Spina bifida is characterized by the incomplete development of the spinal cord or its coverings. This condition occurs at the end of the first month of pregnancy and is typically detected before birth. Helping a toddler with spina bifida learn to use the toilet can help improve his self-esteem, according to Healthy Children. Be sure to ask your child's doctor about his situation and any special insight before you begin potty training.
Obstacles
If your toddler has spina bifida, she may experience damage to the nerves that control her bladder and bowels. However, it is still possible for her to have some control. Spina bifida occulta is the mildest form of spina bifida. Kids Health states that many kids with spina bifida occulta have no symptoms of neurological problems. It is possible for your toddler to develop an awareness of when she needs to go.
Readiness
The signs of readiness for potty training a child with spina bifida occulta are the same as for children with no spina bifida. Your toddler may be ready to learn when he can tell the difference between being wet and dry, can stay dry for at least two hours, is capable of reaching the toilet in time, and is motivated with a readiness to learn.
Training
The Spina Bifida Association recommends that you keep a record of bowel movements for three weeks and look for a pattern. Your toddler may develop bowel control first, so try to get her to sit on the toilet during times that she usually goes and about 15 to 20 minutes after eating. Watch her for signs that she needs to go to the bathroom, and encourage her to get to the bathroom during these times. Allow her to wear clothes that are easy to get on and off for the potty-training process.
Recommendations
Do not forget that your toddler also needs cognitive and emotional help when potty training with spina bifida occulta. Talk to him about why potty training is an important skill. Let him observe a same-gender parent using the bathroom so that he has an example. Offer him praise or rewards for successful trips to the bathroom.
Considerations
Keep in mind that potty training a toddler with spina bifida occulta may take longer than you expect. Be patient and prepare for accidents. Your toddler may not be ready to potty train when you expect her to be, so watch for signs of readiness. If you start too early, it may take longer.
