When should we consider speech production onset delayed?

[Veronique lofa Devianne]

Dear Fatima,

I agree with all who wrote you back up until now.  

However, there is always the possibility of a hearing problem, even if only
due to otitis (with or without pain), which are a very common root of
language delay, and so I would tell the parents to have her ears checked by
a pediatric ear doctor. Also, I would not swear that the child has a
reasonably good verbal understanding because bright children can react
totally appropriately thanks to their understanding of the situation
(non-verbal clues). 

In the meantime, they can have fun with her making faces (exercising mouth
and tongue) and imitating noises, reading books while not sticking to the
text but rather using very simple words and not putting pressure on her so
that she talks. 

Kind regards,
Véronique Devianne
orthophoniste

-----Message d'origine-----
De : info-childes at googlegroups.com [mailto:info-childes at googlegroups.com] De
la part de Fatima Badry
Envoyé : vendredi 12 septembre 2014 17:04
À : info-childes at googlegroups.com
Objet : When should we consider speech production onset delayed?

A 16 months and 2 weeks child has not yet produced her first words
Although she seems to have  age appropriate cognitive and social
development. She is very interactive and communicates all her intentions by
grabbing adults' hands and direct them to do what she wants, she makes
sounds (mostly vowel combinations with hardly any consonants)  with
appropriate intonations. She also follows melodies by singing, using
something like lalala with appropriate tunes. Her mother has been
interacting with her since birth in English and so have other family
members.  Her dad is interacting with her in Arabic.  
She is also late in standing and walking. 
If we rule out delayed cognitive development and autism givien her very
social behavior, what could explain the delay in speech production? Are the
delayed speech and walking related? Could it be some motor skill issue
eventhough she has great coordination and can navigate youtube on phones to
get to her favorite nursery rhymes with amazing dexterity! 
Her mother wants to know if she  can she do to help her start speaking?
All insights are much appreciated.
Fatima
Sent from my iPad

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