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developmental delays

36 replies

sallymally14 · 08/04/2013 10:41

HI Im new to this site but feel I need some advice from somewhere as I am so worried.

My niece is 17 months and can only sit, a sweet little thing very quiet and not very demanding at all, she has always slept a lot. She has a terribly misshapen head which the HV and doctor apparently says will sort itself out as she gets older but it is very severe, I think she got it because she has hardly ever really moved much and slept so much. They weren't offered any treatment for it and were told that they didn't really advise the helmets as they didnt work and are very expensive so a waste of money so they didnt go down that route.

As a baby she was sort of soft to hold I can remember thinking she wasnt like my children. She was about 8 months when she sat on her own.

She eats well, can finger feed herself, has good eye contact, didnt smile much at first but smiles more readily now and laughs. She comes across as a very gentle little thing, no trouble at all. Too good really in some ways. She doesn't say much but does seem to understand what you say. She's interested in things in a quiet sort of way but is quite happy to just sit.

My main concern is that she doesnt move at all. She just sits, she can reach forward to grab things but if they are out of her reach she just cries. Its as if she doesnt want to use her legs. She can stand on her legs with support if encouraged but doesnt like it and wants to be picked up. She wont walk if you hold her hands. Shes sort of wobbly from the hips as if she hasnt the strength. She can lock her knees. She doesnt crawl or bum shuffle and doesnt pull herself up. She cant even get herself into a sitting position if she is lying down. She can roll onto her side but wont roll onto her front. If you put her on her front she rolls onto her back and then lays there.

I have tried to bring it up several times with my sister but she just says that she has been told by the HV that she will do it in her own time therefore shes not concerned. I think she is annoyed with me for mentioning it. Surely its time to have her checked out but its as if my sister is denying anything is wrong. Am I wrong to worry. I don't want to upset my sister, I think she thinks I am just comparing my children to her. Its so difficult. I do so hope that she is just taking her time but I find it so worrying. When will anyone be concerned? Shes not due to see anyone until she's about 2.

I have read that this flat head can cause developmental delays but my sister was told that that wasnt true by her doctor and HV so I dont like to say anything.

Has anyone else had these problems. How much should I say or should I just wait and leave it up to them? I cant understand why my sister isnt worried. She didnt seem worried about the head either I think because the medical profession seem to make light of everything. I suppose we all hear what we want to hear at times. Maybe the medical profession is right, I do hope so, as I feel they are wasting precious time, surely the earlier you get help the better. Do you think it is a matter of saving money in the NHS that they leave things so long. Do you have to push for help or is it just where you live in the country as to how much help you get?

Has anyone had a child like this at this age and then everything turned out OK?

OP posts:
babiki · 09/04/2013 19:51

Sallymally, the support really varies from area to area..some are lucky, some are not. I have given up on NHS (except for Salt who is OK), even after huge complaints the service was very poor.
I would personally attack all fronts at the same time :); GP - ask for referrals, private OT and private physio just to get something to do practically as the NHS referrals will take long.
Meanwhile swimming, soft play, lots of tummy time is all good.
I was told that often children don't speak until they start moving around, something to do with the way brain works and need lots of stimuli, and with my ds it happened; few days after he made his first steps (holding my hand, he was stuck 6 months in this stage) he said his first word. Now, a year later he just started joining 3 words together, he started using verbs..amazing progress.
Good luck with your DN and do come back and let us know how is it going.
Oh yes, I forgot, Greenspan's Child with special needs book has got many great ideas for beneficial play time; but not sure if your sister wouldn't get spooked by the title. It is extremely difficult to admit there might be a problem, I'm still not over it tbh.

sallymally14 · 10/04/2013 10:16

Thanks for all your advice, its been really helpful I just feel more comfortable encouraging her now, I think I have been too gentle because I didnt want to upset her but I have been so worried.

It sounds as if the physio is really necessary so Im going to try and get her to agree to that if the GP doesnt offer it. I know what you mean about calling it a special needs problem Ive been avoiding that word but have been thinking for a long time that thats what it will probably be.

Im really annoyed with the HV I feel that an opportunity to help earlier has been missed because of their attitude and wait and see policy.

OP posts:
MissDuke · 11/04/2013 22:55

My dd is now 16 months. She didn't sit until she was 13 months, and is only now steady. She first crawled also at 13 months - it was a nightmare because she was crawling we couldn't keep cushions around her, and she would sit up and fall over and bang her head, poor pet.

She has finally learnt to pull herself up now, though is very wobbly.

She has seen a physio twice (very rubbish service tbh) and this really made no difference, physio says she has hypotonia and hypermobility. She has been under a paed since birth - the same paed as it happens was present at her birth as she was a natural breech birth, she stopped breathing a while later and this same paed admitted her to SCBU. We have no idea if her delays are caused by her birth. Next paed appt is next week, we shall see what is said!

sallymally14 · 13/04/2013 11:09

im amazed at how many babies have these problems on this site Ive never met any myself. I think what worries me the most is how the NHS doesnt seem to be in any hurry to notice that there is a problem which gives parents false hopes. Ihave had problems with my sister trying to get her to accept there may be a problem because the HV kept saying that she would catch up on her own. Why do they have milestones and then ignore them.

She still keeps saying she is sure that there is not a problem that sheis just a late walker. At 17 months and not moving at all!

OP posts:
babiki · 13/04/2013 11:24

SallyMally, perhaps it would help if you show her these:

www.bristol.gov.uk/sites/default/files/assets/documents/childminding-ofsted-assessment-sheet.pdf

www.havering.gov.uk/Documents/EYFS%20Data%20Collection%20Pack_July%202012.pdf

Sorry don't know how to do proper links. Very useful assesments.

rundontwalk · 13/04/2013 16:22

Sorry,meant to put this in my previous post, I found the book 'small steps forward' by Susan Haywood helpful,esp when we were just sat on waiting lists. It explains who all the different professionals are,what they should be doing & then breaks down all the developmental areas into steps,giving ideas of how to move to the next step. It's quite cheap on Amazon.

willowthecat · 13/04/2013 16:37

You are right sallymally - the standing back and doing nothing can give some parents false hope or even more commonly, what happens is that although the parents may see the issues and problems, friends and wider family assume that there really can't be anything wrong or 'they' would have done something by now - and this causes further tension and even arguments. This is an issue that really needs to get wider publicity.

sallymally14 · 13/04/2013 17:47

I read somewhere that they dont like to say that there is anything wrong too early because the parents may not bond with their child! I can understand that you wouldn't want to give a diagnosis until you are sure about it but surely they should point out to you that there may be a problem and assure you that they will keep an eye on it and get help early.

I do think that if they had picked it up and done something when I first started saying why isnt she moving or pulling herself up around 9 months then physio may have got her moving by now. I personally think its negligant to leave it this long. I bet the HV wouldn't have if it was her child! Surely they can tell the difference between a late walker and one that doesnt move at all. I's sure late walkers move, pull up crawl or at least bum shuffle by 17 months. Sorry but I feel really angry about all this. I feel shes been really let down by the system.

OP posts:
babiki · 13/04/2013 17:51

SallyMally, yes, it is quite negligent, even my GP reacted when ds was 14 months and wasn't moving..I had the private physio report, but he checked some development charts and agreed..HV is useless.

Unfortunately, parents (including me) are both in shock from realising something is going and fighting battles in other places (education..) that they often just don't have the energy to complain.

willowthecat · 13/04/2013 18:10

sally - that is what annoys me so much in retrospect - that the HV gave 'advice' that she would never have given about her own child or any child she knew or cared about. It is gross negligence. I agree with babiki though, you are so in shock and fear at the time, that you do not know how to react

babiki · 13/04/2013 19:55

Willowcatt, yes I remember first time I went to GP, she looked closely at ds face, said 'but he looks normal, he is normal, nothing wrong with him', then started saying stories about Einstein walking and talking from the age of 4. I went home and for about a week, I actually believed it and hoped she was right..than the first hesitations started and only thanks to a friend who pointed out GP's are not experts in development. It is so sad, because parents of course want to believe that there is nothing wrong...

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