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Calm a Crying Baby
Potty Training

Elimination Communication

Can Infants Really Be Potty Trained?

Elimination CommunicationElizabeth Parise of Concord, Mass., is mother to six, so to say she has her hands full is probably an understatement. But this mom also has found the time and commitment to essentially "potty train" the youngest three children from birth, in a method called Elimination Communication.

"When I first heard about Elimination Communication (EC), my first thought was that it would fit well with my parenting style," Parise says. "I already had three children and I was pregnant with my fourth and had always practiced natural or attachment parenting. I breastfed, co-slept, carried my babies in slings and other carriers, and I thought EC would fit right in. I especially thought it made sense because I breastfed 'on cue,' now I could potty 'on cue,' too. This meant that just like I fed my babies when they showed signs of hunger I also offered the potty when I noticed signs of needing to eliminate."

Some parenting styles are more receptive to EC than others.

How Does It Work?

In EC a caregiver simply offers the infant a potty whenever the baby exhibits signs that he or she needs to go to the bathroom. Signs differ for each child but moms and dads closely observe their little ones until they can spot the telltale signals, such as squirming, fussing, passing gas, unexplained crying and a look of concentration.

"As the potty is offered, communication with the caregiver is reinforced and the baby may start to purposely signal the caregiver," Parise says. "As motor ability and independent behavior increases, the baby then takes over toileting."


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Elimination Communication

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anonymous says
August 13, 2009

I had never heard of EC before until today and I can tell you that since my son was born I ALWAYS changed his diapers the second he peed or pooped. I even went as far as waking him every 2 hrs to change him. Since he was 4 weeks old he has had full control and never goes in his diapers while sleeping because he doesn't want to sit in it. If that isnt proof that they have control i dont know what is

anonymous says
July 29, 2009

I've been EC'ing with my child since she was 3 months old and absolutely love it. I did it part time at first, but over the last few months she has really taken over to the point that she wears no diaper all day while at home. She is 20 months old now and tells me when she has to go "pee" or "ca-ca" (unless distracted by visits or something really engrossing). She drags a stool up to the toilet, seats herself on it, does her business and tells me she is finished. I quite disagree with Dr. Stavinohs regarding children being 2 years old before they understand why and how to eliminate. I'm not sure what he thinks they are doing when they are communicating to their parents their need to "go" when they are only a few months old (and also able to hold it for long periods. My daughter has been very aware of her need to eliminate for a long time and so have other babies I've known who were EC'ed. I agree the above comment...babies are aware of their need to eliminate from birth.

ECing mom says
December 10, 2008

Thank you for printing an informative article about EC. Most of the article is well written with good information, but some of Dr. Stavinoha's opinions about EC are simply that. Children in many other countries are fully toilet independant by the time they are a year old. My own daughter has been out of diapers, since she was about 9 months old, and since about 20 months she has been able to do all of the steps of toileting herself. She takes herself to the toilet, undresses, eliminates, wipes, flushes, washes hands and re-dresses herself. I often don't even know she is in the bathroom unless she tells me she has gone. This is certainly not a case of my child not knowing all of the steps involved in toileting.I would argue that all babies are aware of their elimination needs from birth, and can voluntarily go, or not go from infancy.

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