Toddler milestones from one to three years: what to expect and what to check

Twelve to eighteen months

Movement: pulling to stand and cruising by around a year, first independent steps anywhere between 9 and 18 months, walking well and starting to climb by 18 months. Feeding themselves with fingers, drinking from a cup, scribbling with a crayon.

Language and social: one or two words at a year building to about 10-20 by 18 months, understanding far more than they say, pointing at what they want, waving, showing you things, following a simple instruction, and copying household actions — sweeping, phoning, feeding a doll.

Check with the doctor if: not walking by 18 months, no pointing or gestures by 12 months, no words by 16-18 months, not responding to their name, or losing any skill they previously had.

Eighteen months to two years

Movement: running, walking up steps with help, kicking a ball, stacking a few blocks, turning book pages, beginning to use a spoon with more spilling than success.

Language: around 50 words by two years and beginning to join two together. Following two-step instructions ('pick up the ball and give it to papa'). Naming familiar objects and people, pointing to body parts.

Social and play: parallel play beside other children rather than with them (this is normal, not antisocial), simple pretend play, strong preferences, tantrums, and the word 'no' as a hobby. Check if: no two-word phrases by two, not walking steadily, no pretend play, no interest in other children, repetitive movements, or extreme distress at routine changes.

Two to three years

Movement: jumping with both feet, climbing confidently, pedalling a tricycle, drawing a circle, building a tower of six or more blocks, undressing themselves, and — with luck — using the toilet.

Language: short sentences, understood by strangers most of the time by three, asking constant questions, knowing their own name and age, and following longer instructions. Thinking: sorting shapes and colours, completing simple puzzles, remembering routines, and starting to pretend elaborately.

Social: playing alongside and beginning to play with other children, taking turns with help, showing affection and concern, and testing every limit you set. Check if: speech is unintelligible to others at three, they cannot follow simple instructions, no pretend play, no interest in other children, frequent falls or unsteadiness, or a loss of skills at any point.

What helps development

Talk, read and sing daily — the single highest-value activity there is. Narrate the day, read the same book for the hundredth time, sing rhymes with actions.

Free, messy, physical play: water, sand, dough, blocks, boxes, climbing, running. Household items beat expensive toys, and unstructured play builds problem-solving that worksheets cannot.

Keep screens minimal — no screens before eighteen months to two years, and limited co-viewed time after — because screen hours displace exactly the interaction and movement that development needs.

And keep the routine health items: growth monitoring at the Anganwadi or clinic, the full vaccination schedule, vitamin A and deworming as the programme provides, and a haemoglobin check if the child is pale or listless. Anaemia and undernutrition slow development quietly and are correctable.

When to see a doctor

See a doctor promptly for any loss of skills at any age; no gestures by 12 months; not walking by 18 months; no words by 18 months or no two-word phrases by 2 years; not responding to their name or to sound; no eye contact or interest in other children; persistent toe-walking, stiffness or floppiness; frequent unexplained falls; or a strong parental instinct that something is different. Early assessment at a paediatric clinic or a District Early Intervention Centre is free in the public system and works better the earlier it happens.

This article is general information, not medical advice, and is no substitute for personal medical advice. For any decision about your or your child's health, please consult your doctor.

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