At what age should you be successful
Everyday family life in the corona crisis
What is "getting clean"?
In babies, the elimination process is automatic. When the urinary bladder has reached a certain level of fullness, the urethral sphincter opens and the urine can flow out. The stool is also eliminated automatically. When small children “get clean”, they have to learn to consciously perceive and control these automatic body functions. This is not so easy.
Between 18 and 30 months, the nerves and muscles of the pelvic floor are so well developed that a child can feel the excretory function step by step and ultimately learn to control it themselves. Children with a rapid development pace become “clean” about a year earlier than children with a slower development pace. This individual pace of development is innate and can be observed in many areas of development. So there is no point in comparing children.
Most children clean a day between 2 ½ and 3 ½ years of age. During the night, children usually don't get “dry” until a year later. Parents should only discuss this with their pediatrician if children are still wetting almost all the time after their fourth birthday.
Usually children first notice that “something wants to get out of there”. With this perception, the urine usually already flows into the diaper or pants. Some children report this with words like: “Lulu!”, Others just pause for a moment or tug at the diaper or pants or make themselves noticeable through other movements. If parents understand these signs and encourage the child, e.g. by saying: "I'll get the pot quickly", they support this development. Even if the pants get wet at the same time, they can promote the child's perception by saying: "You can tell that your Lulu wants to get out of there". The child should then be swaddled or changed with serenity.
With “getting clean” the child has a difficult task to cope with. It has to stop something that happened automatically and do the opposite. When they feel the urge to urinate, they have to keep their sphincters closed, get in touch, undress and sit on the pan or the toilet. Only after these many activities can it open the sphincter again to let the urine flow out. When adults become aware of this, they better understand what the children actually do. In the first 1 ½ to 3 years, the child has experienced several times a day that it happens as follows: urge to urinate - automatic opening of the sphincter muscle - drainage of urine and closing of the sphincter muscle. Due to the nature of the diapers, the child hardly felt that it was wet after elimination, and the diaper was usually changed independently of the elimination process.
For some children it helps to keep the sphincter muscle closed when mom or dad say, "hold on tight" after the child shouts: "Lulu !!", and go to the toilet with the child or put it on the pan. Then a: "Now you can open it again" can be useful in relaxing the pelvic floor.
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