Many mothers left messages asking: Why can’t we urinate with excrement? Is there any more specific article to explain? Is it really like what is said on the Internet that excrement and urine will [harm baby for life]?
This time, let’s talk deeply about excrement and urine to see what the pediatrician said.
It is not Chinese characteristic to urinate from excrement.
Adults sit upright with their feet separated and their hands holding the baby’s thighs, so that the baby’s legs can be separated from the skin or the waist can sit on the adult’s legs, revealing the baby’s anus and genitals.
With the encouragement and guidance of adults’ [shh-shh, shh-shh] or [hmm-hmm, hmm-hmm] voices, the baby starts urinating or defecating…
Is the above picture of excrement and urine very familiar?
In fact, excrement and urine are not Chinese characteristics. There are similar customs in many places around the world, including Africa, America and other Asian countries:
- In 1929, the American magazine Parents said that most healthy babies can start training at the age of 8 weeks. In the 1940s, pediatricians such as Dr. Benjamin Spock began to advocate that parents should observe signs of their children’s developmental readiness before starting toilet training. They believe that rash and strict training may not succeed and lead to behavioral problems. In the early 1960s, two theories about toilet training emerged: the parent-centered method (the main contributors are Azrin and Foxx) and the child-centered method (proposed by T. Berry Brazelton).
Even in modern times, there will be parents abroad who advocate [environmental protection] and are also giving their babies [excrement and urine].
Andrea Olson of Britain has been controversial on the Internet. She started to capture the baby’s defecation and urination signals from the baby’s 10 weeks of age (the picture shows using the sound of kitchen running water to promote the baby’s defecation).
Putting excrement into urine, two different approaches and attitudes
Homeopathic Training School:
Taking the child as the center, we can judge whether the child wants to urinate and defecate by observing the child’s body movements, expressions, sounds, etc. We can find that (the child) has signs of wanting to defecate, and help the child to discharge smoothly.
Deliberate Training School:
Take parents as the center, in order to handle. No matter whether the baby wants to urinate or defecate, he will give the baby a bubble when he thinks of it, and will defecate forcibly and frequently.
Compared with homeopathic training, deliberate training is more worry-free and labor-saving. Adults do not need to spend time staring at the baby, but can do it regularly according to their own timetable.
However, the disadvantage of deliberate training lies precisely in the subjective speculation of adults. Since there is no capture of whether the baby has defecation or urination, in the process of urinating excrement, the baby often encounters crying resistance, accidentally urinating too frequently (not last time) or for too long (waiting to urinate).
What harm does excrement and urine do to the baby?
As for the harm of excrement and urine, there is a series of casual searches on the Internet: rectocele, anal fissure, poor spinal development, psychological shadow… Is it true, especially or alarmist?
These three kinds of hazards have little correlation with excrement and urine.
Some articles say that babies will cause these consequences if they exert themselves frequently and for a long time in the process of urinating excrement. However, at present, there is no definite evidence to positive the correlation between them, so there is still controversy.
1. Rectal prolapse (rectocele)
In a retrospective study of 54 children with rectal prolapse, the causes of prolapse were chronic constipation (28%), diarrhoea (20%), cystic fibrosis (11%), neurological or anatomical problems (24%), and the remaining 17% were not identified as potential causes. No correlation was mentioned with excrement and urine.
2. Anal fissure
Anal fissure is mainly caused by dry stool, long-term diarrhea, vaginal delivery or anal sex and other local trauma. It has nothing to do with excrement and urine.
3. Adult hemorrhoids
The occurrence of hemorrhoids is usually related to age growth, diarrhea, pregnancy, pelvic tumors, sedentary, hard and chronic constipation. Children’s hemorrhoids are very rare. As for adults’ hemorrhoids, it is attributed to the baby’s short-term defecation rather than decades of life defecation habits that are drunk.
These four kinds of hazards are related to improper excrement and urine.
Improper excrement and urine are still potentially harmful to the baby:
1. It is easy to cause neonatal hip dysplasia.
During the neonatal period, incorrect baby care will lead to eccentric contact of the hip joint, sliding of bones within or outside the acetabulum. If these factors persist, abnormal contact of the hip joint will lead to anatomical changes.
It is suggested not to give newborns continuous excrement and urine, which is very likely to induce hip dysplasia.
2. It is easy to cause the baby to wet the bed.
Learning to control urine and poop is a gradual mature process. Children should first be able to sense urination and defecation, and then learn to coordinate their muscle tissue to control when they defecate.
Generally speaking, children usually do not learn these skills until they are about 4 years old, but it is normal to learn to control urine at night until they are 5 to 7 years old.
At this time, if the urine is too frequent, the baby’s bladder will never be able to sense filling, and the baby will not have the opportunity to learn to coordinate the functions of sphincter and detrusor, will not urinate autonomously, and is likely to habitually hold urine or even wet the bed when he grows up.
3. Psychological barriers to toilet use
When the baby was playing with his own concentration, he was suddenly pulled by adults and forced to urinate. Sometimes, the baby was reprimanded by adults for resisting urination or failing to pull out the urination. All these will make the baby reject excrement and urination.
4. It will cause constipation of the baby.
In healthy children aged 1 year and above, more than 95% of constipation is functional constipation.
When functional constipation is suspected, the possible influencing factors are defecation pain, difficulty in toilet training, defecation restraint, milk intake and diet.
Compulsive excrement and urine will make children have rejection and fear of defecation, thus involuntarily suppressing excrement, thus causing constipation.
Can you still give your child excrement and urine?
So far, although there is not enough clinical evidence to show that putting excrement into urine is harmful, it is not said that putting excrement into urine is definitely not a health hazard.
Whether excrement and urine are right or not is not clear in a word.
From the age of one and a half, the baby can have self-awareness, can say [no] to things he does not want, and can also feel whether he is ready to defecate and express himself.
Our suggestion is to try not to turn excrement into urine, follow the child’s own development characteristics [take advantage of the situation], and give the child more time and patience in learning to go to the toilet.
Then, according to foreign methods, can I not give my children [deliberately] and capture signals [conveniently]?
It can be, but it can really be thankless.
Think about it, the baby’s urine signal may be better captured, but the baby’s urine signal is sometimes not obvious (especially in sleep).
In order to clearly capture the baby’s defecation and urination signals, it may lead to:
1. Parents are always thinking about it, and they have to stare at her every move from time to time-they are really tired.
2. Interrupt your baby’s focus on play or sleep-your baby’s focus is destroyed and sleep is affected.
3. Care about [success or failure], whether or not to come out determines the mood-parent-child relationship is affected