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Ages & Stages

Developmental Milestones: 1-4 Months Old

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​​Between 1 and 4 months of age, your baby will undergo a dramatic transformation from a totally dependent newborn to an active and responsive infant.

During this time, many newborn reflexes fade as your baby gains more control over their body. You may notice them staring at their hands and watching how they move. They also become more interested in the world around them, especially the people they know best. Your baby will often smile when they see or hear you.

By the second or third month, they may start "talking" back with soft coos and gurgles. With each new skill, you'll begin to see more of your baby's unique personality.

Here are some other typical milestones you can look for in babies this age.

Movement milestones

At 2 months

  • Holds head up when on tummy

  • Moves both arms and both legs

  • Opens hands briefly

At 4 months

  • Holds head steady without support when you are holding them

  • Holds a toy when you put it in their hand

  • Uses their arms to swing at toys

  • Brings hands to mouth

  • Pushes up on elbows/forearms when on tummy (See "Tummy to Play, Back to Sleep.")

Visual and hearing milestones

At 2 months

  • Watches faces intently

  • Eyes follow moving objects

  • Starts using hands and eyes in coordination

At 4 months

  • Visual range has increased to several yards or more.

  • May be more interested in circular patterns (bull's-eyes, spirals), one of the reasons faces, full of circles and curves, are so appealing to them.

  • Responds to the full range of colors and their many shades. As their eyesight develops, they will naturally seek out more stimulating things to see.

Language/communication milestones

At 2 months

  • Makes sounds other than crying

  • Reacts to loud noises

At 4 months

  • Makes sounds like "oooo," "aahh" (cooing)

  • Makes sounds back when you talk to them

  • Turns head toward the sound of your voice

Social/emotional & cognitive milestones

At 2 months

  • Calms down when spoken to or picked up

  • Looks at your face

  • Seems happy to see you when you walk up to them

  • Smiles when you talk to or smile at them

At 4 months

  • Smiles on their own to get your attention

  • Chuckles (not yet a full laugh) when you try to make them laugh

  • Looks at you, moves, or makes sounds to get or keep your attention

  • If hungry, opens mouth when they see breast or bottle

  • Looks at their hands with interest

Appropriate toys & activities

At 2 months

  • Images or books with high-contrast patterns

  • Bright, varied hanging mobile

  • Rattles (sturdy enough not to break)

  • Singing to your baby

  • Inviting older siblings to play with the baby. (Set clear and consistent rules, such as never picking up the baby without permission.)

  • Playing soft music on low volume

  • Appropriate chewable toys for oral stimulation between feedings to foster oral sensing

At 4 months

  • See-through rattles that show the pieces making noise

  • Cloth books with colorful pictures

  • Unbreakable plastic or mylar mirror

  • Soft balls, including some that make soft, pleasant sounds

  • Textured toys that make sounds

More information


Last Updated
4/22/2026
Source
Adapted from Caring for Your Baby and Young Child: Birth to Age Five 8th edition (Copyright © 2024 American Academy of Pediatrics)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.