Posted by: Milo | 2011/06/30


preemies &  developmental milestones

Hi Doc,

Please advise.My boys were born 2 mths premature. Their chronological ages are 6mths today. But I am not sure wether I should consider them 4mth old babies or 6? Also what developmental milestones should I look out for? My one little boy is firm &  is trying to sit up. He tries to pus himself up when you lay him on his back. He will also raise to a sitting position when he holds your hands. His neck is firm &  he holds his back &  neck steadily upright when you carry him. His brother on the other hand still has a weak neck. You still need to support his neck when you carry him. He can hold his neck up for a minute or a little less on his own now. Should I be worried? He is otherwise active. Hands &  legs always busy. They both reach out for things and hold things in their hands. Everything goes straight to their mouths now.

I am also not sure as to what signs to look out for to know they are ready to start with some rice cereal. They are currently drinking 120ml &  150ml of milk respectively. Is this too little for their age?

Expert's Reply



You must correct for your baby's actual ages when considereing milestones. Your one twin is certainly ahead of expectation with regard to his milsestones as he is almost ready to sit by himself. This milestone is expected at about 6 months. Your other son does not have head control yet.This should occur at about 3 months and his corrected age is at least 4 months.
If your twins are content and gaining weight there is no need to hurry with starting them on solids but if they seem to be hungry after feeds you can certainly start them on a rice ceral now. Their daily fluid requirements are 140ml per kilgram body weight per day eg 4kgx140=560ml per day

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