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Little Fingers

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Suzanne Dixon
By Suzanne Dixon M.D., M.P.H.
"There is nothing so amazing as the development of a child," says Suzanne Dixon, M.D., a behavioral and developmental pediatrician who was one of the founding members of the Pampers Parenting Network. "Every day is a new adventure when you have a child around you. I never get tired of learning from the children who have been a part of my life, professionally and personally."

Suzanne Dixon, M.D., M.P.H., was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her pediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr. Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former U.S.S.R.

Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in pediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education and is in its fourth edition. She is Editor in Chief of the Journal of Developmental and Behavioral Pediatrics, an international journal of high standing in the professional world. She also has served as an associate editor for Infant Mental Health and currently reviews for several major pediatric journals.

Dr. Dixon is a fellow of the American Academy of Pediatrics and served in national positions in that organization. She is a member of the Society for Pediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Executive Council of the Society for Developmental and Behavioral Pediatrics. She serves as consultant to several national and international organizations and has received an award from Healthy Mothers, Healthy Babies.

Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental pediatrics in Montana and works with local advocacy groups on education and women's health. Dr. Dixon has been married for over 30 years and has three sons. She and her husband travel frequently, are outdoor enthusiasts, and enjoy being amateur anthropologists
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Your child's hands are getting better and better at performing all sorts of delicate tasks these days. His eyes and his hands are learning to work together, too, which will eventually allow him to create all sorts of marvelous things. Right now, when one hand is busy, the other will probably be on the move, too. This mirroring effect will fade as his nervous system matures.

At this age, your toddler is probably using both hands fairly equally, but soon his "handedness" will begin to show itself. Watch for him to favor one hand over the other when he's eating and coloring — that's likely to be the dominant one later on. (One foot will become dominant, too, so watch to see which one he uses while kicking a ball around.)

Here are a few ways you can encourage your child's fine motor skill development:
  • Get him involved in getting dressed. Start the zippers on his clothing, and let him finish them up. Let him practice with buttons, too; even though they're a big challenge, you'll definitely see progress.
  • Set the table with a full set of silverware for your child. By now, he should have mastered the spoon and probably the fork as well. The knife is still a big hurdle, but if you let him try it out on soft foods, he'll start getting the idea.
  • Play with water. Give your child a chance to hone his pouring skills in the bathtub or the sink. Once he gets better at transferring liquid from one cup or pitcher to another, you can let him do a trial run at the dining table (use small containers to start).
  • Let creativity run rampant. Your child's improving dexterity may be most apparent when he's drawing or coloring with crayons and markers (under your supervision, of course). Watch him work at getting a crayon in his hand pointy end down; he'll use his whole fist first, and then his fingers. (By the time he's 5, he'll have mastered the "tripod" grasp.) Your child's random scribbles are probably starting to take circular turns. Soon, a person will emerge from those round shapes. It might look more like a tadpole at first, but that doesn't make it any less remarkable! Give your toddler lines and shapes to copy. He may only be able to do the horizontal and vertical ones right now, but a fascinating process is beginning: learning to set ideas down on paper.
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My daughter is 2 and she is already drawing letters and shapes.is this normal for her age or does it..

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