Neck issues?
Hello doctor, my son is over five months old.
When he is on his stomach, he can lift his head without wobbling.
However, when he is held sitting on an adult's lap, his neck tends to droop down.
He can lift his head when something is presented to him, but it is unstable and he nods a bit.
Even when feeding him solid food in a high chair, his neck also droops.
Is this a sign of developmental delay?
Jun, 30~39 year old female. Ask Date: 2021/04/16
Dr. Xiao Kaiwen reply Pediatrics
If a 5-month-old newborn, who was not born prematurely, cannot support their head when being held by an adult around the neck, this may indicate a delay in gross motor development.
It is recommended to consult a pediatric neurologist at a major hospital for an evaluation.
Reply Date: 2021/04/16
More Info
When assessing the development of a 5-month-old baby, it's important to understand the typical milestones for this age group. Generally, by 5 months, infants should be able to lift their heads while lying on their stomachs, show some control over their neck movements, and begin to sit with support. However, variations in development are common, and each child progresses at their own pace.
In your case, your baby can lift their head while lying on their stomach, which is a positive sign. However, the concerns you mentioned regarding neck control when being held or seated are worth discussing further. It's not uncommon for infants at this age to still have some degree of head lag or difficulty maintaining head control, especially when they are not fully supported. That said, if your baby consistently shows a lack of head control, especially when sitting or being held, it could be a sign of developmental delay.
Developmental delays can arise from various factors, including prematurity, birth complications, or underlying medical conditions. In your situation, if there are concerns about your baby's neck control, it would be prudent to consult with a pediatrician or a pediatric neurologist. They can perform a thorough evaluation, which may include assessing muscle tone, reflexes, and overall motor skills. Additionally, they may recommend developmental screening tools to better understand your child's growth trajectory.
It's also important to consider that some infants may experience delays in specific areas while excelling in others. For example, your baby may be developing fine motor skills or cognitive abilities at a normal pace, even if gross motor skills like neck control are lagging. This is why a comprehensive assessment by a healthcare professional is crucial.
In terms of your baby's feeding and sitting in a high chair, it’s common for infants to show varying degrees of readiness for solid foods. If your baby is struggling with head control, it may affect their ability to sit upright and swallow effectively. This is another aspect to discuss with your pediatrician, as they can provide guidance on feeding strategies and when to introduce solids based on your child's developmental readiness.
In summary, while your baby shows some positive signs of development, the concerns regarding neck control warrant further evaluation. Early intervention can be beneficial if any delays are identified, so seeking professional advice is a proactive step. Remember, every child develops at their own pace, and with the right support and guidance, many children who experience delays can catch up over time.
Similar Q&A
Is Your 5-Month-Old Baby's Neck Control a Sign of Cerebral Palsy?
Hello, Dr. Chang. My baby is almost five months old (born on March 16 this year). He can roll over and lift his head, and he does so quite steadily without wobbling. However, when held upright, I need to support his head; otherwise, it becomes unstable and wobbly. We went to the ...
Dr. Zhang Guozhen reply Pediatrics
Dear Sir/Madam, This is a response from Dr. Chang Kuo-Chen of the Pediatric Department at Hualien Tzu Chi Hospital. It is quite impressive that a five-month-old baby can roll over, which seems to align well with expected developmental milestones. Diagnosing cerebral palsy at thi...[Read More] Is Your 5-Month-Old Baby's Neck Control a Sign of Cerebral Palsy?
Understanding Developmental Delays in Infants: When to Seek Help
Hello, doctor. "My baby is currently 7 months and 9 days old. His neck is not very strong and tends to tilt to the side, but it is not a one-sided tilt; it tilts to both sides. I have mainly noticed signs of growth delay as he only slightly rolls over. He smiles at people an...
Dr. Xiao Kaiwen reply Pediatrics
A 7-month and 9-day-old baby should be able to hold their neck up well. Gross motor skills include rolling over, while fine motor skills involve grasping objects with their hands. It appears that your baby's motor development may be slightly delayed, and the most concerning ...[Read More] Understanding Developmental Delays in Infants: When to Seek Help
Assessing Developmental Delays in Infants: Understanding Milestones and Testing
Hello, Dr. Hsiao! My brother is now nine months and five days old. Today, we took him to see a neurologist who assessed his development and said, "His development is only at the level of a seven-month-old." I looked at the developmental milestones for 9-10 months in the...
Dr. Xiao Kaiwen reply Pediatrics
The development of parental records in the child health handbook does not necessarily require full compliance to be considered normal. There is considerable variability in the neurological development of infants and young children of the same age, and such variability can still b...[Read More] Assessing Developmental Delays in Infants: Understanding Milestones and Testing
Is My Baby's Development Normal? Concerns for a 6-Month-Old
My daughter is currently almost seven months old, but she only learned to roll over at six months and fifteen days. Her neck can hold up, but it is not stable and often wobbles. Today, when I had her in a sitting position, I noticed that her head was tilted. Is this normal? Addit...
Dr. Zhang Wenwang reply Pediatrics
Hello, Xiao Xin: 1. The growth of a baby includes both growth and development. Development refers to functional aspects, commonly known as "sitting at seven months and crawling at eight months." Parents can refer to the "Child Health Handbook," which outlines...[Read More] Is My Baby's Development Normal? Concerns for a 6-Month-Old
Related FAQ
(Pediatrics)
Shaken Baby Syndrome(Pediatrics)
Brain(Pediatrics)
Teething(Pediatrics)
Tongue(Pediatrics)
Infant Care(Pediatrics)
Infant Head Circumference(Pediatrics)
Kawasaki Disease(Pediatrics)
G6Pd Deficiency(Pediatrics)
Bowel Movements(Pediatrics)