What to Expect from Your Pediatrician during a Speech/Language Checkup

When parents develop concerns about their child’s speech and language, the first person they typically ask for help is the pediatrician. At the 15 month and 2 year checkups, discussing concerns with your pediatrician is a great way to get more information. Your pediatrician will take a close look at your child’s physical health and the major milestones achieved.

To make this easier, keep track of speech and fine/gross motor milestones and at what age they develop.

As a general rule, here are the ages at which your child should be achieving these steps:



Gross Motor


Fine Motor

Babbling 6 months Rolling 4 months Objects to midline 4 months
Gesturing to indicate want 9 months Sitting Independently 6 months Raking grasp 7 months
Following 1-step commands 12 months Crawling 8 months Finger feeds 7 months
First words 12 months Standing 9 months Pincer fingers 9 months
Combining words 24 months Walking 12 months Spoon use 15 months
Says name 35 months Running 15 months Cup use 15 months

Additionally, it is important to discuss frequent ear infections with your pediatrician. An ear infection is fluid buildup in the middle ear, essentially muffling all speech/language your child is exposed to. If your child cannot hear clearly, he will have difficultly acquiring new language. If your child is prone to chronic ear infections, discussing PE tubes may be the next step to ensuring your child develops speech and language.

If your pediatrician recommends a speech pathologist or an audiologist, read here for what to expect during a speech screening or evaluation.  If you have immediate concerns, contact a speech pathologist for a screening today.