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Most children are not potty trained until they are three or four years old, with some only starting at seven Potty training a child takes time, and patience - but clearly these days fewer parents and nurseries have either. Now, the average age is three or four years, and even older, with increasing numbers of children as old as seven going to school wearing nappies.
There is also growing evidence that nappy-wearing children are spreading infection in schools. It's almost considered weird to want to get your child out of nappies at an age where it used to be considered completely normal for them to be toilet-trained.' The attitude of nurseries means many mothers find the whole training process a lengthy ordeal. Maria Davies, 41, a full-time mum from Saffron Walden in Essex, is now not going to bother to train her two-year-old son Dylan until he is at least three - because her efforts to get her older child, three-year-old Niamh, out of nappies were undermined at nursery.
The key to potty training is for the child to associate the sensation of needing to go to the toilet with the result this produces. But nappy technology is so advanced that the fabric in contact with the skin simply wicks away any dampness or discomfort, and the child obliviously carries on with his or her activities. But super-comfortable nappies are not the only problem - it's the attitude of parents which is also to blame, says paediatric nurse June Rogers, who works as a specialist adviser on child incontinence in Manchester.

Today, every new reception class of 30 will have more of these youngsters, and in some areas it is almost the norm. Ann Nash, a teacher in Bradford and a spokeswoman for the Association of Teachers and Lecturers, said she had recently heard of three children from the same family who arrived at school still in nappies.
Schools are overstretched as it is, and if a teacher has to leave the class to deal with a nappy-wearing child, it creates big problems.' It is also becoming a health issue. Because youngsters do not properly learn to understand the signals from their bodies, they develop hang-ups around bodily functions. Many prolonged nappy-wearers also do not learn to fully empty their bladders, meaning they suffer painful repeated infections caused by the retained urine. Little so far is known about the long-term health consequences of this new trend, but chronic constipation is linked to a number of serious problems, including bowel cancer.
Paediatric nurse June Rogers says referrals to incontinence services have rocketed over the past decade.
Jean-Jacques Wyndaele, a specialist in bladder problems at the University of Antwerp, is a leading authority on the problem.

He has also reported that a lack of ' formal' bladder training has caused an increase in urinary tract infections among children in Belgium, and his group is now investigating ways of helping parents achieve rapid potty training.
They are currently working on a new 'alarm nappy' which reacts to the first evidence of moisture and triggers a musical alarm.
Initial trials involving 100 infants have found that the nappy can help achieve training in as little as two days. Plans are under way for a larger trial involving 800 babies, and if it goes well the innovation could be available next year. In the meantime, the expert consensus is that parents need to be encouraged to potty train their children at 18 months.

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