Jul 4 2009

2nd Pregnancy - Week 18

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Okay, nothing new here for me except some rather interesting developments from Gavin’s point of view…

As I mentioned earlier, I was going to continue nursing Gavin through the pregnancy unless he decided weaned himself and I have been.  Well, I have continued nursing him and Gavin hasn’t shown any indication of wanting to wean.  Although he has increased his intake of other fluids - most especially milk and water at night - he still asks for the breast straight after.  Sometimes I am able to get him back to sleep without having to nurse him, other times, he still needs to suckle to get back to sleep.  I’ll usually let him decide and follow his lead.

Recently, something happened and I haven’t quite figured out what to make of it.  Gavin woke up in the middle of the night and I offered him milk.  After drinking the milk, he seemed ready to fall back to sleep.  Then, to my surprise, he started crying.  His eyes were closed so I wasn’t sure if he was awake or asleep.

At this point, I think I should add that Gavin’s word for breast milk is “nen nen” - which is the Chinese word for breast milk.

Gavin continued crying and saying, “I don’t like nen nen, I don’t want nen nen any more.”  He kept saying it over and over while crying.  I tried to calm and said he didn’t have to have it if he didn’t want it, but he just kept crying.  Finally, I took a different approach and asked if he wanted nen nen.  To my surprise, he nodded.  I offered him my breast and he fell asleep almost immediately after latching on.

Since then, there have been a second incident when Gavin told me quite specifically that he didn’t want nen nen any more.  However, the strange thing is that he seems quite ambivalent about it.  Although he insists he doesn’t want it, everything about his actions still indicates he wants it.  And if I offer him my breast, he’ll take it.

Being new to this whole nursing during pregnancy experience and personally knowing only one other mother who has done this before me, I haven’t got much to go on regarding the whole psychology of how this is affecting Gavin.  Clearly he seems upset by the changes in my milk production, but yet reluctant to give it nursing completely.

Although I know my milk production has decreased in quantity from the fact that Gavin gulps down milk in the middle of the night like a traveler drinking water in the Sahara desert, I think something else has changed recently.  Very likely, my breasts have shifted from milk production to colostrum which is something that is supposed to happen around about the fifth month of pregnancy - or so I read somewhere.  Perhaps that is what has been bothering Gavin?

During the first trimester, nursing Gavin was a little sensitive, but hardly what I would describe as within the realm of pain.  Lately, however, nursing has begun to hurt a little more.  Gavin also seems to be making a nasty habit of biting my nipple in his sleep.  I suspect this frustration must be due to the lack of breast milk and the difficulty of extracting the colostrum.

I’m still trying to figure out how to deal with this information and what I can do to lessen the emotional disturbance it seems to be giving Gavin.  I have asked him if he wants to stop nursing and he doesn’t.  I don’t want to wean him because it seems he still really wants the comfort of nursing.  I guess, we’ll just keep going and see what else develops.

In the meantime, if you’re a mother who has breastfed a toddler through your pregnancy, feel free to share your experiences in the comments below.  I think I could do with some additional thoughts on the matter right about now.  This isn’t exactly the sort of information that is easy to google.

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Jul 3 2009

Toilet Training for a Boy

Ever since Gavin was little I have been attempting to toilet train him on and off.  Although most Potty Training books will tell you it’s useless trying to train a child that isn’t ready for it, I came across another school of thought called natural infant hygiene (also called elimination communication or infant potty training) that believed infants already have an instinct for elimination.  It followed that if a parent was in tuned with the infant’s elimination cues, that parent could effectively potty train the infant before the habit of eliminating in a diaper is developed, after which time it becomes more challenging to potty train the child.

To be honest, I never really attempted to practice natural infant hygiene fully or completely.  I did try to practice it for a few hours a day while we were at home but not when we went out.  Even with this partial practice of NIH, we had some successes peeing and poop-training Gavin, interspersed with phases of regression.  There was even a phase when he would actively tell me he needed to use the bathroom.

Unfortunately, Gavin’s successful run of telling us he needed to poop was not a permanent one.  Some time back, we had another phase of regression which doesn’t appear to be correctable.  At some point (when I wasn’t paying attention), Gavin seemed to have decided for himself that he no longer wanted to use the toilet to pee or to poop.

Despite starting our little sticker chart and reward system for peeing and pooping into the toilet bowl, Gavin still refuses to tell me when he needs to go.  As far as I can tell, he is aware of the rewards and he is keen on them - he often repeats to me what he’ll get if he can pee and poop into the toilet bowl.  In this case, however, knowing the rewards and doing the deeds to achieve them appear to be two different things.

Although he is fully equipped with the awareness and the words to tell me he needs to use the bathroom, he still persists on telling me after the fact.  While I’m cleaning him up, he’ll remind me that he gets a sticker for peeing and pooping into the toilet bowl.  Then I’ll have to remind him gently that he didn’t do it in the toilet bowl so he doesn’t get a sticker this time.

Currently, our only successes have been when I have actively taken him and sat him on the toilet.  Occasionally, when I see him straining to poop, I can get him to the bathroom before the deed is done.  Most often, it’s usually done by the time I catch him at it.  Only when he’s partially constipated does he ever tell us he needs to poop before he does it.  As for peeing - it’s a real hit and miss.

How Potty Training a Boy is Different

Deciding to take things one step further, I started googling tips for potty training toddlers.  Did you know there are different tips for boys and girls?  The general consensus is that boys tend to potty train later.  Of course, the most obvious difference after that is that boys eventually need to learn how to pee standing up - which is obviously a challenge for mothers to teach since we can’t exactly demonstrate how it’s done.

Most tips recommend teaching boys to pee sitting first and once they have mastered the concept of peeing and pooping into the potty or the toilet, you can get a male (usually Daddy) to teach him how to pee standing up.  There are many reasons for teaching your son how to pee sitting first, but I think the most important reason is that it can be confusing to a toddler if he has to learn to pee standing up and poop sitting down.  Essentially, the main message you want to communicate is that pee and poop belong in the toilet regardless of how it actually gets there.

Potty Training Readiness

One tool that I discovered which I thought was very useful was a potty training quiz on Parenting iVillage.  I took the quiz for Gavin and it says that while he has potty training potential, he isn’t quite ready for potty training just yet.

Potty Potential

Your child is almost ready to begin the potty training process … but she isn’t quite there yet. You’ll probably want to wait three to six more months before you begin toilet training. A child needs to be physically, emotionally and cognitively ready to become potty-trained, and yours may not be all three quite yet. Consider any or all of the following to describe your child and explain why she isn’t ready:

She understands and can communicate the need to go to the bathroom, but she only tells you she’s gone after the fact. Ideally, when she’s ready to be potty trained, she’ll tell you that she has to go before she actually goes.

Yup, that’s Gavin alright.

She still has a wet diaper after naps. Is she continuously drinking fluids? That could be part of the reason she’s still wetting every two hours.

Gavin usually has a wet diaper after a nap, however, he can occasionally go two hours without wetting his diaper - sometimes.

She may be too young. Emotionally, a child’s sense of self starts to emerge around the age of two. For the first time, the child realizes that she can affect the world and her own life. Unfortunately, one of the first manifestations of this newfound power is the terrible twos stage, during which the child seems interested only in affecting his or her world negatively. It’s not all bad, though. One of the positive results of the emerging assertiveness is a desire to grow up. And one of the best examples of grown-up behavior a child can relate to is being toilet trained. Once your child arrives at this point, she is more likely to cooperate with your toilet training efforts because she wants to. Body mastery is more self-rewarding than a desire to please.

Oops, that’s Gavin again. I once asked him why he didn’t tell me he needed to poop before he did it and he replied rather matter of factly, “I didn’t want to tell you.” He also articulated quite clearly that he doesn’t want to poop in the toilet and that he wants to poop into his diaper.

The average child cannot be successfully toilet trained before the age of 28 months. While girls are often trained by age two, boys may not be trained before three or later. Of course, there are always exceptions.

Well, Gavin will be two and a half this month so maybe we are a tad early on the potty training game…

Aside from the quiz, there are also ten signs to tell if your toddler is ready for potty training.

From the time your child is about 2 (though it may be nearer to 3 for some), you should watch for signs of readiness for training. If certain signs are clearly present, and the child is basically past the negative “no-to-every-request” stage, he or she is probably ready.

You’ll know your child is ready when he or she:

  • Is aware of the “need to go,” and shows it by facial expression or by telling you. (Yes)
  • Can express and understand one-word statements, including such words as “wet,” “dry,” “potty,” and “go.” (Yes)
  • Demonstrates imitative behavior. (Sometimes)
  • Dislikes wet or dirty diapers - don’t confuse this with your level of discomfort or inconvenience. (Only if it has poop in it)
  • Is able to stay dry for at least two hours or wakes up dry after a nap. (Sometimes)
  • Is able to pull elastic waist pants up and down. (Nope)
  • Is anxious to please you. (Sometimes)
  • Has a sense of social “appropriateness” - wet pants can be an embarrassment. (Nope)
  • Tells you he or she is about to go - praise such statements to set the stage for a child who wishes to please you by learning to use the toilet or potty. (Usually no)
  • Asks to use the potty chair or adult toilet! (Nope)

I guess we’re not ready for potty training…

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Jul 1 2009

Dealing with Toddler Temper Tantrums Part 3

Continuing on from my last post on Dealing with Toddler Temper Tantrums Part 2

Controlling the Situation and Environment

In the first part of “Dealing with Toddler Temper Tantrums” I mentioned the importance of understanding your child and being able to see the situation from his perspective.  Not only does this help you assess the best method for handling your child’s tantrums, but it also helps you pre-empt situations and conditions that can trigger more tantrums.  Awareness and empathy with your child helps you limit such situations which reduce the number of tantrums that your child experiences - and the number that you have to deal with.

1. Reducing Temptations

For instance, keeping objects that are off-limits out of sight and out of reach reduces the number of “battles of will”. It is the nature of a toddler to want what they can’t have, but if you keep these “forbidden fruits” away from curi0us eyes and hands, they won’t have to fight you for them.

Again, understanding your child can help you predict the possibility of such moments and take measures to circumvent them.  An example would be the crystal vase in grandma’s dining room.  If you are visiting grandma, you can make sure the door to the dining room is shut.  As the parent and adult, it is your job to think ahead of possible scenarios where your toddler can get into trouble and take the necessary counter measures.

2. Distraction

If a child is young enough, you can still circumvent the desire to play with “off-limit” objects using the distraction technique.  You can replace the coveted object with another equally desirable object that they can have or begin a new activity to replace the frustrating or forbidden one.  It is worth noting that older children tend to be more immune to this as their attention is more focused and not so easily diverted.

3. Avoiding Melt-down Situations

Most toddlers are more prone to melt-downs when hungry or tired - who isn’t?  Even as an adult, I know several people who get rather aggressive and moody when tired or hungry.  Imagine being a toddler still struggling to communicate this.  Sometimes when you’re overtired or too hungry, the sensations can become difficult to recognise - this is especially so with a child who is not experienced with their body’s signs.

Have you heard someone mention they were so hungry that they stopped feeling hungry?  That happens sometimes and a child who feels this way will not be able to communicate that he is hungry.  Remember that children can run on adrenaline, fun and excitement and “forget” the need to eat or sleep until it is too late.

If you know your child melts down more easily when hungry, keep a stash of snacks on hand for emergencies.  Be aware of when your child needs to sleep.  Look for the signs before he becomes overtired.  If you do happen to miss the signs (which can happen on a particularly busy day), don’t worry, just be aware of it and try not to get mad at your child for something that is beyond his control.

4. Keep Your Toddler Busy

Remember that a bored toddler is trouble waiting to happen.  By keeping activities readily on hand, you can avoid boredom from triggering confrontational moments when a child gets into trouble for doing something undesirable while looking for something to do. For example, offering toys to play with or colouring books to occupy your toddler so he doesn’t need to climb the chairs and tables at a restaurant.

One evening, I was busy in the kitchen preparing fruit juice.  Ordinarily, I would allow Gavin to help me.  On that day, I just wanted to get it done quickly as doing things with a toddler usually takes much longer, so I told Gavin he didn’t need to help me.  Left with nothing to keep his little hands busy, he started trying to take “interesting” objects off the kitchen counter-tops to look at them - including a sauceplate of chilli which he accidentally spilt in the process.

Positive Reinforcement

1. Provide Lots of “In Time”

Sometimes a child acts up because he or she isn’t getting enough attention from a parent. Studies have shown that children would rather experience negative attention than no attention.  In other words, a child that craves a parent’s attention would rather act up and be punished for it (thereby getting “negative attention”) than to be ignored completely.

By providing plenty of “in time” or opportunities for spending time together, you can ensure your child doesn’t need to act up to get your attention. A child who’s attention needs are satiated won’t need to seek negative attention by acting up.

There was an instance when Gavin swipped a cup off the table when I had been ignoring him one afternoon despite his numerous attempts to get my attention the regular way.  Initially, I was shocked and upset because Gavin wasn’t the sort of toddler to push cups off the table, but then I remembered the number of times he kept telling me his hands were dirty.  His hands weren’t dirty, of course, but he was using the excuse to get my attention and I kept telling him not to worry about it instead of stopping to listen to him.

2. Praise and Attention for Good Behaviour

Aside from providing lots of “in time”, always be on the lookout for good behaviour and reward your child with attention and praise whenever you can. This encourages them to act appropriately to gain more praise and attention from their parents.  For some parents, this can be a challenge especially when you’ve grown up in a negative culture, that is, being told off for your mistakes rather than being rewarded for your achievements.  Lots of Asian cultures tend to be like this.

You can begin by thinking of a characteristic you want to encourage and look out for it.  For instance, if you want to encourage your child to share, be on the look out for sharing moments and reward your child with lots of praise whenever he shares his toys, food, etc.  Once that particular trait becomes a regular habit, look for another characteristic to promote.

Select Your Battles

Before the age of one, a child is often encouraged to try everything. Every whim and fancy is met with a positive “yes”. As a child grows older, he begins to encounter more “nos” as he learns what behaviours are not acceptable and which objects are off-limits. The frustration of always hearing the word “no” can be very challenging - especially to a toddler who thinks he is the king of the world (as toddlers often do). It can be equally hard on a parent to always be at loggerheads with a child.

Try to minimize confrontations by assessing what your child wants to do before saying, “No.” Sometimes the activity or object is not necessarily an unreasonable one.  A great example is when a child wants to stop to play at the playground.  As adults, we’re always in a hurry to get things done and to move from one place to another.  Once in a while, slow down and accommodate your child’s request.

Ideally, you should try to accommodate whenever you can, especially with a young toddler.  Make sure you are firm and consistent when you cannot accommodate your toddler’s requests.  Having had lots of opportunities where your child has “won the battle” will help your child accept your “nos”. A toddler who hears the word “no” too often eventually becomes immune to it.  To keep it effective, reserve it for the non-negotiable events and situations.

There are many ways to manage your child’s temper tantrums.  Different methods have different success with different children.  As a parent, you must learn what works best for your child.  Much of it requires you to understand your child’s needs and feelings.  When armed with such insight into your child’s emotional world, sometimes you don’t have to wait until your child has a tantrum before you deal with it.

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