Developmental Milestones

Feeding & Swallowing Milestones

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Feeding and swallowing disorders can impact everyone from babies struggling with feeding to adults with medical issues. If you have questions about your loved one’s feeding and swallowing, we’re here to help with expert-vetted information and to connect you to a speech-language pathologist, experts who specialize in these types of disorders.

What To Expect: From Birth to 3 Years Old

These feeding and swallowing milestones are designed to help you know what to expect as your child grows and develops. The milestones were developed by ASHA (the parent organization of the Communication Health Support Association), consulting with subject-matter experts and relying heavily on research, evidence, and expert recommendations. When reviewing the milestones, also consider the age ranges below and above your child’s current age for a more complete roadmap.

These milestones are not meant to be a screening or diagnostic tool.

What can my baby do?

  • Holds head up when supported.
  • Turns head towards nipple and opens mouth.

What does my baby eat or drink?

  • Latches to nipple.
  • Sucks and swallows.

What should my baby be eating and drinking?

  • Human milk and/or formula.

What can my baby do?

  • Brings hands to the breast or bottle.
  • Pats breast or bottle.
  • Brings hands or toys to mouth.
  • Starts to sit up in cradle position and holds breast or bottle during feeding.
  • Sits supported in highchair with straps and when reclined.

What does my baby eat or drink?

  • Opens mouth for spoon.
  • Uses tongue to move food to back of mouth for swallowing.

What should my baby be eating and drinking?

  • Human milk and/or formula.
  • Infant cereal mixed with breast milk or formula*.
  • Smooth baby foods (purees) with no lumps or chunks.
  • *Consult with a pediatrician regarding appropriate infant cereals.

What can my baby do?

  • Holds head up when sitting upright.
  • Leans forward to receive foods.
  • Still needs support from highchair around waist and legs, including footrest.
  • Reaches for toys and food.
  • Picks up food with fingers.
  • Brings foods to mouth with hands and starts to feed self.
  • Tries to hold spoon.

What does my baby eat or drink?

  • Starts to drink from a cup, but may bite cup edge or straw; some liquid spills out of mouth.
  • Drools less.
  • Moves food around mouth using tongue.
  • Munches.

What should my baby be eating and drinking?

  • Human milk and/or formula; may start drinking small amounts of water.
  • Smooth baby foods (purees) with some lumps (minced and moist) like mashed potatoes, applesauce, oatmeal, or pudding.
  • Soft, chewable, solid foods cut into strips like a pancake, toast, or cheese.

What can my baby do?

  • Holds bottle or sippy cup with both hands.
  • Sits upright in highchair with minimal assistance.
  • Holds spoon during meal.
  • Feeds self with fingers.

What does my baby eat or drink?

  • Takes a small bite from a larger piece of food.
  • Begins chewing food on both sides of mouth (called “rotary chewing”).
  • Closes lips during swallow.

What should my baby be eating and drinking?

  • Soft, bite-sized foods like sliced banana, cheese cubes, or pasta.
  • Human milk and/or formula; may drink small amounts of water.

Tips for helping your child’s feeding and swallowing development, 9 to 12 months

  • You know your child best, so don’t wait to get help if your child is having trouble breastfeeding, bottle-feeding, or eating solid foods. Getting help early can prevent problems with eating and can foster a healthy relationship with food for you and your child.

What can my child do?

  • Sits upright with feet on floor or on a flat surface (can sit in highchair, booster seat, on floor, etc.).
  • Feeds self with utensils or fingers.
  • Drinks from a sippy cup without help; can drink from an open cup with some spilling.

What does my child eat or drink?

  • Uses tongue to move food from side to side in mouth.
  • Drinks from straw without help and without spilling.

What should my child be eating and drinking?

  • Foods made of mixed consistencies.
  • Human milk, pasteurized whole milk, water.

Tips for helping your child’s feeding and swallowing development, 12 to 18 months

  • You know your child best, so don't wait to get help if your child is having trouble breastfeeding, bottle-feeding, or eating solid foods. Getting help early can prevent problems with eating and can foster a healthy relationship with food for you and your child.
  • Help your child learn their hunger and fullness cues. This creates healthy eating habits and a long-term positive relationship with food.
  • Serve a variety of foods to your child. Don't get discouraged if they don't like it the first few times.
  • Children learn through play, so expose them to new foods by making meals exciting or playful. For example, have a picnic lunch outside, or finger paint with applesauce.

What can my child do?

  • Sits without support.
  • Feeds self with fingers or utensils.
  • Drinks from a small cup with hands and has minimal spilling.

What does my child eat or drink?

  • Consistently chews food on both sides of mouth.
  • Moves food around mouth, chews, and swallows without spilling.

What should my child be eating and drinking?

  • Foods that require a lot of chewing, like chicken breast. Child still requires adult to cut more challenging foods into smaller pieces to prevent choking.
  • Human milk, pasteurized whole milk, water.

Tips for helping your child’s feeding and swallowing development, 12 to 18 months

  • You know your child best, so don’t wait to get help if your child is having trouble breastfeeding, bottle-feeding, or eating solid foods. Getting help early can prevent problems with eating and can foster a healthy relationship with food for you and your child.
  • Help your child learn their hunger and fullness cues. This creates healthy eating habits and a long-term positive relationship with food.
  • Children learn through play, so expose them to new foods by making meals exciting or playful. For example, have a picnic lunch outside, or finger paint with applesauce.
  • Serve a variety of foods to your child. Don’t get discouraged if they don’t like it the first few times.
  • Have your child try a new food many times—this gives them the chance to decide if they like it.
  • Build on what your child already likes to eat by taking food one step further. For example, if they like chicken nuggets, try a chicken patty.
  • Ask your child to try new foods, but don’t bribe or push your child too much. Pushing can cause your child to have negative associations with the act of eating—or with food in general.
  • Cook with your child. Share new smells and tastes. Cooking together can make tasting new foods exciting when your child knows that they helped to prepare it!

What can my child do?

  • Feeds self with fork and spoon, although often still uses fingers.

What does my child eat or drink?

  • Drinks from an open cup without spilling.
  • Chews all foods, including those with tougher textures, without gagging or choking.

What should my child be eating and drinking?

  • Most crunchy, hard, or mixed food textures, but parents should avoid offering foods that carry a choking risk—like popcorn, hotdogs, or grapes. Child still requires adult to cut more challenging foods into smaller pieces to prevent choking.
  • Human milk, pasteurized fat-free or low-fat milk, water.

Tips for helping your child’s feeding and swallowing development, 12 to 18 months

  • You know your child best, so don’t wait to get help if your child is having trouble breastfeeding, bottle-feeding, or eating solid foods. Getting help early can prevent challenges with eating and can foster a healthy relationship with food for you and your child.
  • Help your child learn their hunger and fullness cues. This creates healthy eating habits and a long-term positive relationship with food.
  • Children learn through play, so expose them to new foods by making meals exciting or playful. For example, have a picnic lunch outside, or finger paint with applesauce.
  • Serve a variety of foods to your child. Don’t get discouraged if they don’t like it the first few times.
  • Have your child try a new food many times—this gives them the chance to decide if they like it.
  • Build on what your child already likes to eat by taking food one step further. For example, if they like chicken nuggets, try a chicken patty.
  • Ask your child to try new foods, but don’t bribe or push your child too much. Pushing can cause your child to have negative associations with the act of eating—or with food in general.
  • Cook with your child. Share new smells and tastes. Cooking together can make tasting new foods exciting when your child knows that they helped to prepare it!
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Communication Milestones

Know what to expect as far as your child’s hearing, speech, and language development. Communication disorders can lead to health, learning, and social challenges, so it’s important to reach out early to an expert for an evaluation. Audiologists are experts who help to assess and treat hearing disorders. Speech-language pathologists assess and treat speech, language, swallowing, and feeding disorders.

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