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The Differences Between Preterm and Term Birth Affecting Initiation and Completion of Toilet Training Among Children:
Dilek Yildiz1, Derya Suluhan2, Berna Eren Fidanci2
1Department of Pediatric Nursing, Gülhane Faculty of Nursing, Saglik Bilimleri University, Ankara, 06010, Turkey. dilek.yildiz@sbu.edu.tr.
Insights
Preterm children begin toilet training later than full-term children, with birth order and gender influencing the start date. However, the end date of toilet training shows no significant difference between preterm and full-term infants.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Child Health
Background:
- Toilet training is a significant developmental milestone for children.
- Understanding factors influencing toilet training timing is crucial for pediatric care.
- Preterm birth may impact developmental trajectories, including toilet training readiness.
Purpose of the Study:
- To investigate differences in toilet training start and end dates between term and preterm children.
- To identify potential determining factors for variations in toilet training timelines.
Main Methods:
- A retrospective case-control study involving 133 children (59 preterm, 74 term).
- Data collected via face-to-face interviews with mothers using demographic and toilet training feature questionnaires.
- Statistical analyses included chi-square tests and logistic regression, with odds ratios used for association measurement.
Main Results:
- Full-term children were 6.4 times more likely to start toilet training by 24 months compared to preterm children (OR=6.493).
- Preterm birth, gender, and birth order were found to significantly affect the start date of toilet training.
- No statistically significant difference was observed in the end date of toilet training between preterm and term infants (p=0.07).
Conclusions:
- Preterm children tend to start toilet training later than their full-term counterparts.
- Preterm birth, gender, and birth order are significant predictors of toilet training initiation timing.
- The duration of toilet training does not significantly differ between term and preterm children.
Purpose:
This study seeks to investigate the possibility the existence of a difference in terms of start and end dates of toilet training between term and preterm children as well as the possible determining factors.
Materials And Methods:
This study was conducted as a 5-year retrospective case (children born preterm-(32 to <37 weeks) - and control (children born at term (>37 weeks + 1 day)) study. The data were collected with a form consisted of questions about demographic data (12 questions) and toilet traning features (10 questions) through face-to-face interviews with the mothers. A chi-square test and logistic regression analysis were conducted to examine the data. Odds ratio was used as a measure of the relation between levels of the dependent variable. p< .01 and p< .05 values were assumed to be statistically significant.
Results:
The study examined a total of 133 children including 59 preterm children and 74 children born at term including 60 (45.1%) boys and 73 (54.9%) girls. The possibility of starting toilet training at or before 24 months was found to be 6.4 times greater in full-term children than preterm children (OR=6.493). The logistic regression analysis, which aimed at identifying any variables that might affect end date of toilet training, found that despite the tendency to consider preterm birth as a factor prolonging the duration of toilet training, the difference was not found to be statistically significant (p= .07).
Conclusion:
This study compared full-term and preterm children in terms of start and end dates of toilet training and found that preterm children start toilet training later than full-term children. Based on the results of the study, it is possible to say that preterm birth, gender and birth order affect start date of toilet training. However there is no difference between term and preterm babies on the end date of toilet training.
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