Expert: Michelle Fattig - 1/5/2008

Question
Hi, my two month old rarely makes eye contact with me.  i've read in books how breastfed babies look at their mothers' when eating, but mine stares straight in front of him.  although he doesn't make eye contact, sometimes he will, and he smiles at me.  he doesn't smile socially and hasn't giggled.  he coos, and can be comforted by myself and his father when he cries.  I am terribly worried these are early signs of autism.  i understand that it is not officially diagnosed until later, but do you have any thoughts?  i would appreciate it.  thank you, abby cellars

Answer
It is typical for babies to make eye contact during the bonding of breastfeeding.  However, two months is very young to determine if it is of concern yet.  If he can be comforted, and doesn't "stiffen up" or become rigid when you hold or cuddle him, that is a good sign.  If you are concerned, mention it to his pediatrician, or request that your local school district do an infant screening on him.  

National Institute of Mental Health, these are some of the red flags for autism:

Possible Indicators of Autism Spectrum Disorders

Does not babble, point, or make meaningful gestures by 1 year of age
Does not speak one word by 16 months
Does not combine two words by 2 years
Does not respond to name
Loses language or social skills
Poor eye contact
Doesn't seem to know how to play with toys
Excessively lines up toys or other objects
Is attached to one particular toy or object
Doesn't smile
At times seems to be hearing impaired

When he is a bit older, it may be more apparent if he is developing within the normal milestones, or if a more indepth evaluation should occur.  I hope this is helpful.