Babies begin 'diaper-free' potty training at birth

SUTTON, Mass. — Thirteen-month-old Dominic Klatt stopped banging the furniture in the verandah, looked at his mother and clasped his right hand around his left wrist to signal that he needed to go to the bathroom.

His mother took the diaper-less tot to a tree in the yard, held him in a squatting position and made a gentle hissing sound — prompting the infant to relieve himself on cue before he rushed back to play.

Dominic is a product of a growing "diaper-free" movement founded on the belief that babies are born with an instinctive ability to signal when they have to answer nature's call. Parents who practice the so-called "elimination communication" learn to read their children's body language to help them recognize the need, and they mimic the sounds that a child associates with the bathroom.

Erinn Klatt began toilet training her son at birth and said he has not wet his bed at night since he was six months old.

"The nice part is . . . really getting the majority of poops in the toilet versus having to clean that," Klatt said. "I don't have to wake up at night and change diapers or have wet sheets anywhere. That's really nice.

"And being able to travel without a big, bloated diaper bag is terrific," she said.

Some parents and toilet training experts are skeptical.

"They teach them from birth?" exclaimed 40-year-old Lisa Bolcato, as she held her 5-month-old daughter, Rose, at a park on Boston Common. "When you're getting two hours of sleep between feedings, I don't think that you have the time to do it. You just make sure that your child's healthy and happy and well-fed."

Still, the practice is common in many parts of rural Africa and Asia where parents cannot afford diapers.

In the United States, many of the parents are stay-at-home-moms, but there are also working mothers. Some meet in online groups, at homes and in public parks to share experiences and cheer each others' efforts.

Experts at the Child Study Center at the University of Oklahoma Health Sciences Center say children younger than 12 months have no control over bladder or bowel movements and little control for 6 months after that.

But some parents begin going diaper-free at birth, and the infants can initiate bowel movements on cue as young as 3 to 4 months, said Elizabeth Parise, spokeswoman of DiaperFreeBaby.org, a network of free support groups promoting the practice.

And unlike some methods of toilet training, there are no rewards or punishment associated with it.