Wermom HealthPublished 2026-05-29 · Research
Wermom Research · Gross Motor Development

When babies start crawling: hands-and-knees onset timing from 51,204 infant milestone logs

The WHO Motor Development Study put the normal window for hands-and-knees crawling between roughly month 5 and month 14 — and reported that about 1 in 23 healthy children never crawled on hands and knees at all. In more than 51,000 Wermom App logs, the curve looks almost identical — which is exactly why crawling is no longer on the CDC's milestone checklist.

By Wermom Health Editorial · Evidence-checked against AAP & NHS guidance · ~12 min read · Updated 2026-05-29
Headline finding: Across 51,204 Wermom App users who logged a parent-confirmed first hands-and-knees crawling event between birth and 18 months, the population median age was month 8.4 (about week 36) — squarely inside the WHO Motor Development Study window of achievement for hands-and-knees crawling, which runs from a 1st percentile of month 5.2 to a 99th percentile of month 13.51. Critically, 5.6% of infants in the cohort reached independent walking without ever logging a hands-and-knees crawl — closely matching the WHO finding that 4.3% of healthy children skip this stage entirely1. Clinical implication: because crawling is so variable and so often skipped, the CDC and AAP removed it from the developmental surveillance checklist in 20223. Whether and when a baby crawls on hands and knees is not, on its own, a screening milestone — but the inability to move themselves across a room by any method by around 12 months is.
Methodology. Cohort: 51,204 Wermom App users with healthy term infants (≥37 weeks gestation, no documented genetic syndrome, neuromuscular diagnosis, or NICU stay >7 days) who either logged a first parent-confirmed hands-and-knees crawling event between birth and 18 postnatal months, or logged independent walking with an explicit in-app tag indicating crawling was never observed, between 2024-02-01 and 2026-04-30. "Hands-and-knees crawling" was defined per the app's in-product educational prompt as reciprocal movement forward on hands and knees with the abdomen off the floor, distinguished on a guided checklist from belly-crawling/commando-crawling, bottom-scooting, and rolling. Prematurity was adjusted using corrected age for infants logged at 37–38 weeks gestation (n=6,012); corrected-age results are reported. All data was anonymized at ingestion and aggregated by postnatal week prior to analysis. Wermom does not collect identifiers, geolocation, or third-party advertising IDs for research aggregates. This analysis was evidence-checked against AAP & NHS guidance prior to publication, is descriptive epidemiology, and makes no causal claims about tummy-time practice, floor time, or birth order.

1. Why crawling is the milestone we collectively misunderstand

For decades, crawling held a near-mythical place in the parenting imagination: the proof that a baby was "on track," the developmental beat that supposedly had to come before walking, the thing grandparents asked about first. The evidence never supported that weight. Crawling is one of the most variable, least predictive, and most frequently skipped motor milestones in the first year — and in 2022 it was quietly removed from the official U.S. developmental surveillance checklist3.

The WHO Motor Development Study, the largest and most rigorous prospective study of gross motor milestones in healthy children, followed 816 infants across Ghana, India, Norway, Oman, and the USA, assessed monthly through the first year by trained fieldworkers. It established "windows of achievement" — the 1st-to-99th percentile age band — for six milestones. For hands-and-knees crawling, that window ran from month 5.2 to month 13.5. And it found that 4.3% of these healthy children never demonstrated hands-and-knees crawling at all, going straight from sitting or belly-crawling to pulling up and walking1.

That single statistic is why crawling cannot be a screening milestone: you cannot flag the absence of a behavior that roughly 1 in 23 typically developing children never show. The question this analysis answers is the parent-facing one: across a large contemporary cohort, when does crawling actually happen, how wide is the spread, and how often is it skipped?

2. The population curve: month 8.4 median, a window from month 6 to month 12

Across the full cohort, the median age at first parent-confirmed hands-and-knees crawling was month 8.4, with a 25-to-75 interquartile band running from month 7.3 to month 9.6. The 10th percentile was month 6.4; the 90th percentile was month 11.2. The shape and location of the Wermom curve track the WHO window closely, with the Wermom median sitting near the center of the WHO 5.2–13.5 month band1.

First hands-and-knees crawl — Wermom cohort, n=51,204
Month 8.4
Population median age. Interquartile band (25th–75th percentile): month 7.3 – month 9.6. Outer normal band (10th–90th percentile): month 6.4 – month 11.2. Skipped entirely: 5.6%.

Two features of the curve matter for parents. First, the spread is genuinely wide — almost five months separate the 10th and 90th percentiles. A baby crawling at month 6 and a baby crawling at month 11 are both completely ordinary. Second, the curve has no clinically meaningful "late" threshold of its own, because crawling is not a checklist milestone. A baby who isn't crawling at 10 months is not, by that fact, behind. What matters at that age is the broader picture: are they sitting steadily, bearing weight on their legs, reaching and transferring objects, and finding some way to get to a toy across the room?

3. The 5.6% who skip it — and why that's normal, not a red flag

Of the 51,204 infants in the cohort, 2,867 (5.6%) logged independent walking with an explicit "never crawled on hands and knees" tag. This is slightly higher than the WHO study's 4.3% — plausibly because the Wermom definition strictly excluded belly-crawling and bottom-scooting, so an infant who only ever commando-crawled or scooted before walking would land in the "skipped hands-and-knees crawling" group1.

Within that group, the most common alternative locomotion patterns parents logged before walking were:

The practical message for the 9- or 10-month visit: "My baby scoots on their bottom but won't crawl" is a description of normal variation, not a delay. What pediatricians screen for is whether a child can get themselves where they want to go by some self-generated method, plus the load-bearing and postural milestones around it — not the specific choreography of hands-and-knees crawling.

4. Crawling sits late relative to its WHO "neighbors"

One reason crawling generates anxiety is that it overlaps in time with milestones parents consider more advanced. In the WHO study, the windows of achievement overlap substantially: sitting without support is the narrowest window (1st–99th percentile spanning month 3.8 to month 9.2), while standing with assistance and even walking with assistance windows begin before crawling's window closes1. In other words, a baby can be pulling to stand and cruising furniture before — or entirely without — ever crawling on hands and knees.

In the Wermom cohort, this sequence overlap was visible directly: among infants who did crawl, 22.4% logged "pulls to stand" before their first hands-and-knees crawl. The classic textbook order (sit, crawl, pull-to-stand, cruise, walk) is a central tendency, not a rule. The WHO study itself found that about 90% of children achieved five of the six milestones in a common sequence — but hands-and-knees crawling was the milestone most likely to fall out of that sequence or be skipped1.

5. Why the CDC removed crawling from the checklist in 2022

In February 2022, the CDC — working with the AAP and the editor of Bright Futures — published the first major revision of its "Learn the Signs. Act Early." developmental milestone checklists in a peer-reviewed Pediatrics article3. Two changes are relevant here. First, the milestones were re-anchored to the age by which 75% of children demonstrate a skill (rather than the prior 50% "average age" framing), so that a child who hasn't met a listed milestone is more clearly an outlier worth a conversation7. Second, crawling was removed entirely from the checklist.

The stated reasons map exactly onto what large datasets show: a lack of robust normative data, inconsistent definitions of "crawling," wide variability in onset, and the well-documented fact that many typically developing children never crawl on hands and knees3. The CDC's 9-month checklist now lists milestones like getting to a sitting position without help and moving things from one hand to the other — observable, well-normed, and predictive — rather than crawling4.

The takeaway is not "crawling doesn't matter." It is that crawling is a poor screening tool. The skills that replaced it on the checklist — sitting independently, transferring objects, looking for dropped objects, responding to their name — carry far more developmental signal per observation.

6. What actually warrants a developmental conversation

Because crawling is off the checklist, the surveillance question shifts to the milestones around it. Per the CDC/AAP milestone framework and Bright Futures health-supervision guidance, a developmental conversation with the pediatrician is reasonable when a healthy term infant46:

Any of these merits evaluation regardless of whether crawling has happened. Equally, an 11-month-old who scoots, cruises, babbles, and reaches symmetrically but has never crawled on hands and knees needs reassurance, not a referral.

7. Limitations and future research

This is descriptive epidemiology from a self-selected, app-using cohort, and three limitations bear emphasis. First, app-using parents may differ from the general population in ways (income, education, vigilance of logging) that could shift detected timing earlier rather than later. Second, "first hands-and-knees crawl" depends on parental observation and the app's definitional prompts; the strict exclusion of belly-crawling and scooting makes the Wermom "skip" rate an upper-ish bound relative to looser definitions. Third, the cohort excludes infants with documented neuromuscular or genetic diagnoses or prolonged NICU stays, so the curve describes healthy term infants and should not be used to interpret motor timing in medically complex children, where specialist guidance applies.

Future Wermom analyses planned for 2026–2027 will examine: (a) the relationship between logged daily tummy-time minutes and crawling onset, (b) whether crawl-skippers reach independent walking earlier, later, or at the same age as crawlers, and (c) the sequence relationship between sitting, crawling, and pulling-to-stand within same-infant logs.

8. The bottom line for parents and pediatricians

Hands-and-knees crawling in a healthy term infant has a population median around month 8 and a normal window stretching from roughly month 6 to month 12, mirroring the WHO Motor Development Study's window of achievement. About 1 in 18 infants in this cohort skipped hands-and-knees crawling entirely and went straight to walking — which is precisely why crawling was removed from the CDC/AAP developmental surveillance checklist in 2022. Crawling is interesting, but it is not a test. The milestones worth watching are sitting independently, bearing weight on the legs, moving across a room by any self-generated method by 12 months, and symmetrical use of both sides of the body. A baby who is doing those things and hasn't crawled is doing fine.

Track milestones with the population context built in

The Wermom App shows your child's milestone log against the same WHO and CDC reference windows used in this research — so you can see where you are in the distribution, not just whether you've ticked a box.

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References

  1. WHO Multicentre Growth Reference Study Group. WHO Motor Development Study: windows of achievement for six gross motor development milestones. Acta Paediatr Suppl 2006;450:86-95.
  2. WHO — Motor development milestones: windows of achievement (reference chart, PDF).
  3. Zubler JM, Wiggins LD, Macias MM, et al. Evidence-informed milestones for developmental surveillance tools. Pediatrics 2022;149(3):e2021052138.
  4. CDC — Learn the Signs. Act Early.: Milestones by 9 months.
  5. CDC — Learn the Signs. Act Early.: CDC's Developmental Milestones.
  6. AAP — Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents (4th ed.).
  7. "Learn the Signs. Act Early.": Updates and Implications — review of the 2022 CDC/AAP milestone revision.

This is general health information, not medical advice, and not a substitute for professional care. Educational content evidence-checked against AAP & NHS guidance.

© Wermom Health · wermomhealth.com · Editorial and review standards: read here
This research is descriptive epidemiology and does not replace pediatric evaluation. If your baby cannot move across a room by any method, is not bearing weight on the legs, or shows asymmetric movement by 12 months, talk to your pediatrician.