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Charlotte is 20 months old and has just had her 18-month health visitor check. There is some concern because she is not yet walking.
Charlotte was a breech delivery and her health and development have never until now given cause for concern. She was smiling at 6 weeks and sitting at 9 months.
On examination, Charlotte does indeed have good sifting balance and travels at remarkable speed across the floor by “hitching” herself along with on her right hand and left foot. When you try to stand her up, she refuses to weight bear and stretches her legs out horizontally.
In other respects, her development is normal, and she demonstrates that she can build a tower of three bricks, enjoys scribbling and can say Mama, Dada, cat, dog and “moo” for cow.