Referral points

• doesn't smile at 10 weeks
• cannot sit unsupported at 12 months
• cannot walk at 18 months

Global Developmental Delay

Global developmental delay refers to a child displaying slow development in all developmental domains. This could indicate an underlying diagnosis such as:

• Down’s syndrome
• Fragile X syndrome
• Fetal alcohol syndrome
• Rett syndrome
• Metabolic disorders

Gross Motor Delay

most common causes of problems: variant of normal, cerebral palsy and neuromuscular disorders (e.g. Duchenne muscular dystrophy)

Fine Motor Delay

A delay that is specific to the fine motor domain may indicate underlying:

• Dyspraxia
• Cerebral palsy