Sounds & Babbling

When I start working with a young client and their family, I often will ask the parents or caregivers about the types of sounds the child is making.  Many times, parents are unaware that there are several stages of sound production, and these stages often can predict the child’s readiness for spoken words.  Shortly after birth, a child produces what we call reflexive sounds which are uncontrolled vocalizations such as crying, burping, and sneezing.  Around 2 months of age, the child begins to produce some early sounds called cooing and gooing.  These sounds are produced in the back of the throat and include back consonants (e.g. k and g) and back vowels (e.g. ahh).  Between 4 and 6 months of age the exploration and expansion phase begins where the child engages in more sound play, producing sounds such as growls, squeals and raspberries.  If the child has normal hearing, the child also produces some babbling with consonant vowel (CV) (e.g. ba, ma) and vowel consonant (VC) combinations (e.g. ab, am) using some bilabial (lips together) sounds (p, b, m), which are early developing speech sounds.  By 7 to 9 months of age, the child begins producing syllable chains at the reduplicated babbling stage, where the child produces long chains of the same syllable (e.g. babababa, dadada).  Finally, the child enters the variegated babbling stage between 10 and 12 months.  At this stage the child continues to use CV syllables and also produces syllable chains of varying sounds (e.g. Ba-Da-nah).  At the variegated stage, the sounds produced are more speech-like.  These sounds have more adult-like intonational patterns (rise and fall of voice/pitch) and prosody (rhythm of speech, stress, emotion, changes in loudness) where a child sounds like they are producing an exclamation or asking a question.  Following the variegated babbling stage, a child produces their first words.   

Encouraging your Child to Babble

Caregivers are often unsure as to what sounds their child is making.  I will ask the parents/caregivers to pay attention to these sounds and start writing them down.  I will also ask when the child is making the sounds.  For example, is the child engaging in more sound play when they are alone in their crib or when they are in the bath? These questions help me understand where the child is developmentally with their sound production, it helps me understand if the child is vocalizing regularly and when they are more vocal. and it also helps me learn if the child is producing any early speech sounds.  A child with adequate hearing should be babbling around 7 to 9 months of age.  If a child is not babbling or if a child is not advancing to the reduplicated babbling stage, I recommend several things to consider:

  1. Interactions do not need to be limited to just during playtime.  They can occur anytime and should occur multiple times throughout the day (e.g. during feeding, bath, dressing diaper changes, play).   
  2. Make sure you are facing your child so that they can see your face and mouth. 
  3. Engage in sound play such as producing raspberries, sounds of exclamation such as “wow”, “ahhh” and “Uh-oh”.  Often the more animated you are, the more the child will attend to what you are saying.  Pause to allow your child to respond. 
  4. If your child responds with a sound, imitate your child, and then pause again to allow your child to respond again.  This helps your little one learn that they can initiate communication and also elicit a response from you which encourages a back and forth communicative exchange.
  5. You can also produce some reduplicated babbling chains (bababa) using early developing speech sounds (these are bilabial sounds such as b, p or m).  Pause and wait to see if your child responds.  Often a child will stop and look at your mouth.  You may see them attempt to put their lips together.  They may respond with a vocalization, or they may try to imitate you.  If your child imitates you back, continue to produce the sound then pause. 

Communicating with your child should be fun and interactive.  If you have questions or concerns with your child’s speech production, contact a speech-language pathologist.  They will help determine if a speech-language assessment is recommended. 

Lanza, J.R. & Flahive, L.K. (2008). LinguiSystems guide to communication milestones: 2008 Edition. East Moline, IL: LinguiSystems, Inc.

Mitchell, P.R. (1997) Prelinguistic vocal development: A clinical primer. Contemporary Issues in Communication Sciences & Disorders., 24, 87-92.

Reeni Krafft, M.A., CCC-SLP is a nationally certified Speech-Language Pathologist and the owner of Without Limits Speech & Language Therapy, Inc., a private practice located in Columbia, MD.

Playful Sounds

Does your child produce playful sounds when playing or interacting with you?  These sounds are the precursors to spoken language.  We often say a noisy child will often become a verbal child.  When working with early intervention clients, I often will ask about the types of sounds a child makes. From babbling to sound play, these vocalizations are the foundation for the production of spoken words. It is important to focus on imitation of speech sounds (e.g. ‘buh”, “duh”) and playful sounds (e.g. “moo”) to eventually encourage imitation of words. There are several examples of playful sounds including environmental and vehicle sounds, animal sounds, sounds of exclamation, happiness, and surprise. 

Environmental & Vehicle sounds: car/truck sounds (varoom, beep-beep, honk-honk, getting gas sound-woosh!), train sounds (whoo-whoo, choo-choo), boat sounds (toot-toot), sirens (nee-noo-nee-noo), bells (ding-ding, ting-ting, ding-dong), crashing sounds (urch!-boom!)

Animal Sounds: I like to sing songs with animal sounds (e.g. Old McDonald, Baa-Baa Black Sheep). You can also play with farm animals or produce the sounds when you see pictures of the animals (Baa, neigh, moo, woof-woof, meow, oink, dog panting (ha-ha-ha).

Sounds of Exclamation, happiness or surprise/wonder: showing surprise/wonder (wow!, whoa-whoa, uh-oh, tah-dah, boo!, ahh, ooo!, aaaa!), pretending to sneeze (ah-choo!), showing disgust (ieww!, bleh!), laughing (ha-ha-ha, hee-hee-hee)

Playing and interacting is much more exciting for the child when you use playful sounds.  For example, if I am helping a child build a tower with some blocks, I may say Whoa-Whoa and gesture that it may fall and when the child pushes the tower over, I may say “BOOM!” and then “uh-oh”.  I do this over and over and eventually the child will also produce these sounds as well.  The more a child imitates sounds the more prepared they are to imitate speech sounds and then words.  Just pick a few playful sounds to start with and produce them throughout your day.

Reeni Krafft, M.A., CCC-SLP is a nationally certified Speech-Language Pathologist and the owner of Without Limits Speech & Language Therapy, Inc., a private practice located in Columbia, MD.

I Can’t Understand My Child! What Now?

I often have parents or caregivers of young children call me with concerns regarding their child’s speech.  I see children who have received early intervention for a language delay and as the child is beginning to communicate more, they are increasingly more difficult to understand.  Extended family members, teachers or friends will oftentimes have difficulty understanding the child.  Because the parents are accustomed to hearing their child, they will say, “I typically understand what my child is saying, but their grandma does not”.  Or they will say, “I understand if I know the context, but if I don’t, I have no clue what she is saying!”. 

Speech sounds are acquired in a developmental progression according to the child’s age. When a child begins speaking, they will oftentimes substitute or delete those sounds which they have not yet acquired.  As they master these sounds, the sound substitutions and deletions decrease.  A typical 3-year-old should have early sounds including: /p/, /b/, /d/, /m/, /n/, /h/, /w/, /t/, /k/, /g/, /ŋ/ (ng), /j/ (“y” as in “yellow”) and /f/.  For these early sounds, a 3-year-old should be able to produce them in the beginning of the word, the middle of the word and the end of the word (e.g. for /k/:  “cat”, “monkey” and “rock”).  A child with an articulation disorder oftentimes will substitute the sound with another sound (e.g. will produce /t/ for /k/ – “tat” for “cat”) or delete the sound altogether (“mun-ee” for “monkey”). 

If there are concerns with a speech delay, an articulation evaluation is recommended.  During an articulation evaluation, the child is typically shown pictures and the speech pathologist listens to how the child is producing their sounds-in-words and also if there is a breakdown in intelligibility in connected speech.  If the child’s speech is considered below age-level, speech therapy may be recommended. Below are some links to charts which provide some information about developmental acquisition of sounds according to age.  If you are concerned with your child’s speech, feel free to reach out!

Reeni Krafft, M.A., CCC-SLP is a nationally certified Speech-Language Pathologist and the owner of Without Limits Speech & Language Therapy, Inc., a private practice located in Columbia, MD.

Crowe, K. & McLeod, S. (2020). Children’s English consonant acquisition in the United States: A review. American Journal of Speech-Language Pathology. https://doi.org/10.1044/2020_AJSLP-19-00168

McLeod, S. & Crowe, K. (2018). Children’s consonant acquisition in 27 languages: A cross-linguistic review. American Journal of Speech-Language Pathology, 27(4),1546-1571. https://doi.org/10.1044/2018_AJSLP-17-0100

McLeod, S., Crowe, K., & Shahaeian, A. (2015). Intelligibility in Context Scale: Normative and validation data for English-speaking preschoolers. Language, Speech, and Hearing Services in Schools, 46(3), 266-276. https://doi.org/10.1044/2015_LSHSS-14-0120