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Basically, it means the same as day time potty training, i.e. when your
child has the urge to urinate; they would go to the potty to urinate.
However, achieving night time control is not simply a learned skill, but
rather a physiological development and the control is largely involuntary.
In some cases, circumstances require learning how to achieve night time
control
Babies urinate around the clock and then at about the average age of 18
months, as the sphincter muscles mature, toddlers will make the transition
from urinating around the clock to only urinating during the waking hours
as is the case with most adults.
Having to urinate at night is not an issue with most adults, since when
an adult's bladder is full at night, a signal goes from the bladder to
the brain and we are awakened with the need to go. For children, this
signaling mechanism comes with age.
Not the Same as Bedwetting
When parents decide it’s time to begin toilet training, they usually
look at the developmental process as a whole. pediatrician at the Medical
College of Georgia Children’s Medical Center, says by age 2, most
children are aware that the bladder is full, but it isn’t until
they are 4 years old that they learn how to pee on demand.
“During the day, the child is awake and able to respond to the full
bladder,” Dr. says. A sleeping child will not notice the full bladder,
and because most children are potty trained before their bladders are
fully developed, they aren’t always able to completely empty their
bladder before bed. In other words, if they don’t have to go before
bedtime, they may not be able to go.
It’s important for parents to remember that nighttime wetting during
the potty training process is not the same as bedwetting.
“We do not classify children as bedwetting until they are 5 years
old,” says Dr. Bauza. “Parents need to remember that it can
take up to two years before a child is completely trained at night.”
Pediatric and urology nurse practitioner at the University of Colorado
Denver Health Services Center, says the bladder functions best when it
is emptied between eight and 10 times a day. However, most children don’t
use the potty that often. A child who is working on potty training might
run to the bathroom two dozen times a day, but rarely do they actually
pee, and even then, they don’t always completely empty their bladder.
“If the child is peeing frequently and fully during the day, the
nighttime stuff will come more naturally on its own,” Passamaneck
says.
Attitude Is Everything
Just as with daytime potty training, parents need to keep a positive attitude
about nighttime wetting.
“Always be very positive,” says Dr. Bauza. Yelling at or punishing
the child for wetting the bed will only cause setbacks.
Here are tips for transitioning to nighttime training:
- Be aware of the child’s readiness. At night, children should
feel comfortable getting out of bed and finding the bathroom alone.
If the child can’t get out of bed without help – for example,
if they have a rail to prevent them from falling out of bed –
they probably aren’t ready to begin nighttime training.
- Transition from diapers to PULL-UPS® Training Pants is made
specifically to help children with this transition). “A child
will feel more confident if he can use PULL-UPS® Training Pants
at night,” says Dr. Bauza. When the Training Pants are regularly
dry at night, that’s the time to transition to underwear.
- Use a mattress cover.
- Try to limit fluids before bedtime.
- Make a trip to the potty right before turning out the lights part
of the bedtime routine. Also, encourage the child to use the potty
as soon as she wakes up. This will help put the bladder on a schedule.
- Be patient and reassuring. “It’s not a big deal to
achieve dryness at night until the child is older,” says Dr.
Bauza.
While some experts suggest waking the child at night for a bathroom trip,
others think it defeats the purpose, as the idea is to help the child
learn to feel natural bladder urges. If the parent is unsure, ask the
child if she wants to be woken. As with other aspects of potty training,
it is good to let the child take the lead.
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