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21–23

21–23 months

Approaching two: two-word phrases and "no!"

Independence, imagination and the first short sentences mark the run-up to the second birthday.

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By the second birthday many children know 50 or more words and begin to put two together. They kick a ball, climb stairs holding a hand, sort shapes and insist on doing things themselves. The two-year review at the polyclinic looks at speech, growth and behaviour.

Growth

Weight

10.0–14.0 kg

Length

82–91 cm

Typical range; your paediatrician tracks your child on a growth chart. By two years most children have roughly quadrupled their birth weight and reached about half their adult height. Head circumference is still recorded.

What your baby is learning

  • Two-word phrases are emerging ("more milk", "daddy go"); many children have 50 or more words by 24 months and are understood by the family about half the time.
  • Many children kick a ball, run without falling often, walk up steps holding your hand or the rail, and jump with both feet soon after two.
  • Sorting shapes and colours, building a tower of 4–6 blocks, turning pages one at a time, fitting simple jigsaw pieces.
  • Parallel play: playing beside other children with the same kind of toys, watching and copying them, though sharing is still hard.
  • Saying their own name, pointing to themselves in photos, naming a few body parts and pictures.
  • Showing independence: "no!", "me do it", choosing clothes, wanting to wash hands alone. Tantrums are at their peak and ease as language grows.

Feeding

  • Family meals at the dastarkhan, three meals and two snacks; offer variety and let your child decide how much to eat. Small appetites and sticking to one favourite food are normal at this age.
  • Self-feeding with a spoon and fork and drinking from an open cup; involve your child in simple kitchen tasks such as washing fruit or stirring.
  • Milk about two cups a day; water as the main drink; no juice, soda or sweet tea, and sweets kept for rare occasions to protect the teeth. Iodised salt in small amounts; iron-rich foods several times a week.
  • WHO recommends breastfeeding to 2 years and beyond if you both wish; if you are ready to stop, do it gradually, replacing feeds with cuddles and a snack. Keep whole nuts, seeds and grapes off the menu.

Sleep

About 11–14 hours including one nap. Bedtime fears, resisting sleep and night waking often return around two years; a steady routine, a dim night-light and a short, calm return to bed help. Moving to a low bed with a guard is safe once your child climbs out of the cot.

Check-ups and vaccines

  • Prepare for the 2-year review at the polyclinic: weight, length and head circumference, speech (words and two-word phrases), hearing and vision, behaviour, teeth, and a check of the vaccination card. No vaccines are due in this quarter; MMR-2 comes much later, at 6 years.
  • Brush teeth twice a day with a smear of fluoride toothpaste and help your child until school age; see the dentist once a year. Ask the paediatrician about iron and vitamin D if your child is pale, tired or eats little.
  • Colds run 6–10 times a year at this age, especially with older siblings or nursery. Most are mild; call the polyclinic if a fever lasts more than three days, breathing is laboured or your child drinks poorly.

Play and everyday tips

  • Balls to kick and catch, tricycles and ride-on toys, running and climbing outdoors every day; family walks build stamina and language.
  • Pretend play with dolls, toy animals and dishes, dressing up, "cooking" plov in a toy pot. Follow your child's lead and add new words as you play.
  • Shape sorters, simple puzzles, big beads to thread, crayons and finger paints; play dough made of flour, salt and water.
  • Books every day, rhymes and songs, counting steps and naming colours; talk about what you are doing throughout the day. In bilingual families keep both languages going.
  • Playing with other children at the playground or with cousins builds social skills, even when sharing fails; stay close to help.
  • Safety: medicines and chemicals locked, hot tea and the kettle out of reach, window and balcony guards, supervision near water including pools and canals, a car seat on every trip and a hand held near roads. No screens before 2, and then only a little, together.

Call the doctor or 103 if

  • Fever with a stiff neck, a rash that does not fade under pressure, a seizure or unusual drowsiness.
  • Difficulty breathing, blue lips, or sudden choking after eating or playing with small objects.
  • Severe dehydration during vomiting or diarrhoea, or blood in the stool.
  • Swallowing a battery, magnet, medicine or household chemical: go to hospital at once, even if your child seems fine.
  • Development by 24 months: fewer than 50 words or no two-word phrases, not pointing or sharing interest, not responding to their name, no pretend play, or loss of skills.
  • A persistent limp, a squint, or walking that is still very unsteady.
  • If you notice any of these, call 103 or go to the polyclinic or hospital straight away.

Trust your instinct. If your baby seems unwell to you, call 103 or go to the polyclinic.

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