Understanding maturational delay in infants and children

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The maturational delay is also understood as a delay in development and has many different causes. They can be genetic causes, complications in pregnancy or childbirth ... Often however, the cause may be unknown. Some of the causes can be easily reversed if caught early, such as hearing loss from chronic ear infections.

There are many different conditions that can lead to a child having a developmental delay, there is no single 'right' way to avoid developmental delay. What is important to consider when if your baby is reaching his developmental milestones. To know this, you should consult with your pediatrician to detect any problems. Early intervention is key to helping your child overcome the delay in maturity.

How is maturity delay treated?

There is no one way to deal maturational delay since there is not only one treatment that can work in children. Each child is different and you need to know him in a personalized way to know exactly what is happening to him and to be able to treat him according to his specific needs.

Children are unique, they learn, grow and develop in their own way, at their own pace based on their strengths and weaknesses. Any treatment plan will lead you to a uniqueness to consider, as it should be designed to focus on individual needs.

Early intervention is the main treatment, but it will depend on whether there is an underlying disease that exists in the developmental delay. The services of early stimulation may include the following aspects:

- Speech and language therapy

- Occupational therapy

- Physical therapy

- Behavioral therapies - such as to treat autism or ADHD for example-

Also, if there are other disabilities, current medical treatments may be necessary to manage your child's specific conditions.  It is important that all children with developmental delays have a hearing and vision check before anything else to assess whether it may be the delay due to an untreated visual or hearing impairment that is complicating the situation.

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Differences between a maturational delay and a disability

A delay in maturation is not the same as a disability. Doctors sometimes use these terms to refer to the same thing, but the reality is that they are very different. Next I will explain it to you so that you can differentiate it perfectly from now on.

A disability

These are physical or mental problems and children will never overcome it, although they can improve significantly with good follow-up. Disabilities create learning and self-care problems. The particular condition can cause additional developmental problems and even brain damage.

Maturation delays

Maturational delays or developmental delays are not usually caused by physical or mental conditions, and with good treatment they will disappear over time. There may be signs of attention and learning problems. Early intervention is necessary because it will help children advance in their abilities. Some children who have delays in their abilities when they reach school age, it is also necessary that they have attention and reinforcement through a specialist - a therapeutic pedagogue / a or a psychopedagogue / a-.

If your child is not reaching the goals according to his age as he should, it is necessary that a specialist evaluate him to know exactly what his current situation is. An assessment could locate the source of the problem. You could also assess what services and supports would be necessary to meet your needs and that you can move forward.

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Possible areas of maturational delay

A maturation delay can occur in a single area or in a few. The maturational delay is usually always in two or more areas of development. When children develop basic skills in the areas of development, it can be seen that some possible causes of maturational delay can be:

- Maturational delay in cognition. This is the ability to think, learn, and solve problems. In babies this appears when there is no curiosity about the environment. It is the way in which a baby explains to his environment that he is not interested in what is happening around him - since curiosity in a baby is when he explores the world with his eyes, ears or hands. In young children they also include things like trouble learning to count, name colors, or learn new words.

- Social and emotional skills. This is the ability to relate to other people. It includes being able to express and control your emotions. In babies it means that he smiles at others or makes sounds to communicate, a maturational delay is when he does not. In young children it means that he is able to ask for help, show and express his feelings and get along with others… there may be a maturational delay if he does not.

- Speech and language skills. This is the ability to use and understand language. For babies, this includes cooing and babbling. In older children it includes understanding what is being said and using the correct words so that others can understand your message. A maturational lag in this area is when this is not met.

Bored boy at school

- Fine and gross motor skills. This is the ability to use the small muscles - fine motor skills -, especially in the hands and the large muscles - gross motor skills - of the body. Babies use fine motor skills to grasp objects. Toddlers and preschoolers use holding utensils to make things, work with objects, and draw. Babies use gross motor skills when it comes to sitting up, rolling over, and starting to walk. Older children use them to do things like jump, run, and climb stairs. A delay in maturation in this area would imply problems in this field.

- Activities in daily life. This is the ability to handle everyday tasks. For children it includes habits such as eating, dressing and undressing, bathing, etc.


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  1.   Lety said

    I have a 3 year old boy who expresses himself as if he were a year and a half, as for everything else, it's okay just that sometimes I feel like he doesn't understand many things, and he sucks his thumb a lot. What could be the causes?

    1.    Macarena said

      Hello Lety, the development of speech is not the same for all children, as you already know ... there are children who at 24 months old explain stories and pronounce almost perfect, others who at 3 are launched with single words, but end up speaking well each other. Regarding understanding, I don't know what to tell you, because (I don't know if it's your case) sometimes it seems that we adults want them to understand as if they were many years older. The 3-year suction reflex is probably not indicative of a problem.

      In short: my answer is that you observe your child, that you relativize his progress, but also that you consult a professional (pediatrician, speech therapist) if you think there is a problem.

      A abrazo.

      <3

  2.   Lorena said

    Hello, my query is for my baby, he is 19 months old, he was born premature 29 weeks 600gr, he was born with a unilateral cleft lip and palate, bilateral palate, lip. I go through many things when at 5 months of life I try to leave the respirator he had a cardiorespiratory arrest what He took a bronchial aspiration through his cleft lip and palate weighing 1800kg. He was lifeless for 40 minutes but he returned, he did not move but started with a lot of secretions, drool. From there he could never leave the respirator which they did an endoscopy and came out that he had a lagopharynx and they an insert and they operated on his lip the palate will be operated on in August. that was a year today with 1 year and 9 months he is an active baby plays and babbles he can be with oxygen for only 6 hr but always helping him to remove his secretions. this What happens to my son is it a problem because of his delay in maturation or is it a problem of disability? He is at home with home hospitalization 24 hours a day, please wait for your consultation, thank you

  3.   Martin ROMAN said

    I have a 9-month-old baby who does not feel alone, he only does it if we help him, he does not crawl, if we put him on his stomach so that he raises his head he only does it when I turn on the TV, if I do not put pictures on him, he starts to cry, as he does not do it of his own free will, he plays with what he has around him, he does not stretch to try to grab something that does not arrive ... a month ago we began to try to encourage him because the pediatrician had never told us that he should sit alone or crawl ... now they send us to do ultrasounds to see if he has a maturational delay, hopefully not, it is just that it is vague ... we are first-time dad with my wife and it worries ...