American Academy Of Pediatrics - The American Academy of Pediatrics Guide to Toilet Training
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How will I know when my child is ready? How can I handle bedwetting and other accidents? Whats the best way to make this a positive experience for both of us?
Helping your child through the toilet-training process may be one of your greatest challenges as a parent. And when it comes to this important developmental stage, every child is unique. If youve been confused by conflicting information from friends, relativeseven other bookshere is expert advice from the American Academy of Pediatrics, the organization representing the nations finest pediatricians.
Gathering invaluable input and suggestions from a wide range of parents on their experiences with toilet training their children, this revised and updated edition answers parents most frequently asked questions and concerns including:
Finding the right developmental moment to start toilet training your child
Handling the inevitable accidents in positive ways
Dealing with bedwetting, resistance, and constipation
Choosing the techniques that will work best for your child
Addressing the challenges children with special needs face
Tailoring your training for boys, girls, even twins
Determining if medication is neededand the latest on prescription options
The American Academy of Pediatrics Guide to Toilet Training is an essential resource for parents who want the best advice for themselves and the best experience for their children.
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Copyright 2003, 2016 by the American Academy of Pediatrics
All rights reserved.
Published in the United States by Bantam Books, an imprint of Random House, a division of Penguin Random House LLC, New York.
B ANTAM B OOKS and the H OUSE colophon are registered trademarks of Penguin Random House LLC.
Originally published in trade paperback in the United States by Bantam Books, an imprint of Random House, a division of Penguin Random House LLC, in 2003.
ISBN9780425285800
Ebook ISBN9780425285817
randomhousebooks.com
Book design by Elizabeth A. D. Eno, adapted for ebook
Cover design: Beverly Leung
Cover photography: Geoff Manasse/Getty Images
v4.1
a
TOILET TRAINING is one of the most challengingand most rewardingprocesses parents face. Based on the latest research and recommendations from the American Academy of Pediatrics, this essential handbook answers common questions parents have about toilet training and bedwetting, including:
How will I know when my child is ready to be toilet-trained?
What do I do if my child resists?
How can I handle bedwetting and other accidents?
Whats the best way to encourage progress in my child?
What do I do if my child is constipated?
How do I choose a potty chair for my child?
What kind of positive reaction should I have if my child has accidents?
Should I potty train my toddler before he enters preschool?
How should episodes of bedwetting be handled?
How long does the toilet-training process take?
and much more, to ensure a positive and enriching experience for both parents and children as they face this important developmental milestone.
EDITOR-IN-CHIEF
Mark L. Wolraich, MD, FAAP
AAP BOARD OF DIRECTORS REVIEWER
David Bromberg, MD, FAAP
AMERICAN ACADEMY OF PEDIATRICS
CEO/EXECUTIVE DIRECTOR
Karen Remley, MD, MBA, MPH, FAAP
ASSOCIATE EXECUTIVE DIRECTOR
Roger F. Suchyta, MD, FAAP
DIRECTOR, DEPARTMENT OF PUBLISHING
Mark T. Grimes
MANAGER, CONSUMER PUBLISHING
Kathryn Sparks
EDITOR
Holly Kaminski
DIRECTOR, DEPARTMENT OF MARKETING & SALES
Mary Lou White
REVIEWERS & CONTRIBUTORS
Paul F. Austin, MD, FAAP
Amanda Berry, CRNP
Nerissa S. Bauer, MD, MPH, FAAP
Nathan J. Blum, MD, FAAP
Timothy Brei, MD, FAAP
Timothy Bukowski, MD, FAAP
Michael Carr, MD, PhD, FAAP
Edward Christophersen, PhD, FAAP
George Cohen, MD, FAAP
Beth Ellen Davis, MD, MPH, FAAP
Beth DelConte, MD, FAAP
Edward Goldson, MD, FAAP
Damon Korb, MD, FAAP
Irene McAleer, MD, FAAP
Lane S. Palmer, MD, FAAP
Peter J. Smith, MD, FAAP
FIRST EDITION REVIEWERS & CONTRIBUTORS
F. Daniel Armstrong, PhD
George C. Cohen, MD, FAAP
William L. Coleman, MD, FAAP
Barbara J. Howard, MD, FAAP
J. Lane Tanner, MD, FAAP
Hyman C. Tolmas, MD, FAAP
WRITER
Richard Trubo
ILLUSTRATIONS BY
Anthony Alex LeTourneau
The information contained in this book is intended to complement, not substitute for, the advice of your childs pediatrician. Before starting any medical treatment or medical program, you should consult with your childs pediatrician, who can discuss your childs individual needs and counsel you about symptoms and treatment. If you have any questions regarding how the information in this book applies to your child, speak to your childs pediatrician.
Products mentioned in this book are for informational purposes only. Inclusion in this publication does not constitute or imply a guarantee or an endorsement by the American Academy of Pediatrics. For additional information on caring for your child, their health and well-being, visit HealthyChildren.org.
The information and advice in this book apply equally to children of both sexes (except where noted). To indicate this, we have chosen to alternate between masculine and feminine pronouns throughout the book.
This book is dedicated to all the people who recognize that children are our greatest inspiration in the present and our greatest hope for the future, and to Seneca and Eleanor, who managed to toilet-train themselves before being able to benefit from this books advice.
Mark L. Wolraich, MD, FAAP
Additional Parenting Books from the American Academy of Pediatrics
COMMON CONDITIONS
ADHD: What Every Parent Needs to Know
Allergies and Asthma: What Every Parent Needs to Know
The Big Book of Symptoms: A-Z Guide to Your Childs Health
My Child Is Sick! Expert Advice for Managing Common Illnesses and Injuries
Sleep: What Every Parent Needs to Know
Waking Up Dry: A Guide to Help Children Overcome Bedwetting
DEVELOPMENTAL, BEHAVIORAL, AND PSYCHOSOCIAL INFORMATION
Autism Spectrum Disorders: What Every Parent Needs to Know
CyberSafe: Protecting and Empowering Kids in the Digital World of Texting, Gaming, and Social Media
Mama Doc Medicine: Finding Calm and Confidence in Parenting, Child Health, and Work-Life Balance
Mental Health, Naturally: The Family Guide to Holistic Care for a Healthy Mind and Body
NEWBORNS, INFANTS, AND TODDLERS
Baby Care Anywhere: A Quick Guide to Parenting On the Go
Caring for Your Baby and Young Child: Birth to Age 5
Dad to Dad: Parenting Like a Pro
Heading Home with Your Newborn: From Birth to Reality
Mommy Calls: Dr. Tanya Answers Parents Top 101 Questions
About Babies and Toddlers
New Mothers Guide to Breastfeeding
Newborn Intensive Care: What Every Parent Needs to Know
Raising Twins: Parenting Multiples from Pregnancy through the School Years
RetroBaby: Cut Back on All the Gear and Boost Your Babys
Development with More Than 100 Time-tested Activities
Your Babys First Year*
NUTRITION AND FITNESS
Food Fights: Winning the Nutritional Challenges of Parenthood
Armed with Insight, Humor, and a Bottle of Ketchup
Nutrition: What Every Parent Needs to Know
A Parents Guide to Childhood Obesity: A Road Map to Health
Sports Success Rx! Your Childs Prescription for the Best Experience
SCHOOL-AGED CHILDREN AND ADOLESCENTS
Building Resilience in Children and Teens:
Giving Kids Roots and Wings
Raising Kids to Thrive: Balancing Love with Expectations and
Protection with Trust
For additional parenting resources, visit the HealthyChildren bookstore at shop.aap.org/for-parents/.
This book is also available in Spanish.
Toilet Training: A Natural Part of Growing Up
How to Tell When Your Child Is Ready
Encouraging Your Childs Progress
Accidents, Resistance, and Other Toilet-Training Challenges
Toilet Training and the Older Child
Beyond Toilet Training: Common Problems and Their Causes
Toilet-Training Children with Special Needs
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