60. Should I be concerned about the development of one or more of my multiples?

MOST recommends that parents of babies born preterm strongly consider having the infants’ development tracked by an Early Intervention Program, a Developmental Pediatrician, or High Risk Clinic Follow-up program. The babies should be assessed for developmental milestones at the adjusted or corrected age of 3 months, 6 months, 9 months, 1 year, 18 months, and then the actual age of 2 and 3 years.

If at any time a baby shows delays, your local early intervention program may provide support services, often at no cost or reduced cost to your or your health insurance program; however, in some states, EI programs provide only diagnostic services so be sure to check what is offered. Another option to consider is most hospitals with a level III NICU offer follow-up programs that provide diagnostic services and referrals for children at high risk of developmental delays. Even if the children achieve the expected milestones at an appropriate age, continue having their development tracked until at least the age 3.



Resources for parents of toddler multiples are available on the Toddler Multiples MOST by the Stages web page.

MCH Library resources on child development


One in five households with children has a child with a special health care need who could benefit from screening and services, but less than 20 percent of children under age five receive a developmental screening, according to the National Survey of Children’s Health 2007.  A new free online screening tool is designed to help parents easily track their children’s development through age five.  Traditionally used by clinicians, therapists, professionals and educators, Brookes Publishing’s Ages&  Stages Questionnaire (ASQ) is now available parents and caregivers on the Easter Seals’ Make the First Five Count Web site.  The questionnaire can aid parents in identifying potential issues so that any concerns can be addressed to make sure that children receive appropriate services and are ready to enter school.


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Copyright MOST 2005     Updated 6/04/08