Toilet training adalah proses ketika anak belajar untuk buang air kecil (BAK) dan buang air besar (BAB) di toilet selayaknya orang dewasa. Tim ahli di Rumah Main Anak, Dewi Kumalasari menilai proses penyapihan dan toilet training pada anak sebaiknya tidak dilakukan bersamaan. Keduanya membutuhkan adaptasi luar biasa dari pihak ibu maupun anak.
“Jadi, ibu sebaiknya pilih salah satu, apakah mau sapih atau toilet training dulu,” katanya.
Ada sejumlah tanda-tanda fisik yang menunjukkan anak sudah siap untuk menerapkan toilet training. Biasanya mereka berusia 1,5 tahun. Apa saja tanda-tanda fisik tersebut?
Pertama, anak menunjukkan ekspresi ketika ingin BAK dan BAB. Kedua, anak sudah jarang bahkan tidak pernah BAB di popok pada malam hari. Ketiga, popok anak cenderung kering ketika bangun tidur atau setelah dua jam pemakaian. Keempat, anak sudah bisa memakai dan melepas pakaiannya sendiri. Dia juga sudah bisa membahas pemakaian toilet.
Kesiapan mental anak untuk toilet training misalnya ditunjukkan sikap anak memilih memakai celana dalam ketimbang popok. Mereka memberi tahu ayah atau ibunya ketika ingin buang air. Jika masih pakai popok, anak biasanya meminta orang tua untuk mengganti popok mereka karena sudah kotor.
Apabila penerapan toilet training dinilai belum memungkinkan, maka ibu bisa melakukan penyapihan terlebih dahulu pada anak. Ibu harus kreatif menyiapkan cara-cara atau kondisi lain yang bisa membuat anak nyaman tanpa harus menyusuinya.
Biasanya, kata psikolog di Al-azhar Kelapa Gading ini, anak akan menangis jika tak mendapatkan apa yang diinginkannya. Jika anak menangis keras, bisa jadi memang itu tanda dia belum siap untukdisapih. Namun, jika tangisannya hanya sebagai cara untuk mendapatkan apa yang diinginkannya, maka ibu perlu mengambil langkah baru.
Jika ibu terbiasa memberikan apapun yang diinginkan anak saat dia menangis, tentu ini tidak baik ke depannya. Sesekali jangan memberikan apa yang diminta anak dengan cara menangis.
Many parents are unsure about when to start toilet teaching or “potty training.” Not all kids are ready at the same age, so it’s important to watch your child for signs of readiness, such as stopping an activity for a few seconds or clutching his or her diaper.
Most children begin to show these signs between 18 and 24 months, although some may be ready earlier or later than that. And boys often start later and take longer to learn to use the potty than girls.
Instead of using age as a readiness indicator, look for other signs that your child may be ready to start heading for the potty, such as the ability to:
• follow simple instructions
• understand words about the toileting process
• control the muscles responsible for elimination
• verbally express a need to go
• keep a diaper dry for 2 hours or more
• get to the potty, sit on it, and then get off the potty
• pull down diapers, disposable training pants, or underpants
• show an interest in using the potty or wearing underpants
Tips for Toilet Teaching
Even before your child is ready to try the potty, you can prepare your little one by teaching about the process:
• Use words to express the act of using the toilet (“pee,” “poop,” and “potty”).
• Ask your child to let you know when a diaper is wet or soiled.
• Identify behaviors (“Are you going poop?”) so that your child can learn to recognize peeing and pooping.
• Get a potty chair your child can practice sitting on. At first, your child can sit on it clothed. Then, he or she can sit on the chair with a diaper. And when ready, your child can go bare-bottomed.
If you’ve decided that your child is ready to start learning how to use the potty, these tips may help:
• Set aside some time to devote to the potty-training process.
• Don’t make your child sit on the toilet against his or her will.
• Show your child how you sit on the toilet and explain what you’re doing (because your child learns by watching you). You also can have your child sit on the potty seat and watch while you (or a sibling) use the toilet.
• Establish a routine. For example, you may want to begin toilet teaching by having your child sit on the potty after waking with a dry diaper, or 45 minutes to an hour after drinking lots of fluid. You may be able to catch your child peeing. Only put your child on the potty for a few minutes a couple of times a day, and let your child get up if he or she wants to.
• Try catching your child in the act of pooping. Children often give clear cues that they need to use the bathroom — their faces turn red, and they may grunt or squat. And many kids are regular as to the time of day they tend to have a bowel movement.
• Have your child sit on the potty within 15 to 30 minutes after meals to take advantage of the body’s natural tendency to have a bowel movement after eating (this is called the gastro-colic reflex).
• Remove a bowel movement (poop) from your child’s diaper, put it in the toilet, and tell your child that poop goes in the potty.
• Make sure your child’s wardrobe is adaptable to potty training. In other words, avoid overalls and shirts that snap in the crotch. Simple clothes are a must at this stage and kids who are potty training need to be able to undress themselves.
• Some parents like to let their child have some time during the day without a diaper. If he or she urinates without wearing a diaper, your child may be more likely to feel what’s happening and express discomfort. (But if you opt to keep your child’s bottom bare for a little while, you’ll probably need to keep the potty close by, protect your rugs and carpet, and be willing to clean up.)
• When your son is ready to start peeing standing up, have “target practice.” Show him how to stand so that he can aim his urine stream into the toilet. Some parents use things like cereal pieces as a sort of bull’s-eye for their little guys to try aiming at.
• Offer your child small rewards, such as stickers or time reading with Mommy, every time your child goes in the potty. Keep a chart to track of successes. Once your little one appears to be mastering the use of the toilet, let him or her pick out a few new pairs of big-kid underwear to wear.
• Make sure all of your child’s caregivers — including babysitters, grandparents, and childcare workers — follow the same routine and use the same names for body parts and bathroom acts. Let them know how you’re handling the issue and ask that they use the same approaches so your child won’t become confused.
Above all, be sure to praise all attempts to use the toilet, even if nothing happens. And remember that accidents will happen. It’s important not to punish potty-training children or show disappointment when they wet or soil themselves or the bed. Instead, tell your child that it was an accident and offer your support. Reassure your child that he or she is well on the way to using the potty like a big kid.
And if you’re torn about when to start the toilet-teaching process altogether, let your child be your guide. Don’t feel pressured by others (your parents, in-laws, friends, siblings, coworkers, etc.) to begin. Many parents of past generations started potty training much sooner than many parents do today. And it all depends on the child. Kids will let parents know when they’re ready.
Reviewed by: Steven Dowshen, MD