A new/old way to toilet-train baby

Can babies be toilet-trained in the first year? Of course!

This approach, now dubbed "elimination communication," revives an ancient practice.

In my cross-cultural studies — for example, in southern Mexico, Africa and Japanese islands — mothers follow age-old traditions, carrying their babies in a sling or serape. When they feel their babies' internal cues that indicate a production is coming, they rush them to the right place and hold them out. They are taking advantage of the first critical window for toilet training that relies on this kind of close contact. Before the baby has learned to walk, he has been conditioned to signal when he needs to "go" by his parents' responses.

Parents who have used this approach describe carrying their baby through much of his first year, holding him over a potty whenever he seems to signal that the moment is opportune. After a period they can put him down, but go to him every 1-2 hours to hold him on the potty. The baby cooperates by urinating or having a bowel movement.

Parents I've spoken with sound so enthusiastic about how much this early closeness means to them and to the baby. They seem satisfied to have learned their baby's cues and their baby seems proud, too.

For now, though, the demands of "elimination communication" may keep it beyond the grasp of many families.

In industrialized countries like ours, most mothers and fathers cannot be free to carry their babies all day at home or work. The Family Work Institute reports that well over half of mothers are in the out-of-home workforce from necessity, while 90 percent of fathers are similarly unavailable for this kind of toilet training in the first year.

Since we can't hold our children close all day long in the first year, we have had to "wait" until they are ready to undertake toilet training more actively as a major step in their development — typically sometime after the age of two. If parents wait for that new kind of readiness, another opportunity will arise. Two or three-year-olds' new cognitive abilities, and their desire to be in control, and to be like the grown-ups they admire, will take the place of the infant's compliant readiness for physiological conditioning.

Such readiness includes (1) imitation of adult behavior, (2) willingness to stop running around and sit down, (3) interest in putting things in their proper places, (4) ability to say "No," so that toilet training can be his own achievement, and not his parents. (See our book, Brazelton and Sparrow: "Toilet Training, The Brazelton Way," Da Capo Press 2004.)