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What Developmental Milestones Might Be Delayed in Infants with Autism? 

Developmental delays in autism are often one of the first indicators that a child may need additional support. While every infant develops at their own pace, certain milestones might be delayed in infants with autism, particularly in areas like social interaction, communication, and motor skills. Recognising these delays early on can lead to timely intervention and help ensure that the child receives the right support for their early development. 

Autism in infants can present itself through a variety of delayed milestones, some of which may be subtle at first. By paying attention to the typical developmental timeline and comparing it with your child’s progress, you can more easily identify potential concerns and seek professional evaluation. 

Common Developmental Delays in Autism 

Parents may notice the following delayed milestones in infants with autism: 

Social Engagement Delays

By six months, most babies begin to show interest in social interaction, such as making eye contact, smiling in response to others, and engaging in simple back-and-forth interactions. Infants with autism may show less interest in socialising or may not engage in these typical behaviours. This could be one of the first developmental delays in autism. 

Speech and Language Delays

Language development in infants is usually noticeable by the first year, with many babies babbling and starting to say simple words. Infants with autism might show delayed milestones in speech, with little to no babbling or difficulty making sounds. Delays in using words and gestures to communicate are also common in this stage. 

Motor Skills Delays

Although less common than social and language delays, some infants with autism may also experience developmental delays in motor skills. This can include delayed crawling, walking, or difficulty with hand-eye coordination. These delays can be particularly noticeable if the baby shows little interest in manipulating objects or exploring their environment. 

Limited Eye Contact and Facial Expression

One of the first signs of autism in infants is often a lack of eye contact or minimal facial expressions. While most infants engage with their caregivers through smiles, eye contact, and other social cues, those with autism may appear indifferent to these interactions, which could signal a delay in social development. 

Identifying these developmental delays in autism can help you take proactive steps in seeking guidance and support. For tailored advice and expert guidance, visit providers like Autism Detect for personalised consultations. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Early Signs & Symptoms of Autism. 

Lucia Alvarez, MSc, author for my patient advice - mypatientadvice.co.uk

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.