Hearing and Speech

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Hearing and Speech

Hearing & Speech Milestones in Babies

A Parent’s Guide to Early Listening Development

By Dr Dilpreet Bajwa – ENT & Cochlear Implant Surgeon

Hearing is essential for speech and language development. Babies begin learning sounds and language from the very first months of life. Recognizing delays early can make a major difference in a child’s communication and learning outcomes.

 

Remember  “Early diagnosis , Early hearing, Early language”

Below is a simple age-wise guide to normal hearing and speech milestones in children

 

Birth to 3 Months

Expected Milestones:

• Startles to loud sounds
• Calms to parents’ voices
• Makes cooing sounds
• Smiles when spoken to

Red Flags:

• No reaction to loud sounds
• No response to voices

 

4 to 6 Months

Expected Milestones:

• Turns toward sounds
• Enjoys music and voices
• Begins babbling (‘ba-ba’, ‘ma-ma’)
• Laughs and squeals

Red Flags:

• No turning toward sounds
• Absent babbling

 

7 to 12 Months

Expected Milestones:

• Responds to name
• Understands simple words
• Babbling becomes more meaningful
• Attempts imitation of speech

Red Flags:

• No response to name
• No meaningful babbling

 

1 to 2 Years

Expected Milestones:

• Follows simple instructions
• Says several words
• Begins combining words

Red Flags:

• No spoken words by 15–18 months
• Poor understanding of speech

2 to 3 Years

Expected Milestones:

• Speaks short sentences
• Follows two-step commands
• Understands simple conversations

Red Flags:

• Speech unclear
• Limited vocabulary

 

Why Early Detection Matters

The first few years of life are critical for speech and language development. Early diagnosis and intervention can significantly improve listening, speech, and learning outcomes.

When Should Parents Seek Help?

Parents should seek a hearing evaluation if they notice delayed speech, poor response to sound, family history of hearing loss, or concerns raised by teachers or caregivers.

Consultation & Evaluation

Dr Dilpreet Bajwa
ENT, Cochlear Implant & Hearing Rehabilitation Specialist

Comprehensive Pediatric Hearing Evaluation Includes:

• OAE / BERA / ASSR Testing
• Hearing Aid Evaluation
• Cochlear Implant Assessment
• Speech & Listening Guidance for Parents

Early Hearing Leads to Better Speech, Learning & Confidence.