Cloth Diapering for a Modern Momma

This week, I ventured into the world of cloth diapering. I was previously a virgin to this momma movement and had not really seriously considered participating in it. I had used one brand disposables that worked great for us since the day my daughter was born. The idea came to me after a shocking reality of how much diapers for two young babies will cost me (I have a 13 month old and another one on the way in a month) I ordered two cases recently in preparation for my daughter’s birth, one newborn sized and one size fours for my one year old. Buying by the case saves some money, but not much. It was $80, $100 bucks with wipes.

Yuck! $100 bucks every month or so? That’s 280 diapers at $80. Twelve months of diapers for two kids is $960.00 plus wipes put you well over $1,000 for diapers, per year!

Now let’s talk about waste. Here’s a little environmental tangent: If you are going through about 280 diapers per month (2 kids), that is 3,360 diapers that you are putting into a landfill a year! Putting this in a landfill creates hazardous waste (human urine and feces), creating an immediate public health hazard. Diapers containing viruses from human feces (including live vaccines from routine childhood immunizations) can leak into the Earth and pollute underground water supplies. In addition to the potential of groundwater contamination, air-borne viruses carried by flies and other insects contribute to an unhealthy and unsanitary situation.

Material waste is yet another consequence of reliance on single-use diapers. From the time a single-use diaper is put on a baby, it may have a useful life of a few hours at most. Since there is no other application of the single-use diaper, use of this product in the U.S. alone wastes nearly 100,000 tons of plastic and 800,000 tons of pulp derived from trees.

Add to these material losses the cost of collection and disposal. With the average U.S. landfill tipping fee about $27 per ton of material (some landfills are over $100 per ton), and the average transportation cost to landfills about $48 per ton, we pay an average of $75 per ton or $350 million annually in the U.S. to get rid of single-use diapers! For every consumer dollar spent on so-called disposable diapers, an additional, hidden cost of $0.10 on average goes to pay for disposal.

Few quantitative studies are available that provide numbers on the amount of diapers and fecal matter that end up in landfills. However, assuming that approximately 18 billion diapers are sold year each, and that over 90 percent of this end up at landfills, this translates into more than 4,275,000 tons of disposable diapers trucked to landfills each year. Add the remaining 10 percent that end up in resource recovery plants for a total of 4,500,000 tons of single-use diapers thrown away this year!

Okay, these numbers are a bit startling and we all wish we could “do our part” but it seems like something that so many of us don’t even consider.

A friend let me borrow a stash of different diapers to try. It took me a couple of weeks to ready myself to use them. I was worried, like most moms are about the convenience of use. I was worried about the washing process and specifically dreading cleaning up the poop.

I have to say that after just two days of use, the diapers won me over. It really is easy to wash them. The cloth diapers that I tried are All-In-One – AIOs are fitted diapers that have a waterproof outer layer. This layer usually consists of fabric that has a PUL (Polyurethane Laminate) backing, fleece or wool. These are the closest in similarity to disposable diapers since they are a one-piece diapering system. The absorbent soaker material is often sewn into the diaper; it may also be detachable.

There are many different cloth diapering options that allow for flexibility and affordability. Here is a cloth diapering terminology reference:

http://www.diaperjungle.com/cloth-diaper-terminology.html

When the diaper is wet, you simply take it off and put it in a diaper pail or a waterproof bag if you are away from the house. If it is soiled, you should shake or scoop the poop off into the toilet and then rinse the diaper before putting it into the diaper pail (garbage pail with liner or garbage bag will work). If you are away from home though, it can wait until you get home to be taken care of, you can just stick them in the waterproof bag. The rinsing is to prevent both stink and staining.

These diapers go through a pretty easy wash cycle and the cycle’s directions vary according to the make of the diaper. For the diapers that I purchased, it is recommended that they go through two washes (cold, than hot) and a double rinse with 1/4 the recommended amount of detergent. Then you can just stick them into the dryer or line dry them. Once a month, it is recommended that you add bleach to a load to sanitize them.

There is a recommended detergent list for cloth diapers. This is because it is better for the diapers to be free of any added perfumes, dyes, or other additives. This can prevent absorbency, be bad for baby’s skin, and do some wear and tear on the material.

Detergent list: http://www.diaperjungle.com/detergent-chart.html

So far, my experience has been really positive. As a mother of a one year old and another baby on the way within the next month, I can gladly say that I have no hesitation that cloth diapering will work for our family. It really does not seem like extra work to me, saves us a ton of money and helps out our mother earth.

Thanks to those who have supported this life change! I believe we’ll be happier and healthier because of it.

Amy

Intuitive Eating in Motherhood

After speaking with my midwife the other day, we came to the conclusion that I may need to eat more foods rich in iron. I did not take a formal test or anything but just have been feeling tired again lately. In a pregnant woman’s second and third trimester, it is really important to increase her protein intake because this is when the baby is growing the fastest. This will also help keep the mother’s energy levels up.

I am proud to say that this had been on my radar before my midwife suggested it. And that in general, pregnancy has made me a better eater. I was never a bad eater, always leaning towards the healthy side of things. There was an 8-year stint where I was a vegetarian after declaring one day in junior high school that I didn’t like meat. And I was a strict, young vegetarian, never consuming ANY products with meat (including fish) in them. During that, there were short times when I tried to be vegan because I love animals so much but I love cheese, chocolate, and ice cream more. Then there was a long stretch of college where I thought I was superwoman and worked full time and attended school more than full time (18-21 credits per semester). This ended the vegetarianism. I was too burnt out, and too poor to afford expensive veggie protein to feed myself properly, and too busy to be creative with meal choices to increase my protein so I turned to the dark side and ate some chicken. Fast-forward about 7 years and now I enjoy all foods equally and still have a soft spot in my heart and belly for veggie delights!

My point is; through my life of relatively healthy eating, I have never felt as healthy as I do since becoming a mom (which I count as finding out I was pregnant with my first baby). From that point on, my eating changed from what I want to eat, to what my baby needs to eat and what foods my baby needs to nurse and grow big and strong. I have developed a way of eating that I call “intuitive eating”. I did not read a book about this though I know that they exist. I literally, just plan out my meals, shop for foods, and stand in front of my refrigerator and think “what does my body need right now?”, “what does the baby need right now?” “Have I had my protein for the day?” “My grains?” “My fruits and veggies?” etc…I eat really clean, part for my love of the farmer’s market and part because it’s easiest for me. I buy a bunch of fruits and veggies for the week, protein for each day in the week, and dairy (and dairy alternatives). I always have healthy fats (peanut butter, avocado, olive oil, butter, etc ) and grains in stock. Each day I put together whatever combination of what I have based on my hunger and nutritional needs for the day.

When I was pregnant with daughter #1, I gained 35 lbs. I did not try/ try not to gain this amount of weight, I just listened to what my body needed and in return it gave me an easy natural labor and birth process and a healthy baby girl. My midwife said that “every woman’s body is perfect for her baby” when women get snarky comments from observers for “looking too big, too small, etc. I love this. Anyway, after she was born I lost 20 lbs of it almost instantly (baby’s weight, uterus, fluids, placenta) and then breastfed her. In addition to the 35 lbs I gained, I lost an extra 15. I did not “work out”. I just listened to what my body needed, ate healthily, consciously, and the weight came off. There were times where I would pass on dessert and that’s pretty much it.

When you have a baby that you nourish through nursing, you are responsible for how they are growing. Even if I wanted to, was tempted to, for my daughter’s well being I could not develop an unhealthy way of eating. It truly saddens me that women are blasted with media that talks about “getting your body back after baby” and that celebrities flaunt their bikini-ready bodies weeks after birth. In my experience, there was no way I was going to work out on a consistent basis with a newborn. AND there was no way I was willing to try ANY kind of diet. What I look like in a skimpy outfit is not important, what is important is the health of my child and myself. What worked for me is truly listening to my body’s needs, my baby’s needs, and making conscious choices.

Preparedness

Preparedness refers to the state of being prepared for specific or unpredictable events or situations. Preparedness is an important quality in achieving goals and in avoiding and mitigating negative outcomes.

While working on a mural I am painting for my daughter’s room this week, I was thinking about how I am in the “nesting” phase of pregnancy. I am actually preparing a new space for my older daughter and the new baby will move into the current nursery after a period of co-sleeping with my husband and I.

This got me thinking about how women prepare for birth. Do many pregnant women feel they are prepared for labor? Do women enter labor in a calm state of mind and feel confident that they know what to do, their partner knows what to do, and they have full trust in their care providers?

We prepare everything else for a new baby. We buy mass amounts of baby gear after doing hours upon hours of research about the “safest” and the most functional brands. We gather tons of baby clothes and blankets and wash them before hand. We buy an infant seat and put it in our car weeks before our due dates AND we prepare the baby’s nursery.

But do many American women feel prepared for labor? How about the ability to labor naturally, without intervention?

The answer is no. American women are scared of birth. Fear has been set into us at an early age. Pitocin, epidurals, and C-sections are part of our culture. Why would we try to birth naturally when we don’t have to be prepared? We go to the hospital and they take care of things for us. The job is out of our hands once the heavy contractions start. And we aren’t allowed to make decisions when we are “in that state” anyway.

What if we made child birthing classes mandatory? What if we showed all those wonderful natural birthing videos that birthing advocate mommas and caregivers have seen? What if women left feeling empowered to have the strength and courage to labor naturally? There may be less medical interventions and c-sections! There may be less premature babies and babies may be born in a less traumatic way! Breastfeeding may be easier! Why, it may just turn the healthcare industry upside down!!

Fear and helplessness is running our birthing community. Shout it from the rooftops, and educate women that they are strong, birth is empowering, and most importantly, that they have a choice. Tell them it is a good idea to prepare your mind and body for birth, just like you prepare the baby clothing and a place for the baby to sleep.

Preparedness refers to the state of being prepared for specific or unpredictable events or situations. Preparedness is an important quality in achieving goals and in avoiding and mitigating negative outcomes.

My daughter's mural

Mama Knows Best

What a week.

You know, I started out my motherhood with this amazing, incredible natural birth that left me glowing with power.  I was a first-time mother, but I was pretty confident in my ability to know what was best for my son.  For the first three months of his life I was totally in tune with him; I knew instinctively, as I had during the pregnancy and the birth, that everything was fine, that he was growing beautifully despite being born quite small, that he would nurse like a champion, that his development would be right on schedule.  I knew because I was the mother, and that was that.

And then he was diagnosed with bilateral congenital cataracts.  He had been totally blind for the first three months of his life.

Kind of pulls the rug out from under your feet, doesn’t it.

I don’t need to describe to you the struggles of the nine months that have since passed.  No one can really tell you what it’s like to place your three-month-old baby on an operating table and watch him scream and struggle as a mask is placed over him, then just sort of fade away.  Or to digest the fact that he will always be visually impaired, even if not too seriously.  Or to understand that his nystagmus–jerky, involuntary eye movements–will probably never go away, only improve.  Or to drag him to various specialists and therapists trying to intervene early, make up for lost time in his visual development and encourage his motor development which had fallen behind as a result.  But if you are a mother, you will understand when I say the word guilt.  That I should have known.  That I deprived my son of three months of vision by not knowing, by letting the pediatrician’s recommendation to double check that red reflex get lost in the shuffle because we thought–and had been told by the nurses who had recently checked him at six weeks–that he was tracking.

Maybe I didn’t know best after all.

In the past week my son has been very ill–high, high fevers and severe discomfort.  At the start of it all my husband took him to the emergency center, where a terse doctor ignored his recent history of ear infections and the antibiotics he had been taking, grudgingly confirmed our diagnosis that it was indeed another ear infection and prescribed the same antibiotics as last time.  The first thing I asked upon this report was “And she knew he was just on it?”  To me it seemed pretty clear that this infection was leftover from the one just two weeks ago, which in and of itself had been leftover from one a week and a half before it–and that what was needed was stronger antibiotics.

In the days that followed and the many pediatrician visits therein, I didn’t think to mention this because I figured that the pediatrician–who’d probably seen hundreds of ear infections–would know if the infection wasn’t clearing up.  But just today when I called to let him know that my son’s fever had again spiked to 102.2, he said he wanted us to see the ENT to make sure the ear infection had really passed.  Lo and behold, it hadn’t.  “Get this kid some stronger antibiotics!”

Yeah.  Sometimes we’re wrong.  Sometimes we just lack the experience or medical knowledge to sense that something isn’t right.  But most of the time we do anyway.  It’s that same inner voice that tells us what to do during birth, leading our bodies to move and change positions exactly right to ease our babies’ passage into the world.  It’s that same inner whisper that wakes us five seconds before our child starts crying, or sets off the let-down reflex when our babies are hungry even if they are miles away.

Mama knows best, and nothing will ever change that.

If You Love ‘em Then You Shoulda Put a Sling on Them

Have you heard about the recall of 1 million bag slings? This is prompting mass hysteria in some mommy circles. Be sure that you know the fact before you ditch your sling. This recall pertains to an Infantino bag sling that hangs near your waist. If you’re using a wrap, a ring sling or something where your baby is close enough to be kissed (and following the use instructions including weight range), you should be fine. Remember, baby wearing is safe. Until then, get this little diddy stuck in your head…

A Healthy Baby – Birth Poetry Contest

All she wanted was to birth a healthy baby
She was excited about the months ahead
She knew her baby was a blessing
She wanted what was best
She changed her diet and started exercising
She wanted to birth a healthy baby
So she did what the books and websites told her

All she wanted was to birth a healthy baby
A boy is what they told her
She never NEEDED an ultrasound
She knew EXACTLY when the one night of passion that created the life happened
She wanted the gender to be a surprise
Her measurements were always right on target
She never really wanted an ultrasound
But they made her feel like something could be wrong
Something that only the magic wand with goopy gel could tell her
She wanted to birth a healthy baby
So she conceded and did what her providers told her

All she wanted was to birth a healthy baby
They said the baby looked big
Just last week, her measurements were right on target
She did not understand
She wanted to birth a healthy baby
Would his size really make a difference?
Before now she had faith in her body
But they made her feel unsure
She wanted to birth a healthy baby
So she listened, and scheduled another ultrasound

All she wanted was to birth a healthy baby
The repeat ultrasound showed the baby had gained more weight
How accurate are those things anyway?
Wasn?t the baby supposed to be gaining weight?
Nine pounds didn?t sound too big to her
Big babies ran in her family!
But predictions of a term birth weight of 10lbs made her doubtful
Her trust in her innate abilities began to fade. She became fearful
She wanted to birth a healthy baby
So she listened to her providers and scheduled her induction with a closed cervix, and intense fear

She came as she was instructed at 5am
She had gotten no sleep,
She had eaten no food
She was operating off adrenaline, and she was full of fear and anticipation
She wanted to birth a healthy baby
So she followed the rules and listened to what they said was best
The entire day seemed to be a rapidly moving blur of various demands, commands, and instructions

Put on this gown
Get in this bed
Let me start this IV
We are going to start Pitocin
You have to keep still
You have to stay in bed
You have to keep the monitors on
They are here to break your water
No you can?t get out of bed
We need to use these internal monitors
No you can?t have any water and certainly no food
Here? are a few ice chips
Didn?t your doctor tell you how this was going to go?!
Yes of course it?s painful
YOU should get an epidural and for the last time NO you can?t get out of bed
I am glad you are finally comfortable
Let me put this tube in your bladder, you won?t feel it
Hope you don?t get an infection
We are going to increase the Pitocin
Your baby?s heart rate dropped
Quick, turn to your left side
Breathe this oxygen
You are only 4 cm dilated
I?m going to call your doctor
Open the OR its 5PM!
Lets get her ready for her c/section?..

All she wanted was to birth a healthy baby
In her heart she wanted to speak up,
But she wanted to birth a healthy baby so she took their advice
She listened to her doctor
She listened to her nurse
When all along she was waiting for someone, anyone, is there one? all she wanted was one,
One person to hear HER voice
One person to help make HER voice louder and stronger

All she wanted was to birth a healthy baby?.and it seems everyone else, just wanted to control the process

Nicole Deggins, CNM -? www.yourbirthright.com
_{This poem was used as the opening to a presentation I gave at the national AWHONN Conference in San Diego Presentation title:? Using the Evidence to Reclaim the Role of Patient Advocate.}

This is a part of the birth poetry contest.

Postpartum Depression, Bottle Feeding and Infant and Mother Separation at Birth

There is a new study out by the University of Albany done by evolutionary psychologists that puts forward the idea that a woman who feeds her baby a bottle instead of breastfeeds may be at risk for postpartum depression due to the fact that her body will interpret this as an infant loss. The article states:

“for most of our evolutionary history the absence or early cessation of breastfeeding would have been occasioned by the miscarriage, loss, or death of an infant, and, at the level of basic biology, a mother’s decision to bottle feed rather than nurse unknowingly simulates that loss.”

This was a small scale study, only 50 mothers were surveyed. However, they still found interesting information:

“those who bottle fed their babies scored significantly higher on a postnatal depression scale than those engaged in breastfeeding.? The increased risk of depression among mothers who relied on bottle feeding held true even after controlling for such factors as age, education, income, and the mother?s relationship with her current partner.”

They also found that mothers who bottle feed tend to hold their infants more, which they have seen in primates whose babies have died and they cling to those babies for prolonged periods afterward. What I found most interesting though was this:

The UAlbany research team noted that the common hospital practice of isolating newborn infants together in a nursery for the first couple of days after birth, and the resulting intermittent separation of the mother from her baby during the initial post childbirth period, could also serve to simulate child loss and contribute to or set the stage for subsequent postpartum depression.

“Bottle feeding and hospital procedures that simulate child loss may increase the risk of postpartum depression,” Gallup said. “These practices fall within a growing number of medical issues that could benefit from a perspective of human evolutionary history.”

It is very interesting and significant that the common hospital practices here are linked to an increased risk of postpartum depression. The Edinburgh Postnatal Depression scale was used in this study to asses whether women were suffering from postpartum depression. However, they could also have been suffering from postnatal traumatic stress, since the Edinburgh scale only picks up depression symptoms and not trauma symptoms, and separation from infants is a key trauma risk. Either way, connecting postpartum mood disorders with the routine practices of separation of infants and mothers in a hospital seems to be a step in the right direction toward reforming maternity care.

A Safer First Bath

One of the things that you may not think about as a benefit of homebirth is that you get to choose how your baby is first bathed. Having seen how some babies are scrubbed down in hospitals, I think it’s pretty scary. They may even use some baby products that you wouldn’t THINK of using at home. That’s why I was encouraged when I read about Adventist Bolingbrook Hospital in Oregon and their plan on using safer baby products for first baths. (Thanks to Tanya at Motherwear for alerting us to this!) How cool is that? If you read the article you will notice that this hospital has also Banned the Bags. Hooray!

Breastfeeding Mom Told to Cover Up

Apparently Allegiant airlines didn’t learn anything from other “breastfeeding on a plane” stories. Watch this video to hear about a mom who says she was told to cover up and when she covered up with a napkin, it wasn’t good enough. The flight attendant went and got a second flight attendant to tell the woman to “fully cover” her breast and her child. There is no way my baby would stand for that! Do you think there will be lactivism response to this? Nurse-ins, etc?

Choices in Childbirth

There are lots of things that influence women’s decisions on where to give birth. A lot of it has to do with what happens during labor but recently I’ve been talking to a lot of women who made their choice based on what happens after the birth. Many hospitals aren’t doing Kangaroo Care, despite the research giving touting its benefits. Many women are afraid of what happens in the nursery when they aren’t around. I’ll admit, I’m one of them! Was your choice influenced by hospital or birth center policies about infant care?