Feeding and Swallowing Milestones: 18 to 24 Months

[en Español]

These milestones cover feeding and swallowing development in children. View a handout of feeding and swallowing milestones for children 18 to 24 months [PDF]. 

Childrens nutritional needs change as they grow and may be different from other children their age. It's important to check with your child's pediatrician for feeding recommendations that are specific to your child's needs.

Each child develops uniquely even within the same family, and may meet certain milestones earlier or later than others. If your child does not meet many of the milestones within their age range, visit ASHA ProFind to find an ASHA-certified speech-language pathologist (SLP) for an assessment.

What can my child do?

Sits without support.14

Feeds self with fingers or utensils.4, 12

Drinks from a small cup with hands and has minimal spilling.12

 

How does my child eat and drink?

Consistently chews food on both sides of mouth.9

Moves food around mouth, chews, and swallows without spilling.14

 

What types of food should my child be eating and drinking?

Foods that require a lot of chewing, like chicken breast. Child still requires adult to cut more challenging foods into smaller pieces to prevent choking (IDDSI Level 7).8, 9, 13

Human milk, pasteurized whole milk, water.2, 3, 5, 6

 

What can I do to help?

You know your child best, so don't wait to get help if your child is having trouble breastfeeding, bottle-feeding, or eating solid foods. Getting help early can prevent problems with eating and can foster a healthy relationship with food for you and your child.

  • Help your child learn their hunger and fullness cues. This creates healthy eating habits and a long-term positive relationship with food.  
  • Children learn through play, so expose them to new foods by making meals exciting or playful. For example, have a picnic lunch outside, or finger paint with applesauce.
  • Serve a variety of foods to your child. Don't get discouraged if they don't like it the first few times.
  • Have your child try a new food many times—this gives them the chance to decide if they like it.
  • Build on what your child already likes to eat by taking food one step further. For example, if they like chicken nuggets, try a chicken patty.
  • Ask your child to try new foods, but don't bribe or push your child too much. Pushing can cause your child to have negative associations with the act of eating—or with food in general.
  • Cook with your child. Share new smells and tastes. Cooking together can make tasting new foods exciting when your child knows that they helped to prepare it!

ASHA Corporate Partners