Why is the baby still not able to speak after being over a year old?

Patient's question:

The baby experienced hypoxia at birth and was given neurotrophic drugs. As a child, he cried less, played less, and didn't eat much. At 4 months old, his head wasn't steady yet, and he was given drugs that affect the brain nerves. He also underwent gross motor rehabilitation training. Since then, his gross motor skills have been fine, but now at 1 year and 5 months, he still cannot speak and shows no desire to do so. He understands everything, but learns things slowly. It seems his initiative is also poor. The examination revealed slightly delayed myelination. What treatment is recommended?

Doctor's answer:

Hello, the current situation of the baby is related to the lack of oxygen to the brain at that time. Currently, you can only use drugs to nourish the brain nerve cells for the baby, communicate more with the baby through language and physical interaction, engage in more massage and passive exercises, and try to promote development in all aspects. Additionally, you need to strengthen nutrition, supplement with fish oil and calcium. Based on your description, the baby's development is slower than that of peers, and the magnetic resonance imaging of the brain shows delayed myelination. It is considered that the developmental delay may be related to abnormalities in brain development. Not all babies speak at 17 months, and some may have delayed speech development. You should communicate more with the baby and train the baby's language skills.

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