Infant Standing Reflex: What Parents Should Know

Infant Growth and Development - One Month Standing Reflex

Hello, doctor.
I have read about the "standing reflex" in infants that occurs around three months of age, where they appear to stand when they touch something.
Recently, our baby has been doing this frequently for over a month.
When my wife holds her, she supports the baby's left armpit with her left hand and passes her right hand under the armpit to support her head, but to outsiders, it looks like she is holding her up to stand.
Some elders say this is not good since the baby's bones are not fully developed, while my wife, who is in rehabilitation, thinks it is fine.
So, I would like to ask the doctor what would be the best approach.

Hehe, 30~39 year old female. Ask Date: 2023/02/25

Dr. Xiao Kaiwen reply Pediatrics

A one-month-old infant exhibits a standing reflex, which means that when you perform certain movements, they will show a reflexive standing response.
However, this does not imply that you need to continuously perform these movements to elicit the standing reflex, nor is it related to rehabilitation.
It is indeed not appropriate for a one-month-old infant to frequently engage in these types of movements.

Reply Date: 2023/02/25

More Info

Understanding the standing reflex in infants is an important aspect of child development that parents should be aware of. The standing reflex, also known as the "positive support reflex," is a natural response observed in newborns and young infants. When the soles of their feet make contact with a solid surface, they may exhibit a reflexive attempt to stand, which can sometimes be mistaken for voluntary standing. This reflex typically appears around the age of 2 to 3 months and can last until about 6 months of age.

What Parents Should Know About the Standing Reflex
1. Normal Developmental Milestone: The standing reflex is a normal part of infant development. It indicates that the baby's nervous system is functioning properly and that they are beginning to develop the muscle strength and coordination necessary for future motor skills. However, it is essential to understand that this reflex is not an indication that the baby is ready to stand independently.

2. Muscle and Bone Development: While it may appear that the infant is standing, their bones and muscles are still developing. At this stage, the baby's bones are relatively soft and flexible, which is normal. However, excessive or unsupported standing can potentially lead to strain or discomfort. It is crucial to provide support when the baby is in this position, ensuring that they are not placed in a situation where they could fall or be injured.

3. Proper Support Techniques: When holding your baby in a standing position, it is essential to use proper techniques. As you mentioned, your wife is using her left hand to support the baby's underarm and her right hand to support the head. This is a good approach, as it provides stability and security. Ensure that the baby’s weight is evenly distributed and that they are not bearing too much weight on their legs, which could lead to discomfort.

4. Encouraging Healthy Development: While it is natural for infants to want to stand, it is essential to encourage healthy development through appropriate activities. Tummy time is crucial for strengthening the muscles needed for crawling and eventually standing. Providing opportunities for the baby to practice rolling, sitting, and crawling will help them develop the necessary strength and coordination.

5. Consulting Healthcare Professionals: If there are concerns about the baby's development or if the standing reflex seems excessive, it is always a good idea to consult with a pediatrician or a physical therapist. They can provide personalized advice and guidance based on the baby's individual development and needs.

6. Cultural Perspectives: It is also important to consider cultural perspectives on infant care. Different cultures have varying beliefs about how to support infant development. While some may discourage early standing due to concerns about bone development, others may encourage it as a way to promote strength. It is essential to find a balance that works for your family while ensuring the baby's safety and comfort.

Conclusion
In summary, the standing reflex is a normal part of infant development that indicates the baby is beginning to explore their physical capabilities. While it is essential to support the baby properly during this stage, it is equally important to encourage a variety of developmental activities that promote overall strength and coordination. If there are any concerns about the baby's development or the appropriateness of certain activities, consulting with healthcare professionals can provide peace of mind and guidance tailored to your child's needs. Remember, every baby develops at their own pace, and providing a safe and nurturing environment is key to their growth and development.

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