Services / Growth & Development
Service 04
Growth & Development
A child's height, weight and milestones tell a story long before problems announce themselves. We read that story — plotted, measured and compared — so that growth is never left to chance.
Why tracking matters
A curve, not a moment.
One weight reading means little. A series of readings — plotted on WHO growth charts — reveals everything. It shows whether a child is following their own healthy path, or quietly drifting off it months before any symptom appears.
The same logic applies to development. Milestones are not a checklist to pass; they are signposts. Noticed early, a delay becomes an opportunity; noticed late, it becomes a struggle.
- Height, weight & head circumference on WHO charts at every visit
- Body-mass-index monitoring from age two — weight problems seen before they grow
- Milestone review across motor, speech, social and cognitive domains
- School-readiness and behavioural screening at appropriate ages
- Clear referral pathway if specialist assessment is ever needed
Every measurement is a conversation about the future.
Milestones at a glance
The first two years, signposted.
Every child develops at their own pace — these are typical ranges, not deadlines. If anything here is missing well past the range, a review is worthwhile.
| Age | Motor | Speech & social |
|---|---|---|
| 0–2 months | Lifts head briefly, kicks legs, follows faces | Startles at sounds, begins to smile socially |
| 3–4 months | Holds head steady, pushes up on forearms | Coos, laughs out loud, watches hands |
| 5–6 months | Rolls over, sits with support, reaches for toys | Babbles with consonants, recognises familiar voices |
| 7–9 months | Sits without support, crawls, pulls to stand | Responds to name, waves bye-bye, stranger awareness |
| 10–12 months | Stands alone, cruises, maybe first steps | Says ma-ma/da-da meaningfully, points to things |
| 12–18 months | Walks independently, climbs, scribbles | Says 5–15 words, follows simple instructions |
| 18–24 months | Runs, climbs stairs with help, kicks a ball | Two-word phrases, names body parts, symbolic play |
When to visit
Growth & development red flags
Most children grow beautifully with no drama. These are the signs worth raising early — none is a diagnosis, each is a conversation.
- Growth channelHeight or weight sliding off the child's own curve
- SpeechNo single words by 18 months, no two-word phrases by 2 years
- SocialNo eye contact, no response to name, or losing skills once gained
- MovementSignificant delay in sitting, standing or walking vs. peers
- WeightBMI trending too high or too low on the growth chart
- BehaviourUnusual repetition, fixations, or regression after illness
How we manage it
How we assess & plan
- 1
WHO growth charts
Height, weight and head circumference plotted at every visit
- 2
Milestone review
Motor, speech, social and cognitive — all four tracks, not just one
- 3
Targeted screening
Focused checks where a parent or teacher has flagged a concern
- 4
Nutrition & lifestyle
Food, sleep and activity plans that move the curve the right way
- 5
Monitoring visits
Follow-up appointments timed to see real change, not just paperwork
- 6
Honest referral
If specialist assessment is ever needed, we guide you to the right place
What you gain
What families gain
- 01
Early answers
Small delays caught in months, not years
- 02
Individualised plan
Plans built around your child's curve, not a generic table
- 03
Charts you understand
We teach you to read the story in your child's measurements
- 04
Joined-up care
Growth, nutrition and vaccination under one roof, one record
- 05
Honest screening
No unnecessary tests — but no missed signs either
- 06
Long-term tracking
The same chart follows your child through every stage
Developmental assessment
When 'he'll grow out of it' isn't the answer.
Children develop along four tracks at once — motor, speech and language, social and emotional, and cognitive. A structured developmental assessment looks at all four, not just the obvious ones, and compares them against what's typical for the age.
We conduct these reviews at key ages and whenever a parent or teacher flags a concern — a child not speaking by two, not making eye contact, or losing skills they once had. Early answers change outcomes; that's why we take the question seriously on the first call.
Worth raising early
- No babbling or gestures by 12 months
- No single words by 18 months
- No two-word phrases by 2 years
- Loss of skills at any age
- No eye contact or response to name
- Unusual repetition or fixations
None of these is a diagnosis — each is a reason to have a conversation.
Growth FAQs
Growth worries, put on the chart.
Size alone tells us little — the trend tells us everything. A child following their own growth channel is usually fine, even if 'small'. What matters is a sudden flattening or drop across measurements. We'll plot it and tell you honestly where your child stands.
At every well-child visit — roughly monthly in early infancy, then at key ages (6, 9, 12, 18 months, 2 years) and annually through school years. Growth checks are built into vaccination and wellness visits at no extra fuss.
Genetics set the range; nutrition, sleep, activity and untreated illness shape where the child lands within it. We address the modifiable factors — nutrition, micronutrients (especially vitamin D and iron), thyroid and other health checks when indicated.
By 18 months most children say several words and understand much more; by 2 years they typically join two words. If your child is significantly behind — or has lost skills — bring them in. Early language support works best before three, so we don't 'wait and see' past the red flags.
We assess with BMI-for-age charts, not by eye or by relatives' opinions. If weight is trending up, we build a family-friendly plan — food swaps, portions, screen time and activity — never a 'diet' for a child. Gentle, sustainable, and judgment-free.
Keep exploring
Growth care, side by side
Growth questions usually arrive hand-in-hand with feeding concerns and vaccination checkpoints — we keep the whole picture on one chart.
- 01Vaccination & Immunization — every dose, on time→
- 02Newborn Care — the first weeks, done right→
- 03Child Allergy & Asthma Centre — for wheeze, sneeze & itch→
- 04Nutrition Counselling — feeding without the fight→
- 05Parent Education — confident parents, calm homes→
Serving families in Wagholi · Kharadi · Viman Nagar · Lohegaon · Hadapsar · East Pune
Bring the growth records. We'll read the story.
Any records from school, previous clinics, or the vaccination card — even a photo of a height mark on the wall.