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Avatar mrsFi...
My 13 month old daughter has not started walking. My concern is she is not interested in standing at all.

She pulls herself up onto her knees and cruises around a little like that but she will not put her feet down if I try to encourage her to stand. She was a late crawler but she is very proficient at it. I am a little concerned about her development.

Jane ...
Answer: Thirteen months is still within a normal range for not walking, so don't be too concerned. In the absence of other concerning features, it may pay just to wait and observe her for progressive development. Some toddlers seem to "stall" for a few months in terms of their gross motor development and then make up for it in a couple of weeks when they seem to be advancing every day. Give her lots of floor time and opportunity to move through the day; avoid her sitting in a pram or high chair for long hours and don't use a walker for her - this would not be a good idea at all. Just one little thing - were her hips checked when she was a baby? This is a question we always need to ask parents when they are concerned regarding potential late walking. Avoid putting any shoes on her, she needs to feel the ground through her bare feet and this will help with her balance. You may want to have her checked by your CHN and/or GP or even her paediatrician if you had one when she was born. It's often useful for parents to get reassurance after the child has had a thorough physical check and assessment. Occasionally a referral to an occupational therapist with a special interest and training in paediatrics is necessary, though I wouldn't think that given the information you've told me that this would be necessary at this point. In the absence of other concerning symptoms often a "wait and watch" approach is recommended, but I would suggest that you have her seen by a health professional in order for this to be recommended. Cheers Jane
Answered: 14 Jul 2013