RETROSPECTIVE EVALUATION OF INTERNATIONAL PRACTICE OF «TOILET EDUCATION» IN CHILDREN

Abstract

The article analyzes an international experience of «toilet education» practice in infants. It was marked that the most wide-spreaded approach to the children’s education to sanitary and hygienic skills is Brazelton’s method or, so-called, «approach with orientation to child». The method was directed, firstly, to the presence (or absence) in child signs of preparedness to the beginning of education: ability to sit properly, independently walk and sit on the pot; presence of understanding the purpose of pot and/or toilet sink purpose; presence of phrase speech (consisting at least of 2 words) or the signs of its near appearance; ability to signal with words or gesture to the need of physiological act performing; skill or attempt to take off paints-nappy (or panties) and tights by himself during the attempt to use a pot. Such approach can be estimated as physiological and maximal effective. According to the present recommendations (including the ones from experts of the Union of pediatricians of Russia) a «toilet education» should be started when the child is 18-months old.Key words: children, «toilet education», Brazelton’s method.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(5):52-55)