How and When to Toilet Train Kids

Author: Canadian Medical Association Journal
Published: 2011/08/12 - Updated: 2022/01/17
Topic: Pediatric Disabilities - Publications List

Page Content: Synopsis - Introduction - Main

Synopsis: Parents often ask doctors for advice on toilet training young children, and a new article in the Canadian Medical Association Journal summarizes current approaches and evidence to help physicians respond to these queries. There is some evidence that indicates more negative outcomes in children who started toilet training late (after age 2 or 3 in various studies.) Negative outcomes associated with toilet training include refusal to void stool, hiding while defecating, leakage and daytime wetting or urinary tract infections.

Introduction

Parents often ask their doctors for advice on toilet training young children, and a new article in the Canadian Medical Association Journal summarizes current approaches and evidence to help physicians respond to these queries.

Main Item

"Toilet training is felt to be a natural process that occurs with development, yet very little scientific information is available for physicians who care for children," writes Dr. Darcie Kiddoo, Divisions of Pediatric Surgery and Urology, University of Alberta, Edmonton, Alberta. "In reality, toilet training is a complex process that can be affected by anatomic, physiologic and behavioral conditions."

Methods have varied over the last century from passive and unstructured to punishment-oriented and regimented. The current child-centered approach has resulted in children being toilet trained at an older age than previously.

Other approaches include assisted toilet training in babies, operant conditioning with rewards for dryness and punishment for accidents, and a four-step method involving increased fluid intake, scheduled toileting, positive reinforcement and overcorrection of accidents.

Toilet training should be started when both the child and parents are ready. Both the American Academy of Pediatrics and the Canadian Paediatric Society recommend starting when a child is 18 months old and shows interest in the process.

There is some evidence that indicates more negative outcomes in children who started toilet training late (after age 2 or 3 in various studies.) Negative outcomes associated with toilet training include refusal to void stool, hiding while defecating, leakage and daytime wetting or urinary tract infections. However, few studies have addressed the link between methods and adverse outcomes.

"In the absence of evidence, the treating physician must rely on expert opinion and should turn to the Canadian Paediatric Society and the American Academy of Pediatrics for advice for patients that is unlikely to cause harm," concludes the author.

Attribution/Source(s): This quality-reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its relevance to the disability community. Originally authored by Canadian Medical Association Journal and published on 2011/08/12, this content may have been edited for style, clarity, or brevity. For further details or clarifications, Canadian Medical Association Journal can be contacted at cmaj.ca NOTE: Disabled World does not provide any warranties or endorsements related to this article.

Explore Similar Topics

- Comparing the effects of the transport response, the relaxed reaction while being carried, with motionless maternal holding or rocking and examining if the effects persist with longer carrying in infants.

- University of California Riverside researchers examine how expectation of pain influences pain experience in children.

Citing and References

Founded in 2004, Disabled World (DW) is a leading resource on disabilities, assistive technologies, and accessibility, supporting the disability community. Learn more on our About Us page.

Cite This Page: Canadian Medical Association Journal. (2011, August 12 - Last revised: 2022, January 17). How and When to Toilet Train Kids. Disabled World (DW). Retrieved April 20, 2025 from www.disabled-world.com/health/pediatric/toilet-training.php

Permalink: <a href="https://www.disabled-world.com/health/pediatric/toilet-training.php">How and When to Toilet Train Kids</a>: Parents often ask doctors for advice on toilet training young children, and a new article in the Canadian Medical Association Journal summarizes current approaches and evidence to help physicians respond to these queries.

While we strive to provide accurate and up-to-date information, it's important to note that our content is for general informational purposes only. We always recommend consulting qualified healthcare professionals for personalized medical advice. Any 3rd party offering or advertising does not constitute an endorsement.