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Understanding Children Toilet training

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Understanding Children Toilet training Powered By Docstoc
					                               Toilet training

s Ready or not?                        things is a full-time job for most    ___ show interest in the toilet or
                                       toddlers and toilet learning may          potty chair?
   Learning to use the toilet is a
                                       not be as important as learning to    ___Are bowel movements regular
big event in a young child’s life—
                                       climb, jump, run, and talk. A            and predictable? (Some
a sure sign of growing up. Most
                                       toddler who resists toilet training      children move their bowels
children are eager about learning
                                       now may be ready in 3 to 6               two to three times a day;
how to use the “potty” and are
                                       months, then often learns almost         others may go 2 to 3 days
quite proud of their achievement.
                                       overnight.                               without a bowel movement.)
   Toilet teaching is easiest when
children are physically and                                                  ___Has your toddler asked to
emotionally ready, which hap-
                                       s How do you tell if                       wear grown-up underwear?
pens between the ages of 2 and 3       your child is ready?                     If you answered “yes” to most
years. Girls usually gain physical                                           of the questions, you may want to
control over their bowel and           Ask yourself the                      introduce your child to toilet
bladder muscles before boys do.        following questions:                  training. If you answered “no” to
On the average, most girls are         Can my child:                         many questions, wait a while
potty-trained by age 2 1/ and
                          2                                                              longer. Rushing a child
                                       ___ follow simple directions?
most boys around the age of 3.                                                            through toilet training
                                       ___ remain dry at least 2 hours at
But don’t be alarmed if your child                                                         will only result in
                                           a time during the day?
doesn’t follow this pattern closely;                                                        tears and frustra-
individual children mature physi-      ___ walk to and from the bath-                       tion. In fact, starting
cally at different rates.                  room, pull down pants, pull
                                                                                             too soon may
                                           pants up?
   The secret to success is patience                                                          actually delay
and timing. Emotional readiness        Does my child:                                                learning.
is also important. Many bright,        ___ remain dry during nap time?
normal, and healthy 3-year-olds        ___ seem uncomfortable with
may not be interested in learning          soiled or wet diapers?
to use the toilet. Learning new



                                                                                    Pm-1529k Revised November 2003
When a child is truly ready, toilet   use the toilet. If you are comfort-    and make it easier for the child to
training will seem much easier.       able with the idea, it may be a        “push” during a bowel movement.
                                      good idea to let the child watch       The American Academy of Pedi-
s Ten steps to toilet                 you use the toilet. Ideally, fathers   atrics suggests that parents avoid
                                      should set an example for sons         urine deflectors because they can
learning                              and mothers should set an ex-          cut a child who is climbing on or
Step 1                                ample for daughters. Children          off a potty chair. You may want to
   Relax! A calm, easygoing           also can learn about bathroom          let your child practice sitting on
approach to toilet training seems     practices from older brothers,         the potty fully clothed just to get
to work best. Remember that learn-    sisters, or relatives.                 used to the idea.
ing to use the toilet takes time and
that each child is different. If you Step 3                                  Step 6
find that one of your children            Teach your toddler the words          Begin reading potty books to
learns to use the toilet at age 2     your family uses for body parts,       your child. There are many
and another learns at age 3 1/2, rest urine, and bowel movements.            wonderful books about learning
assured that you are not alone.       Make sure it’s a word you feel         to use the potty at your local
                                      comfortable with because others        library or bookstore. Reading a
Step 2                                are sure to hear it. There is          book together helps children
   Show children what they are        nothing quite like a toddler           understand the general process and
to do in the bathroom. Toddlers       loudly announcing in the check-        that other children also learn to
love to imitate adults or older       out lane of the grocery store that     use the potty. Book suggestions are
children. Next time your toddler      it’s time to go “Poo Poo!”             listed later on in this publication.
follows you into the bathroom,
talk about what you do when you Step 4                                       Step 7
                                          Help your child recognize             Purchase training pants and
                                      when he or she is urinating or         easy-to-remove clothing. Just
                                        having a bowel movement.             getting to the potty on time is a
                                        Most children will grunt, squat,     major task for most children. You
                                         turn red in the face, or simply     can help make the job easier by
                                         stop playing for a moment.          letting them wear pants that are
                                      Children need to be aware that         easy to pull down, and by being
                                      they are urinating or having a         around to assist. Avoid snaps,
                                      bowel movement before they can         buttons, zippers, and belts. Some
                                      do anything about it. For most         parents prefer to use diapers or
                                      children, bowel movements are          disposable training pants at first
                                      generally easier to recognize.         and then switch to cloth training
                                                                             pants when their child is urinating
                                      Step 5
                                                                             in the potty several times a day.
                                        Borrow or purchase a potty
                                      chair or a potty attachment for        Step 8
                                         the toilet. If you purchase a         When your child tells you that
                                             potty attachment, be sure       he or she needs to use the potty,
                                              to get one with a footrest.    help with clothing and sit the
                                              This will allow your child     child on the potty for a few
                                             to sit more comfortably         minutes. Stay with your child. It’s
a good idea to keep a few books          • If your are anticipating a new      with feces or urine; help your
close by. Reading a book together          baby, moving to a new home,         child clean up the mess.Then you
                                                                               both can wash your hands with
takes the pressure off for an              or another major life event, you
                                                                               soap and water. It is generally a
immediate result.                          may want to wait a few months.
                                                                               good idea to help with clean-up
                                           Toilet training is easiest when
Step 9                                     both parent and child can give
                                                                               and flushing during much of the
   After 4 to 5 minutes, help your                                             toilet training process.
                                           it their full attention.
child off the potty. Reward with
hugs and praise if your child’s
                                      • Remember that it’s OK to keep          s The big flush
                                        your child in diapers or dispos-
efforts have been successful. Say                                            Children often have one of two
                                        able training pants for sleeping.
that he or she can try again later if                                     reactions to flushing. Either they
                                        Nighttime control generally
the child wasn’t successful. Don’t                                        are fascinated by it (and would be
                                        comes many months after
be surprised if your child has a                                          willing to do it for hours) or they
                                        daytime control.
bowel movement or urinates right                                          are quite fearful. Children who
after being taken off the toilet.     • It may be helpful to use a        enjoy flushing will often delight
This is not unusual. Accidents          plastic mattress cover, table-    in emptying the potty chair into
and near misses are generally not       cloth, or shower curtain be-      the toilet, waving bye-bye, and
an act of stubbornness. It simply       tween the sheet and mattress      watching everything “flush
takes time to learn this new skill.     until children gain nighttime     away.”
If accidents seem to be frequent, it    control.                             Children who are fearful prefer
may be best to hold off and try       • Treat accidents casually. Avoid   that parents take charge of this
toilet training a few months later.     punishing, scolding, or sham-     process. Before flushing the toilet,
                                        ing. Give your child support by make sure the child is off the
Step 10
                                        keeping an upbeat, positive       potty attachment. Many children
  Wipe your child carefully.
                                        attitude.                         are not only fearful of the noise
Wipe girls from front to back to
                                                                          and swirling water, but also may
prevent infection. Teach your
child to always wash hands with
                                         s Cleaning up                    think that they will be flushed
                                        Children often are quite curi-    down too. Reassure your child
soap and water after using the potty.
                                      ous about bowel movements. If       that only body wastes and toilet
                                                                          paper will be flushed away.
s More ideas                          you find your child trying to
                                         remove fecal material from the
• If possible, plan to devote at         toilet, or worse yet “finger paint-
  least 3 to 4 days to begin toilet      ing” with it on the bathroom
  training. Maintaining the same         floor, try to remain calm. Simply
  routine for 3 to 4 weeks also helps.   explain that it’s not OK to play
• Some parents find it helpful to
  establish a routine by putting a
  child on the toilet for 3 to 4
  minutes right after he or she
  gets up in the morning, before
  naps, after naps, after meals,
  and before bedtime. Realize
  however, that your child will
  not always use the potty.
s A note about                           s Books for children                                       Going to the Potty, Fred Rogers—
                                                                                                      Part of the Mister Rogers
bedwetting                          No More Diapers, J.G. Brooks—
                                                                                                      Neighborhood First Experience
                                      A popular book with toddlers.
   Bedwetting is common in                                                                            series, this colorful book dis-
                                      Toilet training is illustrated
children under age 7. Remember                                                                        cusses toilet training. Photo-
                                      through two stories. The first
that learning to control the blad-                                                                    graphs show children of all
                                      story is about Johnny and the
der generally comes after bowel                                                                       sizes, ages, and ethnic groups.
                                      second is about Susie. The text
control. Many children who have                                                                     KoKo Bear‘s New Potty, Vicki
                                      is simple and drawings are in
mastered the toileting process                                                                        Lansky—A “read together”
                                      black, white, and orange.
during the day may not be able to                                                                     book with cartoon bear illustra-
                                    Your New Potty, Joanna Cole—
stay dry at night for many                                                                            tions. A useful companion to
                                      This book tells the story of two
months. Most children will                                                                            Vicki Lansky’s Practical
                                      children, Ben and Steffie, who
achieve nighttime dryness by age                                                                      Parenting: Toilet Training.
                                      are learning to use their new
5, but one out of four children
                                      potties. Illustrated by colorful
may continue to wet the bed for
                                      photographs. Information for
                                                                                                    s Books for parents
several more years.
                                      parents is included in the                                    Parents Book of Toilet Teaching,
   Bedwetting appears to be
                                      introduction. Uses adult terms                                  Joanna Cole
related to the size of the bladder,
                                      for elimination.                                              Practical Parenting: Toilet Training,
the amount of liquid consumed
                                    Once Upon a Potty, Alona                                          Vicki Lansky
before bedtime, and how soundly
                                      Frankel—Simple text with                                      Toilet Learning, Alison Mack
the child sleeps. Bedwetting also
is more likely to occur when a        cartoon-like illustrations.
child is ill, excited, or when a      Available in both a boy’s and                                 s Read more about it!
routine is upset.                     girl’s version as well as a book                                 For more information about
   For children who tend to wet       and toy package, complete with                                infants and toddlers, ask for these
the bed, it may help to wake them     an anatomically correct doll                                  publications at your county
once during the night to use the      and toy potty.                                                extension office.
toilet. An easy time to do this is  All By Myself, Anna Grossnickle                                 Understanding Children: Disciplin-
just before parents go to bed.        Hines—One of the few books                                       ing your toddler, Pm-1529c
Persistent bedwetting, particu-       that talks about nighttime                                    A Parent’s Guide to Children’s
larly after age 7, may be caused      dryness. Josie, like most chil-                                  Weight, NCR-374
by an infection or allergy and a      dren, has successfully mastered                               Understanding Children: Fears,
physician should be consulted.        daytime control, but at night                                    Pm-1529d
                                      still needs help from her                                     Ages and Stages, Pm-1530
                                      mother to get to the bathroom.
                                      In time she learns how to
                                      manage by herself.




File: Family life 8
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                                         The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the
Written by Lesia Oesterreich, exten-     basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and
sion family life specialist. Edited by   marital or family status. (Not all prohibited bases apply to all programs.) Many materials can be made
                                         available in alternative formats for ADA clients. To file a complaint of discrimination, write USDA, Office of
Muktha Jost. Illustrations by Lonna      Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington, DC 20250-
Nachtigal. Graphic design by Valerie     9410 or call 202-720-5964. Issued in furtherance of Cooperative Extension work, Acts of May 8 and June
                                         30, 1914, in cooperation with the U.S. Department of Agriculture. Stanley R. Johnson, director, Cooperative
Dittmer King.                            Extension Service, Iowa State University of Science and Technology, Ames, Iowa.

				
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