12 Months

Here's what's happening at this age - milestones, common concerns, nutrition, sleep, and vaccines.

Developmental Milestones

Based on the 12 Months checkpoint

Gross Motor

  • Pulling to Stand - Your baby grabs onto furniture and pulls themselves up from sitting to standing.
  • Cruising Along Furniture - Your baby walks sideways while holding onto furniture for support.
  • First Steps (Emerging) - Your baby may take a few wobbly steps on their own, or they may not be there yet - both are normal at 12 months.

Fine Motor

  • Refined Pincer Grasp - Your baby neatly picks up small items like cereal or peas between their thumb and pointer finger.
  • Putting Things In and Out of Containers - Your baby drops objects into a cup, bowl, or box and then dumps them out again.
  • Pointing with Index Finger - Your baby extends their pointer finger to touch things, poke at small objects, or point at things they want or find interesting.

Language

  • First Words - Your baby says one or two real words like "mama," "dada," or "uh-oh," and uses them to mean something specific.
  • Using Gestures to Communicate - Your baby waves bye-bye, shakes their head for "no," reaches up to be picked up, or points at things they want.
  • Understands Simple Requests - Your baby understands simple phrases like "give me the ball" or "where is your cup?" especially with gestures.

Social & Emotional

  • Waving Bye-Bye - Your baby waves when someone says "bye-bye" or when they see someone leaving.
  • Showing or Giving You Things - Your baby holds up a toy or object to show it to you, or hands you things.
  • Separation Anxiety - Your baby may cry or become upset when you leave the room or when they are left with a less familiar caregiver.

Cognitive

  • Simple Problem-Solving - Your baby figures out simple problems, like pulling a blanket to get a toy that is on top of it, or moving an obstacle out of the way.
  • Exploring Objects in Different Ways - Your baby tries different things with objects - shaking, banging, throwing, dropping, and poking at them.
  • Imitating Simple Actions - Your baby copies things they see you do, like clapping, stirring with a spoon, or talking on a phone.

Red Flags to Watch For

  • !Does not crawl, scoot, or move around in any way
  • !Cannot stand even when supported or held
  • !Does not say any words like "mama" or "dada" (even unclearly)

Food Readiness

Foods appropriate for 12 months

🍌

Banana

Small pieces or thin slices

🥑

Avocado

Small cubes or thin slices

🍠

Sweet Potato

Soft cubes or fries (baked)

🍎

Apple

Soft-cooked thin slices or grated raw

🟢

Peas

Slightly flattened or in mixed dishes

🥣

Oatmeal

Thicker texture, with mix-ins

🍗

Chicken

Shredded or small soft pieces

🐟

Salmon

Flaked into small pieces

Allergen: fish
🥛

Yogurt

Self-feeding with spoon or mixed into food

Allergen: milk
🥚

Egg

Scrambled pieces or hard-boiled (quartered)

Allergen: egg
🥦

Broccoli

Steamed and chopped into smaller pieces

🍚

Rice

Soft rice in mixed dishes

🥜

Peanut Butter

Thin layer on toast strips or mixed into food

Allergen: peanut
🫘

Tofu

Small cubes or crumbled into dishes

Allergen: soy
🍓

Strawberry

Quartered or thinly sliced

🥕

Carrot

Soft-cooked sticks or small diced pieces

Sleep Needs

12-18 months

12-14 hours

Total sleep per day

10-12 hours

Nighttime sleep

1-2 naps (most transition to 1 nap around 14-18 months)

Naps

Tips for this age

  • The 2-to-1 nap transition can be rocky - it takes 2-4 weeks
  • If your toddler resists one nap, try a shorter morning nap
  • A consistent sleep schedule becomes more important than ever
  • Loveys/comfort objects are now safe and can help with sleep

Vaccines

Vaccines due around 12 months

HibDose 4 - 12-15 months

Haemophilus influenzae type b

Protects against Hib disease, which can cause meningitis and other severe infections.

PCV15Dose 4 - 12-15 months

Pneumococcal

Protects against pneumococcal disease, which can cause ear infections, pneumonia, and meningitis.

MMRDose 1 - 12-15 months

Measles, Mumps, Rubella

Protects against three viral diseases: measles, mumps, and rubella.

VARDose 1 - 12-15 months

Varicella (Chickenpox)

Protects against chickenpox.

HepADose 1 - 12 months

Hepatitis A

Protects against hepatitis A virus.

Every baby develops at their own pace. The ranges here are based on typical development from the CDC, AAP, and WHO. If something feels off or you have questions, trust your instincts and talk to your pediatrician. You know your baby best.