A baby typically involves crying,
naps, and diaper changes. Imagine if changing pads and wipes weren't necessary.
In the U.S., where disposable diapers are standard, this concept seems almost
unimaginable for most parents.
However, before diapers became prevalent, parents had to adapt, and there are still regions globally where it's normal to observe babies without diapers while they're out and about.
All about “elimination
communication”
In certain parts of China,
especially in more rural areas, it's not uncommon to observe babies crawling or
toddling around in open-crotch pants known as kaidangku. These pants facilitate
easy bathroom use without the risk of soiling clothes, as one can simply squat.
In an essay available on the
National Association For Child Development website, writer Fay Chou reminisced
about the toddlers in her family playing in the yard wearing crotch-less pants.
When the need arose, they would squat on the ground, and cleaning up involved
sprinkling ashes on the waste and sweeping it away, a task typically handled by
the grandmother.
Even before they could walk, babies in Chou's family were taught to use the toilet. Caregivers would hold them over a toilet as soon as the child could hold up their own head, encouraging them with either a whistling sound for pee or a grunting sound for poop.
Some families today still adhere to
similar practices, passed down through generations. In the U.S. and Europe, the
age-old practice of potty training very young babies has experienced a revival
in recent decades and is now known as elimination communication. This term
refers to parents learning to interpret an infant's signals indicating the need
to relieve themselves.
Angela Harders, a mother and educator, discovered elimination communication (EC) while working with impoverished families in Guatemala. In this community, mothers would carry their babies in slings on their backs and, when necessary, take them off to pee or poop in designated areas near their homes. Intrigued by the absence of accidents, Harders questioned the mothers, who revealed that their babies communicated their bathroom needs, similar to how they express tiredness or hunger.
Inspired by this approach, Harders
began experimenting with EC from birth when she had her own daughter. Despite
facing different circumstances with her son, who spent initial weeks in the
NICU and required her to return to work, she considers the experience a
success. Her daughter achieved full potty training by 12 months, and she
stopped changing her son's poopy diapers at five months.
Roma Norriss, a parenting consultant in the U.K., adopted EC with guidance from the book "Diaper Free" by Ingrid Bauer. During a visit to Sri Lanka, she observed the cultural practice of holding babies and responding to their cues, including taking them outside to pee. Although such practices are not common in the U.K., Norriss persisted, recalling instances of discreetly allowing her baby to pee in a paper cup at large events, attracting a mix of disapproving and awe-filled looks within Western culture.
How it works
Interpreting an infant's grunts and
squirms as communication about bathroom needs might seem overwhelming to many
parents. However, families practicing Elimination Communication (EC) assert
that they can effectively understand their baby's signals. Following the
Guatemalan mothers' advice, Angela Harders discovered that paying attention to
her baby's cues—such as grunting, kicking, retracting legs, facial expressions,
and squirming—enabled her to timely get them to the toilet.
A challenge in EC is the frequency of babies' pee, with newborns doing so as often as every 10 to 15 minutes, as explained by Andrea Olson, a mother of six and founder of Go Diaper Free. While there's considerable variation in babies' bowel habits, catching every drop of urine is not necessary for practicing EC. Most parents start by interpreting their babies' signs and focusing on what Olson calls the "easy catches."
Over time, they establish a system
that suits them, with some practicing EC throughout the day and others only at
home. Olson, who sends her kids to daycare in diapers, emphasizes that diapers
serve as a backup rather than a constant toilet. She advocates for a balanced
approach, stating that using diapers is essential but not as an all-day toilet.
Olson emphasizes the importance of pattern and consistency in EC, discouraging sporadic attempts that often lead to frustration and abandonment. Starting with the four "easy catches" can provide a structured beginning:
- Upon
waking: Olson emphasized that catching a pee in the potty right
after waking up is almost guaranteed with a newborn, attributed to a
hormonal shift common to people of all ages.
- Poops:
Identifying bowel movements becomes feasible as they are often accompanied
by grunting, squirming, or gas.
- Diaper
changes: Changes in temperature can prompt babies to go, and a
cool breeze on their skin may trigger elimination.
- Getting
in or out of something, such as a baby carrier: For
instance, offering the potty when arriving somewhere, as babies often hold
it while in the car seat, presents a good opportunity, according to Olson.
EC parents typically facilitate elimination by holding the baby over the toilet, sink, bowl, or even the lawn, making a "hss" sound for pee or an "uh-uh" sound for poop.
Olson emphasized that EC is not a linear process, especially in a "diapering culture" like the U.K. Learning and practicing this skill require commitment. In her family, they agreed to consistently aim for the four "easy catches" at a minimum.
The benefits
Achieving a successful "catch" in potty training not only
brings satisfaction but also translates to fewer diapers to go through and
clean up. Parents who engage in Elimination Communication (EC) express that it
enhances communication with their children.
Norriss emphasized that EC involves
a level of responsiveness to babies' cues, laying the foundation for attunement
and communication. The consistent exchange of sounds or gestures between parent
and child builds trust, fostering the belief that the parent can discern and
respond to the child's needs.
Learning to respond to a child's cues through EC provides an opportunity to strengthen the parent-child bond. Harders shared her amazement at feeling a profound connection with her babies and understanding their communication long before they could speak. She sees meeting children's needs as a fundamental aspect of effective parenting, with EC being a practical way to achieve that.
There's no singular "right" way to practice EC, as it
can commence as early as birth or as late as 12-18 months. Diapers can be used
rarely, occasionally, or consistently.
While engaging in EC may attract
raised eyebrows and looks of disbelief, Norriss believes that teaching babies
to eliminate in diapers is just as "weird."
She highlights that babies constantly communicate their need for assistance
with elimination, and ignoring or shushing them means missing out on an
opportunity to respond. Though not a disaster, it represents a missed chance
for connection.
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