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Health & Parenting

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Bye-Bye Diapers?

New potty training method suggests that some infants can be toilet trained before their first birthday.

Recognizing the Cues continued...

But "in terms of communication, elimination communication is better because the child learns to understand what's going on with their body and realizes if they let you know, you can do something about it," Davidson says. "There's also less diaper rash because they are not sitting in their poop."

Davidson likens elimination communication to how parents teach children to eat. "How do we know when a child needs to feed? We just have a sense and we feed them," she says.

"There's a nice logic to the elimination communication method," agrees Leslie Rubin, MD, a pediatrician at the Morehouse School of Medicine and Emory University School of Medicine, both in Atlanta. "If you become aware and sensitive to what the little ones are doing, you can respond accordingly. It may not be absolute because just like with feeding, sometimes you can't feed an infant when it's time to feed because for whatever reason, you might be distracted."

When to Potty Train

According to the American Academy of Pediatrics, there is no right age to toilet train a child. Readiness to begin toilet training depends on the individual child, the group states. But starting before age 2 (24 months) is not recommended as the readiness skills and physical development your child needs occur between age 18 months and 2.5 years. While the practice may sound like relative heresy in the U.S., it's embraced in at least 75 countries including India, Kenya, and Greenland.

This type of elimination communication "takes place in cultures where there is a greater degree of intimacy between parents and infants," Rubin says. "If indeed what they are talking about is learning to read babies' signals, that's wonderful because there is no question the baby will have signals when it needs to [go to the bathroom]."

Not so Fast...

"Obviously it would be great to have kids learn to use the toilet by age 1," points out Andrea C.S. McCoy, MD, the medical director at Temple Pediatric Care in Philadelphia. "Unfortunately, their muscles and nerves are not mature enough to really be able to consistently hold urine and stool, relax to allow spontaneous voiding and stooling, and recognize the need to 'go.'"

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