Strollerderby

Late Potty Training Can Cause Lasting Problems

Posted by sierra on July 14th, 2010 at 3:22 pm

4626893485 38f90d57e9 199x300 Late Potty Training Can Cause Lasting ProblemsThink changing your four-year-old’s diapers is just part of the work of parenting? Think again.

Before disposable diapers, most kids began potty training as soon as they learned to walk. The process was generally completed sometime around 18 months. All over the world, kids are still potty trained at this age in cultures where disposable diapers are not readily available.

Even here, elimination communication is on the rise. More parents are working with their kids to say goodbye to diapers sooner rather than later. Some are eschewing diapers altogether.

There’s an American cultural ideal that tells us to just let kids develop at their own pace. They can potty train when they’re ready, the thinking goes. As far as I’m concerned, the thinking is wrong. Kids are able and ready to potty train long before they can think through the idea or tell you about it with words.

That’s where another trendy baby care technique comes in: baby signs!

I know. I know. Baby signs. This is the realm of overachieving helicopter parents who put their kids on posh kindergarten waitlists while they’re still in the womb.

It’s also an extremely useful tool for communicating with a baby. I potty trained my own preverbal toddler using baby signs she made up herself, at about 17 months.

The founders of the Baby Signs Institute have created a Baby Signs Potty Training Program, for those of you who don’t want to go the DIY route. The kit includes stickers, “potty train” whistles, a board book for baby, an instruction manual, and of course lots of potty related baby signs.

Whatever route you take to it, consider at least offering your kid a potty starting around when they learn to walk. Not only will Mother Nature thank you for keeping thousands of disposable diapers out of landfills, but you may save your kids from some health problems.

There’s evidence suggesting that late toilet training may cause bladder problems that plague kids for years. By contrast, early potty training has been shown to be safe and effective as long as the kid is a willing participant.

Photo: Manish Bansal

 Late Potty Training Can Cause Lasting Problems

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29 Comments

I think the key words here are “willing participant” We started with both of our kids a little after one. Guess what, I still had two late potty trainers. You can lead them to water but you can’t make them drink. I did everything they tell you to do, right down to the letting them run around naked and destroy my carpet, and they still didn’t get it until they were 4 and 3. I also believe that even before disposable diapers there were still kids who didn’t fully understand the concept until later, we just don’t always hear about it because in the grander scheme of things it really doesn’t matter. By the time you are 5 or 6 nobody cares when you started using the potty.
As for the bladder problems, both my younger brothers, my uncle, and my two kids were both trained late,(my 3 year old is now going on two weeks dry!!! :)) and so far none of them have had any bladder problems, other than one uti in my daughter when she was 18 months, long before she was successfully trained, although we were sitting on the potty several times a day.

Heather commented on Jul 14 10 at 3:34 pm

I read this as an ad for The Baby Signs Institute.

MarshaMarsha commented on Jul 14 10 at 4:11 pm

I agree that they’re ready when they’re ready… my twins were trained at 3 and 4 and the one that was trained at 4 (only 80% though) actually started around 2 but then regressed. I have no idea what the mental part of it was for her but I do know that she just didn’t want to grow up because the regression was accompanied with babytalk and such. Here’s the weird thing, the one with a bit of low muscle tone actually has strong bladder control – like a camel!

I’ve also heard that the earlier you train, the longer it takes with accidents and all that. This is why I waited until they were really ready – I wanted a few weeks of accidents not years like I’ve heard others have experienced!

Catem commented on Jul 14 10 at 5:00 pm

If only this information had been around when my son was younger! If I could have presented him with some good scientific evidence maybe he wouldn’t have refused to potty train until 3 1/2! ;)

JJ commented on Jul 14 10 at 5:23 pm

Headline should read “Late Potty Training MAY Cause Lasting Problems”. Using scare tactics/sensationalism to attract readers, while common, doesn’t make it ok.

JeninCanada commented on Jul 14 10 at 6:01 pm

Mine all potty trained “late” and none of them have bladder problems, or any other chronic problems for that matter.

Linda commented on Jul 14 10 at 7:37 pm

So yesterday you are writing this…

http://blogs.babble.com/strollerderby/2010/07/13/is-helicopter-parenting-an-american-phenomenon/

And today you are saying that letting kids develop at their own pace is wrong. (Even though potty training is so dependent on each child, the parent should feel shame if their kids aren’t trained as early as yours.) Do you really wonder why parents in the US are not relaxed?

Laure68 commented on Jul 14 10 at 7:53 pm

It’s not surprising that the same superabsorbent technology that allows babies and kids to wear the same disposable diaper for most of the day without undue discomfort also makes it easier for them to stick with diapers for as long as they feel like taking. And I’d be astonished if the makers of disposable diapers don’t know that, and now count on it to maintain their sales figures.
We used cloth diapers on our kids, they both potty trained at around age 2, and I’m even happier that we went that route after seeing the trend of increasing numbers of late-to-potty-train kids who wear disposable diapers.

CG commented on Jul 14 10 at 8:06 pm

@CG, late potty training is not exclusive to disposable diaper wearing kids. We used cloth and I still had late potty trainers, as did my mom and my grandmother, and they both had late potty trainers as well. I know several families who had children out of diapers before 2 that used disposable diapers. I am sure that in many kids the disposable diapers play a part, but not all and it is entirely possible to use cloth and still have kids who trained late.

Heather commented on Jul 14 10 at 8:48 pm

I wonder about the validity of the statement that kids are potty-trained at a much later age today. First of all, people can’t really remember that far back. Also, when I was a kid, nobody we knew went to preschool, so there was no pressure to potty train by a certain age, and nobody besides mom who actually knew what was going on.

I notice that “potty-trained” means different things to different people. I considered my son potty-trained when we went without an accident for over a week, and then he had no more relapses. However, I’m learning that a lot of people consider their kids potty trained when they are using the potty sometimes, but not always. Our preschool teacher told us that a lot of parents tell them their kid is trained, and then the kid has daily accidents. This makes me wonder if people, without an outside person to tell them otherwise, thought their child was potty-trained when they really were not.

Of course, I could be wrong, but does anyone know if there is any real data telling us kids are potty-trained so much later?

Laure68 commented on Jul 14 10 at 9:12 pm

Laure68, I agree that a lot depends on your definition of “potty trained” I don’t consider my kids trained until they are independent in the bathroom. I go in and help occasionally, but if I have to be constantly reminding my kids to use the bathroom, then they are not trained yet. It is a good start, but not there yet kind of thing. But I know people who are still sending their kids to the bathroom every 10 min. and calling the kids trained. it is all a matter of definition. I agree with you that there were probably kids in earlier decades that were trained later, we just never heard about it because the pressure wasn’t there. I am sure even back in the stone age, there were kids who didn’t get the picture until later as well, it just wasn’t such a big deal then.

Heather commented on Jul 14 10 at 9:36 pm

Also, if you click on the link, it only says that late potty training “might” cause lasting problems. The author even states that it is possible that kids who will have trouble with incontinence will be the ones that are more difficult (late) to potty-train, rather than the late potty training that causing the incontinence.

Laure68 commented on Jul 14 10 at 10:27 pm

3 out of my four kids were trained by 4-5 ish. My 3 yr old has no desire to. At all. I am not going to force mt children to use s potty and traumatized them. They learned in their own time and it only took about 2 weeks fir day and night training to be completed.

Pamela commented on Jul 15 10 at 1:40 am

Excellent points, Laure

jenny tries too hard commented on Jul 15 10 at 9:39 am

My son is mildly autistic, he’s 4 and a half, and he’s not potty trained. We’ve done charts, signs, rewards, movies, books, you names we’ve done it, for over 2 years. I get tired of the constant assumption people make that every child not potty trained by the usual age, (unless obviously disabled),is the result of lazy or uninformed parenting. I also think you did sensationalize and misread the findings in this study.

kimora commented on Jul 15 10 at 10:17 am

My daughter is nearly 3 and has been potty trained completely since she was 23 months. We used cloth diapers and started putting her on the potty after every change starting at 12 months. She’s been poop trained since she was 18 months. We often get shocked reactions from people when they learn she’s potty trained and even stranger reactions when they learn that she has been for so long. We didn’t do anything besides put her on the potty after every change and when we knew she had to go and give her high fives when she went. We babysat a neighbor boy whose parents did the same thing with him and he also potty trained before 2. I think that for neuro-typical children, it’s about making it a priority and making sure kids feel wet.

I believe that disposable diapers and pull-ups are largely responsible for the delay in potty training. Disposable diapers make everyone too comfortable- kids don’t feel wet and parents don’t have to clean anything up. It’s an environmental nightmare that so many kids produce disposable diaper waste until they’re nearly 4.

Magnoliama commented on Jul 15 10 at 2:49 pm

I think you would need the experience of living in places beyond America to state “There’s an American cultural ideal that tells us to just let kids develop at their own pace.” My family is from Italy and thats how it is there as well. And let me tell you disposable diapers are definitely not redialy available. However cloth diapers are. I am not sure that it is just an American thing. My son potty trained by the time he was two pretty much on his own. My daughter however is going on three and just has no interest even though I have been pushing it since she was walking.

2LMommy commented on Jul 15 10 at 3:40 pm

Amen, Magnoliama!
@ Laure68: “People can’t really remember that far back?” Really?!? So my grandma can’t remember that she had all five of her kids trained by age 2? And that that wasn’t atypical? It really wasn’t *that* long ago. I’m guessing that handwashing your kids shittin’ shorts on a washboard was a real impetus to actually get one’s child to use the toilet while he was young. And I suppose that kids in other cultures couldn’t possibly actually in fact be potty trained before 18 or 24 months, either? Ugh. Major eyeroll.

ChiLaura commented on Jul 15 10 at 4:26 pm

Ahem. What I was asking is if it could be possible that kids weren’t potty trained all that early, not that this was a fact, but I understand that some people hold “common knowledge” very dear.

The worst way to conduct a clinical trial is by survey when you have to ask someone to recall something in the past, even if it is the very recent past (1 or 2 years). People almost always remember things differently than what happened, unless they were documenting events at the time. Since not many parents were keeping calendars of all their babies achievements (and the fact that people often want to remember the past through rose-colored glasses), yes, I find it hard to believe that people can have that great of a memory for something that happened so long ago. Maybe kids were potty-trained earlier, but I am just questioning if it was at such an early time as we believe it was.

Laure68 commented on Jul 15 10 at 5:18 pm

My mother actually is the sort to write down weird milestones, and even she has sworn up and down that all her kids were potty-trained well before the age we were when she originally wrote down in the late 70s and early 80s. There’s even photographic evidence—a picture of one brother, who had to be between 2.5 and 3, because he was looking at me, wearing a disposable diaper and t-shirt—but if you ask her, without that picture or the First Three Years book in hand, she’ll swear he was potty-trained, 100 percent by his second birthday.

I’m sure it’s much worse for people trying to remember back before disposables were common.

jenny tries too hard commented on Jul 15 10 at 8:39 pm

@Magnoliama & ChiLaura – Again, while I am sure disposable diapers play a part, children who train later than 2 are not necessarily always disposable diaper babies. My kids are the proof. We did everything you mentioned above and still had kids who didn’t train until 3 1/2 and 4 1/2. So please instead of thinking that you are better than other mothers who have late trainers try to put yourself in their shoes. Instead of looking down on another mother because she has an older child in diapers or pull-ups, be thankful that you had an easy trainer. And no matter what you say, if your child is trained before 2 you had an easy trainer.
And again I am sure there were kids before disposable diapers who trained later than 2, it is just that nobody really cared or talked about it then.
Sometimes I really wish that all these mothers who go on and on about how all kids should be trained before 2, would have a hard to train child. to find out how difficult it really can be, and figure out that we are all not just lazy parents who want their kids in diapers!!

Heather commented on Jul 15 10 at 10:16 pm

oh and kimora, hang in there, he will get there. My son was 4 1/2 before he was completely day trained and 5 before he was night trained. Don’t let anybody get you down. I am sure one day it will click, just like it did with both my kids.

Heather commented on Jul 15 10 at 10:20 pm

Comments One of the worst parts of being a parent is constantly taking grief from a person who happened to have a child who accomplished something before someone else’s child did. STOP critizing. This job is tough enough without constantly being made to feel as though you aren’t doing a good parenting job just because your child isn’t potty trained by a certain age!! Offer suggestions but stop pointing the finger. To my knowledge no kid ever went to high school wearing a diaper, disposable OR cloth!!

sylvia dostie commented on Oct 03 10 at 2:21 pm

For people looking for evidence of the trend toward later training, I suggest a book called Diaper Free Before 3 by Dr. Jill M Lekovic. Chapter 2 gives a great summary of this issue as well as cites scientific studies that were conducted in different decades and gives a great overview of this topic.

Michelle BB commented on Dec 09 10 at 11:14 am

Diaper Free Before Age 3 was a great book and very helpful. I bought it after we started potty learning when he would hold urine all night than explode in the morning. Ten minutes later he would poop and no diaper in the world could hold it. So wake up, hustle to potty, yeah potty learned! He was 2y2m and we had a 5 week old.

This time we started earlier, around 18, and just shy of 2 she is almost 100%.

Cloth diapers and switching to cloth trainers early really helps. And no, she did not display “signs of readiness” like understanding calculus or couting to 100. She learned by practice, the same way I did.

Everyone I know with a “later trainer” pretty much didn’t do any training. They expected the kids to do it themselves.

JudiAU commented on May 26 11 at 4:59 pm

I’m starting to wonder how much longer I’ll be able to find diapers that fit! My son just turned 4 and is at the 70th percentile for weight and height–bigger than average but not much. He’s already outgrown all the brands of overnight diapers I can find, and he’s in the largest size of daytime diapers, which I have to order online or drive 90 minutes to buy. Pullups don’t do the job at all. So what’s with all these diaper companies? I know I’m not the only mom in this situation.

Baldrz commented on Aug 14 11 at 5:43 pm

I don’t understand why someone’s opinion about whatever developmental milestone is taken as criticism. Every child develops differently and if my child does something before yours…am I not supposed to tell you in case you feel like I’m bragging or looking down on you? I think we can all agree that ASAP is best case scenario when it comes to cleaning poop. You definitely shouldn’t pressure your kid to do anything he’s not ready to do, but you can encourage them to try something they never have before. I didn’t find Sierra’s article judgmental of late potty trainers…I felt like she was simply pointing out that outside of North America and in the past, there’s been a different approach to getting kids out of diapers. My son is only 11 months, but as soon as he starts to walk I will show him a potty, sit him on it, bring him to the bathroom when my husband and I go, etc. It’s just a part of teaching them what we all do every day. And I’m sure he’ll get it when he’s ready. No pressure, no deadlines.

laura commented on Sep 16 11 at 2:39 pm

Potty train the kids, at least try! It does not hurt

Angola commented on Nov 16 11 at 9:10 am

OK ,SO I HAVE FOUR KIDS AND ALL WERE DIFFRENT IN POTTY TRAINING,TO AS LONG AS THEY CAN SAY PEPPE AND CACA THAN THEY ARE GOOD TO GO. MY OLDEST GIRL WAS TRAINED AT THE AGE OF 2 SHE WAS THE EASY ONE ,THAN CAME MY SON HE DIDNT WANT TO GO UNTIL HE WAS 3 1/2 ,MY OTHER BOY WAS 2 AND SOON ILL HAVE TO DO THE POTTY TRAINING WITH MY 1 YEAR OLD SO I SAY IF THE WALK UP TO YOU AND TELL YOU CACA MOMMY THAN ITS TIME TO POTTY TRAIN.

DIANA JAUREQUI commented on Dec 13 11 at 2:54 pm

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