Key checklist for this stage
- At 15–18 months in Korea: DTaP dose 4.
- Hepatitis A dose 2 is given 6–12 months after dose 1. Check the next Japanese encephalitis date too.
- Prepare for the fourth infant health checkup (18–24 months) and the first infant dental checkup (18–29 months).
- Switch from bottles to cups, and eat meals together as a family.
- Keep screens to a minimum, such as video calls.
- If your toddler is not walking alone or has no meaningful words by 18 months, discuss it at a checkup.
Development
Most children start walking alone in this period, and by about 18 months they walk well without holding on. They crawl up stairs, climb onto sofas, and try to throw a ball. They scribble with crayons, stack two or three blocks, and try to use a spoon.
Beyond 'mama' and 'dada', a few words appear, and they understand far more than they can say. They follow simple directions like 'bring your shoes' and point to show you something, then look at you. Pretend play, like feeding a doll, begins.
Tantrums and big feelings
Toddlers want to do a lot but cannot yet say it in words, so tantrums increase. Tantrums are a common part of development at this age; they do not mean the child is bad or the parent is doing something wrong.
- If it is safe, wait a moment, then name the feeling once they calm down, like 'you were upset'.
- Say no briefly and consistently, and redirect to something they can do.
- Small choices, like 'this cup or that cup', reduce power struggles.
- Do not hit or yell as punishment. It teaches aggression and harms the relationship.
- Hunger and tiredness fuel tantrums, so keep meal and nap routines.
Eating and sleep
Toddlers eat softly cooked food at the family table. Appetite goes up and down, and suddenly refusing a favorite food is common. Parents decide what and when to offer; the child decides how much to eat. Foods they refused become familiar if offered again many times.
Move from bottles to cups. Give milk in moderation and make water the main drink. Keep avoiding choking hazards such as whole nuts, whole grapes, rice cakes, and hard candy, or cut them small.
Total sleep including naps is roughly 11–14 hours a day, and many toddlers move to one nap around this time. A consistent bedtime routine helps night sleep.
Health, vaccines, checkups
Under Korea's national immunization schedule, DTaP dose 4 is given at 15–18 months, and hepatitis A dose 2 6–12 months after dose 1. Japanese encephalitis schedules differ by vaccine type, so check the next date. The flu vaccine is given every year.
In Korea, the fourth infant health checkup is at 18–24 months and the first infant dental checkup at 18–29 months. They include growth and developmental screening and advice on language, behavior, eating habits, and tooth care. Parents should brush twice a day with a rice-grain smear of fluoride toothpaste.
Safety and screens
- Walking and climbing raise the risk of falls. Check window locks and stair gates.
- Keep cleaning products, medicines, and button batteries up high with child locks.
- In parking lots and by the road, always hold hands or carry your child. Toddlers are hard to see behind cars.
- Stay within arm's reach near water and in the bath.
- The American Academy of Pediatrics (AAP) advises avoiding screens other than video chat before 18–24 months, and WHO does not recommend screen time for children under 2.
Play and connection
- Echo what your child says and add a little (for example, 'water' → 'do you want to drink water?').
- Look at picture books every day, point to pictures, and ask 'what's this?'.
- Kicking balls, push-and-pull toys, and outdoor play get them moving.
- Do simple chores together (tidying toys, putting away socks) and praise their help.
Vaccines & checkups in this stage
- General checkup 4 — Age 18–24 months
- Dental checkup 1 — Age 18–29 months
Korea's Childhood Vaccine Schedule → Infant and Child Health Checkups →
FAQ
My 18-month-old only says a few words.
The number of words at this age varies a lot. If your child understands well, points, and communicates with gestures, keep watching and talk with them more. If there are very few meaningful words or little pointing and eye contact, discuss it at a checkup or with a pediatrician.
What should I do during a tantrum?
If it is safe, wait a moment, then name the feeling once they calm down. Say no briefly and consistently and redirect to another activity. Do not use physical punishment.
When should we stop the bottle?
It is recommended to start practicing with a cup around the first birthday and gradually reduce bottles. Cut the bedtime bottle first, as it raises the risk of tooth decay.
Which vaccines are given at 15–18 months?
Under Korea's national schedule, DTaP dose 4, and hepatitis A dose 2 6–12 months after dose 1. Check the Japanese encephalitis and flu schedules as well.
My toddler hardly eats.
Uneven appetite is common at this age. Offer meals and snacks at set times and do not force food. See a doctor if your child is not gaining weight or seems unwell.
Sources
- KDCA immunization helper service (Korea)
- National Health Insurance Service infant health checkups (Korea)
- Korean Pediatric Society
- AAP HealthyChildren.org
- CDC Learn the Signs. Act Early.
- WHO guidelines on physical activity, sedentary behaviour and sleep for children under 5
Medical information is for reference only. This is general information and does not replace diagnosis or treatment. Always talk to your child's doctor. In an emergency in Korea, call 119.
Related
Babies pull up, cruise along furniture, and may take first steps and say first words. Around the first birthday, both food and vaccines change a lot.
19–24 mo19–24 monthsWords and willpower grow together. Many toddlers start joining two words, and 'I do it!' becomes common. The checkup around the second birthday is a good time to review development.
Media and screen timeThe younger the child, the more they need human interaction, active play and sleep rather than screens. Instead of banning screens perfectly, aim for age-appropriate limits and family rules so media is used well and in moderation.
Discipline and emotion coachingThe goal of discipline is to help children build the ability to manage their own behavior. With clear, consistent limits on a foundation of warmth, children learn without being hit or frightened.
Developmental checks and delaysEvery child develops at their own pace, but when you are worried about a delay, checking is better than waiting. Finding out early and helping early does the most for your child.
Infant and Child Health CheckupsIn Korea, infant and child health checkups are national screenings paid for by the National Health Insurance Service (NHIS). Each round has a fixed window, so check the dates and book ahead.
Teeth and Oral CareBrushing starts the day the first tooth appears. A rice-grain smear of fluoride toothpaste, no bottle in bed, and a first dental visit around the first birthday are the basics of cavity prevention.