Pediatrics Book


Brazelton Child-Oriented Toilet Training Method

Aka: Brazelton Child-Oriented Toilet Training Method
  1. See Also
    1. Toilet Training
  2. Equipment
    1. Potty-Chair
    2. Snacks or Treats as positive reinforcement (optional)
  3. Indications
    1. Start after 18 months when child exhibits readiness (see Toilet Training)
  4. Technique
    1. Step 1: Introduce potty-chair, make comfortable, and help child associate it with toilet
      1. Ask child to sit on the potty-chair when fully clothed
      2. Child can sit on potty-chair when parent is using the toilet
      3. Potty-chair can be used anywhere (e.g. outside, bedroom)
      4. Talk or read a story to child while they are sitting on the potty-chair
    2. Step 2: Sit without diaper on potty-chair (after 1 to 2 weeks at Step 1)
      1. Child need only sit and does not need to use potty-chair
      2. When child soils diaper, empty contents into potty chair (explain this is where it goes)
      3. Begin to take child to potty-chair 2-3 times daily
    3. Step 3: Practice using the potty-chair
      1. Remove diaper for short periods of time and keep potty-chair in close proximity
      2. Encourage independent use of the potty chair
      3. Gently remind child to use potty chair
    4. Step 4: Training pants
      1. Teach child to take off and put-on training pants
  5. References
    1. Brazelton (1962) Pediatrics 29:121-8 [PubMed]
    2. Choby (2008) Am Fam Physician 78(9): 1059-64 [PubMed]
    3. Stadtler (1999) Pediatrics 103:1359-68 [PubMed]

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