Old

Many families wonder what is typical and what may be considered a concern in their child's development. We've worked to try to break down this information into easy-to-understand tools that you can use to learn more and build better relationships with your child's team.

The neurodevelopmental guide below shares the following:

Neurotypical expectations: What the average nine-month-old is typically expected to be doing from a development perspective

Clinical notes: These are findings that may be outside of those expectations

Recommended interventions: These are things that can be worked on either at home, with early intervention therapies, or by referrals to additional specialists or team members who may address certain areas of concern.

Clinical Exam

In addition to the above developmental areas, the clinician/provider will also give your toddler a clinical exam from head to toe and everything in between! They look for specific markers in growth and development during this part of the visit.

30-Month Neurodevelopmental Guide

Developmental Resources

Everyone has their favorite resources, and these come recommended by our Medical Advisory Board, Staff, and Community of Families:

Disclaimers:

If at any point the child has signs or symptoms more than expected for the course, then additional workup may be recommended.
This information does not substitute the guidance and recommendations of your healthcare provider.
This information is general and not personalized medical advice; for specific concerns, please reach out to your healthcare provider.
The development presented is based on typical developmental milestones based on normative data, CDC / AAP (2022). Your provider may use a subset or a different developmental screening, too.