BABIES WHO WANT TO WALK; AND BEDWETTING

NEW YORK TIMES COLUMN: FAMILIES TODAY:
BABIES WHO WANT TO WALK; AND BEDWETTING
By: T. Berry Brazelton, M.D., and Joshua Sparrow, M.D.

Q. Are there any studies about babies who develop learning disabilities if they never crawl? Or, is this an old wives’ tale? A friend’s baby is almost 11 months old and he will not crawl. He is trying to walk but will not crawl.

A. I am not aware of any studies on the long-term development of children who don’t learn to crawl before walking, but I have known many children who skipped crawling entirely, went straight on to walking and never developed any learning disabilities that anyone was ever aware of.

I don’t think it helps parents to scare them about unknown or improbable risks that they can’t do anything about. On the other hand, if there is already other evidence that this 11-month-old is not developing on target in any way (leaving out crawling on the way to walking as an isolated finding is not evidence), then early identification and intervention can make an enormous difference in optimizing the child’s ultimate progress.

If your friend is worried, she should start with her pediatrician, who should be able to provide an initial developmental assessment. See our newly revised “Touchpoints Birth to 3: Your Child’s Emotional and Behavioral Development” (Da Capo 2006) for information on the range of behaviors a healthily developing 11-month-old can be expected to display: They are so much fun!

Q. I have a daughter who outgrew bedwetting years ago. This year she started sixth grade and has now resumed wetting the bed every night.

My daughter and I agree that the bedwetting must be due to stress. But she is doing well in school, with good grades and new friends. There are no big negative stress factors — just the newness of sixth grade.

What can I do to help her stop this problem?

A. Bedwetting in a child who has been dry for six months or more is altogether different from bedwetting that has never ceased. When a child this age who has been dry for years starts bedwetting, it is concerning. I would look for possible causes for this sudden change, for example, a urinary tract infection, or diabetes and other less common medical or neurological causes. Check on it with her pediatrician.

In this situation, stress can only be settled upon as a cause after medical ones have been ruled out. After you have determined that there is no medical reason for her bedwetting, then you and she can face together any new stress that she may feel about entering sixth grade.

Sixth grade can be a time of great change and great anticipation. If they didn’t start in fourth or fifth grade, boys and girls are likely to start showing new nervousness and excitement about each other now. Some girls have already had their first period and the others ought to know their time is coming.

Sixth or seventh grade may be the start of middle school– what a terrible time to lump together so many children undergoing such drastic upheaval, without the pressure to act grown up from older students (9 -12 high schools), or the opportunities to feel grown up provided by younger ones (K-8 elementary schools)! No longer nurtured by a single teacher, students may already be moving from class to class, teacher to teacher, and feeling much more like they must fend for themselves.

For many children this age, it seems like time to say goodbye to childhood, and to prepare for the unknown. As much as they may act as if they were eager to forge ahead, many sixth graders struggle with mixed feelings about the end of this somewhat more carefree period of their lives.

I am impressed that your daughter is so open and eager to work on her problem with you Rather than feeling so ashamed that she wants to hide it. Her close relationship with you is the single most important protective factor against whatever you and she may fear about the adolescent years ahead!

Responses to questions are not intended to constitute or to take the place of medical or psychiatric evaluation, diagnosis or treatment. If you have a question about your child’s health or well-being, consult your child’s health-care provider.

Before Dr. Brazelton’s passing in 2018, he was the founder and director of the Brazelton Touchpoints Project, which promotes and supports community initiatives that are collaborative, strength-based, prevention-focused sources of support for families raising children in our increasingly stressful world. Dr. Sparrow, a child psychiatrist, is now the director of the Brazelton Touchpoints Center. Learn more about the Center at www.touchpoints.org.

Reprinted with permission from the authors.