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I/ INTRODUCTION:

Many parents take advantage of their baby's upcoming arrival to reflect on how they will welcome him.
It seemed important to address the issue of natural baby hygiene or Elimination Communication (HNI), to give you a start of reflection on this topic.

I am Christina, mother of four children in HNI, and Artisan of Creative Art of the brand Ecopitchoun,facilitator of workshops and conference since 2006 on different themes of parenting: signs with baby, portage, Faber and Mazlish communication parents-children-teens, on the placenta, raw food, ecology, l Elimination Communication and accompaniment to continence. Also founder of the Papoti-Papota association, which has been offering parent-child workshops on Béziers since 2009.

I had the pleasure of rewriting the texts that I had put on the site because the mentalities have changed so much since 2004 when I started talking about them around me! Now I see, with this little hindrance, that more and more of you are questioning yourself, exchanging, informing you, and that ideas are moving forward super fast. It's been a good time for questioning our relationship with the younger ones, and this movement doesn't look like it's getting out of hand So I update, giving more information adapted to new parents.


BIBLIOGRAPHY:

You can explore the subject of Elimination Communication reading these books:

"Tips and tricks to raise your child without diapers (or almost)", by Carine PHUNG available here on the website Ecopitchoun download and inexpensive.
This book is very complete, brings step by step, patterns of sewing.

Without diapers, it's freedom," daIngrid Bauer, at the Instant Editions Present.
It was the first book translated into French on the subject. He has inspired many parents and helps you connect to your deep instincts.

And you can complete one of these books with the HNI Guide Book Ecopitchoun by Christina Burjade-Crozel.
Once you've read one of the two books above, you don't necessarily have time to go back in when baby is there and you're in the action fire. With this guide you have quick access to a reminder that doesn't go in all the details, which reminds you of the broad lines and moves you, it's very convenient. Inside a lot of tricks that are not in the books, and that allows you to apply them on a daily basis: practical tools, encouraging phrases, the main pitfalls and how to deal with them in practice.
On the other hand, it's a notebook. Keeping a written record of what you've been through with your baby, writing down the steps you've gone through, also allows for a very nice transmission and memory. So you can paste photos, annotate remarks, see all the way.

The natural hygiene of the child" by Sandrine Montrocher-Zaffarano, at Jouvence Editions.
It is a very concise book of the Jouvence Editions, and this format is valuable: it allows you to have a first approach on the subject, to present the HNI to the communities, to the family... so it is quick to read and sweep the main questions that the Quidam raises.

II/ What is natural infant hygiene (NHI)?

We will first define a common vocabulary to facilitate communication. The ages indicated are used only to facilitate common understanding and are not an indicator of baby delay or advance.

A baby needs to accompany to the continence of birth until it is ready. There are several moments and ways to do things:
- from 0 to 18 months: we will then talk about Elimination Communication.
- from 18 months onwards: we will talk about accompaniment towards continence. I prefer this term to "learning cleanliness" which refers to a different intention and purpose than what I am going to talk about.

The months indicated in these informative texts are only indicative, to facilitate understanding, and your baby does not have to fit into these age cells. So there will be neither delay nor advance, just that everyone is different and will therefore experience different ways of doing things, different acquisitions, and that everything is very well so.

In Elimination Communication, it's about meeting your baby's elimination needs.
You can use 6 main axes that are complementary:
- being attentive to his needs: knowing what physiological development is in the time of a baby in HNI (different to a baby with diapers) and where his baby is located,
- by responding to its signals: if a newborn indicates by mimics and sounds when he's going to pee or cocoa, a baby can show him objects, use gestures, stop his game, and when he's still a little tall he will use signs of the LSF (if you use them), words, behaviors. Communication will of course evolve over its development.
- by relying on a "time": there are favorable times depending on baby age.
- by relying on your instinct: after a moment of practice, a form of connection is installed. We think this is the time without really knowing why. A bit like breastfeeding when you have a milk climb while you are away from baby, moving away from home sometimes.
- and using tools of parenting competence: the Dunstan Baby Language, the signs with babies,
- And above all by respecting its own limits so that communication can be put in place serenely.

These six broad lines allow you to offer him a place to eliminate, and point out to him that it is time to relax with a sound, a word. Create another communication link that will strengthen the parent-child relationship, a better understanding. Respect the child's growth, keep pace by offering it at the right time. Baby then approaches the path to continence when he acquires it spontaneously.

L’ Elimination Communication (HNI) is not:
THE' Elimination Communication is not a method, a way to learn continence to a baby. I-I Elimination Communication (HNI) does not consist of letting your baby eliminate anywhere and clean after it, or letting it get on all the time and change it. Nor is it a coercive method that would force the child to hold back: parents adapt to the baby's evolution, so take into account that his body does not have the maturity to hold back.

At the heart of the HNI is mutual cooperation, the desire to grow up together, learn from the baby and evolve with him.

The goal of accompanying to continence is that baby remains conscious of his body and feelings and that he acquires continence at his rhythm, the intention is communication. We emerge from the dominant/dominated relationship in which families often find themselves "learning cleanliness".

But then, what does the learning of cleanliness differ from accompaniment to continence?


III/ What is "learning cleanliness"?

Many adults over the course of the workshops explained how they had lived this period themselves, and the expression contains a lot of tensions, misunderstandings, a balance of power, etc. New terms had to be found to consider a new way of doing things, to open up the possibilities and to return to the rhythm of the child, not the rhythm of society or adults.

This expression refers to methods that require babies to learn continence because the adult has decided so. It's so much better if it interests baby, but not necessary to start. We just validate his physical ability: age is an indicator, and succeed in climbing the stairs, running. The goal is that it be ready for kindergarten so day continent at first, or because the summer season is ready. Indeed, the parent is more available, the laundry dries faster, baby will not have cold. The goal of "learning cleanliness" is continuity and intent is obedience.
Then we sometimes explain the baby process. If he has a sibling or a mode of collective custody, he will have to understand for himself what is expected and we will rely on imitation to get what is expected.
We buy the potty on which he will remain seated at the regular times indicated by the pediatrician. He'll be sitting until he's done something in the potty, but not too long anyway. This is the system of punishment/reward that is supposed to encourage expected behavior. The parent often gets angry if the child does not manage to be a continent relatively quickly. The parent did not provide information on the operation and development of the baby to enable him to better understand and interact. Sometimes remarks of discouragement and anger of the parent run away, which devalues baby, humiliating.

This is the expression "learning cleanliness" in the collective imagination of parents. I was able to see from talking with friends, and during workshops with parents that many of them had to follow this method as a baby, and lived as a very unpleasant ordeal that had to be overcome for everyone to enjoy us. Stay on the potty 15-20 minutes without knowing what to do, not understanding why we no longer have the right to diapers suddenly, feeling rejected and incompetent.
We are far from the coercive methods after the 1950s, but the children who became parents find themselves with this only model, and very few informative resources that would have evolved.
It is now a matter of rethinking our approach, proposing to acquire continence by sticking at best to the baby's rhythm, to show empathy, with gentleness, serenity.
 

IV/ WHAT IS THE CONTINENCE?

There are many definitions of continence according to parents, the habits of the society in which they operate.
I have several typical answers:
When the child is able to keep his panties clean in kindergarten? When baby makes on the potty when we put him on at fixed times, and he doesn't do it outside? Is this when the child will wear panties without peeing in? When he is able to identify his need, to restrain himself, to go from himself to the toilet? When baby asks to go to potty when he needs it? When baby doesn't get on at night and day? When he goes to the big guys' bathroom?
There are many definitions that vary according to each one, according to our expectations, according to what we imagine, etc.

Hence the usefulness of decorating a little what is behind this word, better understand what everyone says.

Although not exhaustive, here are several points underlying the word "continence":
- Cleanliness: do on yourself or in a dedicated place.
- Physical ability: being able to hold back, and how long.
- Follow a rhythm independent of his: school for example.
- Stay dry day and night.
- Baby issues a request to which the accompanying person responds.
- Autonomy: go alone on the potty or need to be accompanied, know how to manage clothes.
- Acquisition: this is a completely acquired step.

So I left on that definition: Continence?
When a person does his/her needs in the toilet, day or night, without needing help, and has enough control of his/her body to manage to be reasonably restrained and to adapt to the rhythm imposed by the situation, for a long time enough to mean that it is acquired (about 6 months).


V/ But then what would accompaniment towards continence be?

From 18 months on, because that's when most parents start to remove the diaper. And then what would we say? Up to 3 years? 3 to 5 years about 50% of children are incontinents.. So up to five years? After that we talk about denuresis but it is not considered a disease. So until the child is continent* and not a date.

*As a reminder, continence is when a person needs the toilet, day and night, without needing any help, and has enough control of his body to manage to be reasonably restrained and to adapt to the pace imposed by the situation, for a long time enough to mean that it is acquired (about 6 months).
 
Currently society is still in a phase where to pee past a certain age is a problem, probably because the subject is taboo and the story we get tells us that good parents (before we talked about "good mothers", hearing competent and socially acceptable mother) must have a child continent. Only here, when I ask about this age, there it is impossible to define, each one has a different head age than his neighbour, and if I ask them to define an age together when they are in group then it is the average that wins. When the word is freed, everyone has examples of young people who peed later or later, and all testify that the child really did not do it voluntarily, that the parents tried everything, etc. And at the end of this discussion, if it is the average that prevails, it is understood for all that there are many cases of incontinental children (and not just one) and that it is neither dirty nor the fault of the parents, and that no one can effectively determine where this could come from except in cases of proven illness. In other words, the discussion frees up prejudices, pushes forward the reflection, and in the end we gain in openness, we get out of taboo to seek solutions. In fact, it is still a pity that young people suffer socially because of a taboo that could easily be undone by discussing more. The Youtube woman Natoo addressed this subject, and I thank her very much for dedramatizing and speaking frankly.

The accompaniment to continence begins at 18 months and until the child is continent, regardless of age.
The aim is to take into account the child's rhythm and physiology, to inform about the child's development, to prepare environment, clothes and material. Then explain to his child, exchange on the subject, and facilitate his access to autonomy. The aim is for the child to become fully aware of his or her body and feelings and to gain continuity at his or her own pace. The intention is to communicate, acting as facilitator.

VI/ L Elimination Communication (HNI) Is it a crazy idea?

Why consider the removal needs of your baby?
The baby depends on his parents, he needs us to survive, eat, sleep, be warm, loved, worn, touched.. Why remove from this list its equally important need for elimination?

It is not obvious to question this subject. In France we took the habit of taking care of this need by putting diapers to our baby. This is what has been advocated for many generations by professionals who support and inform parents and communities hosting babies.
We will see in detail why and how this certainty has been established within the population in the text entitled “Why do we think that the layers are indispensable?”. Let’s just say that at the time some parents used coercive methods to learn cleanliness for babies. Dr. Brazelton, sensitized to the cause, has mility to replace them with a softer approach that follows the rhythm of the child. Some parents opted for very questionable methods to make their baby "clean.. Let’s just remember that there were also families who didn’t do anything about it, for whom everything was fine. Subsequently, this more respectful speech of babies was recovered as an advertising approach by the vendors of disposable diapers: marketing campaigns, pouches delivered from maternity, brands that provided maternity in layers to welcome newborns, trainings of professionals who widely conveyed this thought. And the parents of babies in the nursery quickly rely on nursery professionals to find out what to do with their baby, and this is the Brazelton method (largely disseminated in France by Laurence Pernoud to parents) which was widely adopted.
This advance for the respect of the baby's rhythm also had the traverse of rallying all parents under the Brazelton method while many parents responded without coercion to the needs of their baby: they positioned them over the sink or sink before bathing them, at the time of the change... without forcing, without hurting, without psychological pressure, just common sense. They saw their baby going to do it, and rather than let it be done on it, they allowed him to relieve himself in a suitable place. These parents were also caught between two fires: on one side the eloquence of doctors who position themselves as an expert who knows what is good for their child and who explain that doing otherwise than what they advocate is to rape the baby, and on another obvious benevolence that they experience vis-à-vis their child who seems to live calmly. Only the advertising incentive to be good parents by opting for disposable diapers soon came into effect and memories gradually slipped towards the imperative of using disposable diapers, especially as the practical side of washables when parents were fed up with laundry baby blankets had a very relevant echo in the families.

So now and for a long time we hear that we have to wait for the 18 months of a child, who have gradually become 2 years, then now the 2.5 years or 3 years (to be ready for motherhood), to start accompanying baby to the potty, the bathroom.

This method has clearly allowed many babies to no longer suffer. There was now a conduct to be carried out, with clear benchmarks and a behaviour to be adopted in function. This method still helps many parents, and babies are less abused.

Since then, several paedopsychiatricians and psychologists have advanced in their research and have taught a lot about the theory of attachment.

We find ourselves with people over several generations who sometimes find it difficult to find themselves there and who have advice or even are under conflicting pressure from their entourage: "how it does not yet go on the potty ? Mine was already proper to his age!", "But you already put it on the potty ? It's way too early, it's not going up the stairs well yet, you're going to traumatize it", "Is it not clean yet? You're wrong, it's obvious, he's late." "You're way too hurryed, it's dangerous to put him so young on the potty It is again to the parents that one thing is asked and its opposite at once.

As a parent, when you hear information, I invite you to step back, consider each other's different positions, and experiment gently with what seems to suit you and your baby. Check that baby development corresponds roughly to the development observed in other babies, that it seems to be fine. And also check that the choice made suits you (not too much fatigue, pressure).
Your choices will evolve gradually with baby: baby as parents may come to prefer something else according to the evolution of the baby, the family situation.

So is there really an age to start taking care of this need?

To sum up, each parent will do his or her best, and it will be very well so
And I say again, facilitate the acquisition of Continence (whether with HNI or with "accompaniment to Continence" (definition above)) is not a method.
Parents exchange tips, testimonies, and then each family does its own way, adapting to their situation and to the people involved. Being serene with what we undertake, because the harmony of your family is much more essential than the prejudices of your entourage.

It should be noted that it is the baby who engages communication with his entourage, even small.
For example, a baby will ask for the repetition of certain sounds, words, mimics of the face, etc. by smiling or laughing every time we do it. He won't react to the other moments. The parent then repeats what he was doing, baby smiles or laughs again, and we start again. The message was sent, well received, and the parent responded to the baby who continues to communicate. Thus the entourage will favor the small loud voice, such or such song, the little game "cuckoo-hid" behind his hands, etc. And then one day baby doesn't react anymore, so we test something else, and what makes him react are such or such rhymes, such or such movements of the mouth, etc. Then entourage evolves, adapts, and baby guides this evolution, and we follow.

A baby can ask potty, refuse it, remain neutral, demand it. When a baby cries all his drunkenness until he's on the potty and he calms down very quickly once he's there, and it happens from time to time. When a baby swings his body on the back and lifts his buttocks, so he cannot be in a position to pee or poop (squatting position), it means that it's not what interests him. [Petite digression, j’ajoute ici que si bébé se tend ainsi quasiment à chaque fois, et a du mal à s’arrondir du dos quand on le porte il reste droit, il s’agit parfois dans ce cas d’un bébé qui a un souci digestif ou autre et qu’un ostéopathe peut être aidant à ce sujet]. When baby displays a relieved mine, discovers his feet when he is in a crouched position, babble, does not seek to go away, to change position, he shows that this position suits him or relieves him. This is not exhaustive, I hope you see that baby interacts and is motor.

- The most suitable for babies seems to be between 0 and 6 months to start, but it is sometimes the least suitable for parents.

For babies, this is the time when they communicate without a filter, where the connection is strong and it is often the time when we will be a little quiet with baby. Propose the potty to an infant who makes "colics" can also greatly relieve it.

The hand-carrying or with the help of a porting system will also facilitate this communication, we will see it later when we talk about the signs that baby shows.

However, parents can be completely exhausted. Breastfeeding may have been long or complicated to set up, baby may have had some digestive problems, it was complicated to find the most suitable milk if it is bottled. And the nights are short, the worries in the couple can be added because the arrival of a child changes the organization. Life has continued and sometimes baby is in crèche or at the nanny, the need to quickly return to work to support the family. One parent has often already returned to work, leaving a significant mental burden to the other.

The daily newspaper shows priorities that are not compatible with caring for the potty for babies, especially as society considers that a baby is wearing diapers at that age. So for the parent who starts proposing it is often incomprehensible to his entourage.

And sometimes we're available, baby found her rhythm and it matches that of the parents. If we have the opportunity to propose to the baby, not necessarily since birth but in the following months, once sleep, food, health, are well laid, it seems like a good opportunity. It's an interesting compromise because baby will communicate and it can help her transit too.


- From 6 to 18 months, baby may be away from her feelings, so communication about potty will be different to set up, and always possible.


Baby doesn't have to be well aware of what's going on in her crotch, it's not always the case, but it's usually what we see.
Baby developed her communication, and her body has other physical abilities.
For some parents it's easier because baby seems more active in the relationship, and the porting is still widely used. Indeed, if it is difficult at birth to connect to a baby due to a concern at the time of delivery, or because the connection is difficult to establish, or for physical reasons, etc., then it is a time when the bond can be strengthened: the parent feels that the baby interacts more and then feels more comfortable to communicate.
As a baby has developed his morphology, it is also a more active period: more visible physical games that engage his whole body and on which he concentrates, especially around 9 months when he has a strong motor development. The baby seems less fragile and parents sometimes feel more comfortable handling it as well.
The parent is more or less available depending on the family: some work, with a baby reception place that is sensitive or not to the gait, others are at home and are more or less available depending on whether there is a remote job, a sibling to manage, daily worries to take care of, etc.
And often fatigue is still very present.
Baby is still very interested in the potty, is able to regain its feelings relatively quickly.


- From 18 months to continence: the parent has more availabilities, he can be fully present and really facilitate the arrival of the potty in the baby's daily life.

Entourage is understanding, it's the perfect time, so there will be more support. For many children it is long enough to find their feelings, and they do not necessarily have the idea of communicating them. They have also developed another awareness of their bodies and their surroundings. It is also a period during which the imitation of its pairs will help to evolve. It's kind of like putting a bandage on a part of her body for years, and removing the bandage: it's done smoothly, and baby is attentive to her feelings. This area of the body will raise awareness again, and baby will discover herself, see what her abilities are, try to understand what is happening, etc. The parent will then be present to explain, develop clothes and environment, reassure, enhance, etc. Some families are more comfortable with this phase, because communication is easier for them.


Is it essential that the rhythms of babies, parents, society... coincide and come to rest?

Clearly, we can see that everyone adapts, adjusts their behaviour, is flexible. And the more parents will be informed that they have a wider choice than is usually presented to them, i.e. from birth to continence and not from 18 months or 2 years to continence, the more they can opt for a more appropriate solution. Communicating this is essential.

Respecting each other's rhythms at best, in this system that pushes us to consider the relationship between parents and children in terms of a calendar, methods to be applied, relationships of strength to be established... and to focus on the needs of a baby, a family, and it is essential to provide support, listening.

What we can put back in common would be to respect each other's choices, consider solutions to facilitate family life.

The large percentage of baby incontinents spent the presumed classical period of acquiring this continence nevertheless reflects a mal-being, an inconsistency somewhere. Scientists, professionals, parents question each other and together it may be interesting to understand each other's issues, to get out of the usual divides, and to see the solutions that can be provided.

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