Saturday, May 25, 2013

How we diaper

WE LOVE OUR CLOTH!!! Seeing how many diapers babies go through in just one day is insane. John and I are both SO glad we made the decision to use cloth for her. It was mostly a financial thing (we spent just $200 for everything we have, which should get us through to potty training.. and our other kids!) since disposables will cost you roughly $2,000 per kid. Uhhh, sold! We also went cloth because of trash... each child creates a half ton of disposable diaper garbage per year that goes into a landfill. I don't want to contribute to that. AND chemicals, but I won't get into that here. Look it up- there is a ton of info online. ANNNND how crazy cute cloth diapers are!!!

Did I mention we LOVE THEM?!
For the record, cloth diapering is not any more gross than using diapers that you throw away. In fact, many moms that have used both say that disposables are MORE gross, because blow outs (poo up the back and out of the diaper) happen much more frequently than in cloth... if it even happens at all. We are talking about the same amount of dirty diapers. You still have to wipe their bums. Still have to transport the diaper into a wet pail or diaper can to "get rid" of it in some fashion or another. Just so you know, I have NEVER touched (or dunked, or sprayed) any baby poop. In all honesty, picking up my dog's poop is way more disgusting (and "hands on") than this. By a lot.

Here is how we wash our diapers. I have had a ton of questions.


So Norah has a dirty OR wet diaper. Since she is exclusively breastfeeding, we treat them the same. Breastfed poo is the only type of poo that is 100% water soluble without any fuss in the washing machine. Once she is eating solids, our diapering situation will look a bit different. More on that later. Look at all of our types of cloth diapers on our diaper stash video: http://www.youtube.com/watch?v=826MRdRYRsk . 

She could be wearing a pocket diaper (absorbent insert stuffs inside the waterproof "pocket" exterior -- as easy as disposables),


or a fitted, super absorbent inner layer, with a waterproof cover to go on over it.



There are MANY options that exist for cloth diapering (all-in-ones, all-in-twos, flats, prefolds, pockets, fitteds, hybrids, contours, etc). What we picked works for us. We mostly use cloth wipes, especially at home because it is simply easier than using disposable wipes. Trust me, you want to put your dirty wipe with your dirty diaper. It SUCKS having to look for a TRASHCAN when you don't need one to cloth diaper. You can save money and make your own wipe solution, but I got a great deal on these wipe solution cubes... it makes 1,000 wipes. We dilute it so they will last longer, and it works great and smells lovely! We spray each wipe as it's time to use it. 


Okay, so dirty diaper, dirty wipe. Everything gets tossed into our wet pail (although we technically use a "dry pail" system, no nasty water is sitting in it. Gross). Simple and easy! This is the "hard" part y'all... If she was wearing a pocket diaper, pull the edge of the insert until it comes out of the pocket. No mess is touched. Drop them both into the pail. You're done. 


But Dana. What about the SMELL?
What smell?
In our step lid trashcan (from Target), I put just one white trashbag in to line it. This is basically just insurance in case our totally awesome diaper pail liner fails to work for some reason. We have the PlanetWise pail liners. They ROCK. No smell, leaks, issues, whatever. I mean, if you stick your face deep into the pail when it's open, yeah... you'll smell dirty diapers. Duh. I wash diapers every 2-3 days. That's not long enough for the stank to get intense. 

Time to wash! I take the entire pail liner with the ickies straight to the washer. 


Start a cold pre-soak cycle with just water as I flip the bag upside down and dump everything in. Everything. Even the bag. Notice that I can do this entire process with one hand... not difficult, people. :)


We have an awesome old fashioned washer. 
Cloth diapers are picky. If you want them to last for years, they need more love than normal clothes:
Water at medium level
COLD PRE-SOAK
COLD PRE-WASH (still just water)
HOT EXTRA HEAVY WASH
add 2 Tablespoons of our cloth diaper detergent (no additives)
WARM RINSE
done.




















You can throw everything into the dryer, or hang dry the waterproof things (covers, pockets, pail liner bag) to help them last longer. Your choice. We choose to hang dry those things. 

TA-DA! Clean, yummy smelling, soft, fluffy diapers! :)

Birth Timeline (midwives' notes)

To see the story of Norah's birth written from MY point of view, click here.

>>>>>   Start at the BOTTOM of this post and work your way up - that way it will flow chronologically. :)


Maternal Immediate Postpartum for 40 weeks

TimeBPTempPulseFundusEst. BleedingInits
MONDAY, 13 MAY 2013
10:20:11Comments:
After Norah was born, Dana again refused the HIV screen.
AC
THURSDAY, 09 MAY 2013
13:45:00Discharge Note
Dana, Norah and family are resting quietly. Dana's bleeding is minimal, vss, NAD. Norah is pink w/ vss. NAD. nuzzling, attempting to nurse. PP care of both discussed at length with Kim. Plan to talk again this evening. PPV at Dana's home 48-72hrs, unless otherwise indicated.
AC
13:45:00Departure from Dana Cluff 's Home: Anna Catron, Primary Provider
13:35:00Input/Output:
Input: finishing coconut water
Output: voiding
Comments: bleeding min
AC
13:30:003 F<U; Firm
13:15:00Comments:
Discharge instructions discussed and understood with Dana, John and Kim
AC
13:00:00Departure from Dana Cluff 's Home: Kristy Hammack, Assistant
12:40:00Comments:
Showed family the placenta and then proceeded to help Norah nurse w/o much success.  Attempted side lying on both sides as well as sitting up.  Norah slept easily in Dana's Father's arms as Dana's brother/family said hello.  
AC
12:29:55113/6596
KH
12:15:00121/81
AC
12:15:00Input: Bagel sandwich, coconut water
Mother's Position: Left Side Lying
Comments:
In bed with baby Norah. Eating, drinking, attempting to nurse.
KH
12:10:44Input/Output:
Output: Void
Comments: Up to toilet walking well with no apparent difficulty or dizziness.
KH
12:00:00128/82102Firm
KH
Vital Signs: Minimal bleeding 
11:53:51134/83102Firm
AC
Vital Signs: Minimal bleeding 
11:45:00125/84102
AC
Vital Signs: Minimal bleeding 
11:35:00Comments:
Total EBL 450cc.
AC
11:32:57125/9092Firm
KH
Vital Signs: Bleeding minimal 
11:24:00Medications and Therapies:
Medications:
10units Pitocin (IM)
Lot #293662
Expires 09 Aug 2013
Left thigh
Comments:
NDC42.23-116-25
KH
11:22:00Cord Cut/Clamped - 16 minutes after birth
KH
11:20:18Placenta Presentation at Delivery: Schultz 
KH
11:10:20Medications and Therapies:
Medications:
10units Pitocin (IM)
Lot #293662
Expires 09 Aug 2013
Right thigh
Comments:
NDC42023-116-25
KH
11:08:01Initial Maternal Assessment
Alert/Oriented: Yes
Active Management Initiated: Yes
Bleeding: Stable
Comments/Treatments: Talking to and bonding with baby.
KH
11:05:31Birth: NSVD baby girl with nuchal hand and tight shoulders. Spontaneous cough, followed by strong cry with stimulation.
Mother's Position: Squatting, Not in water
Fetal Presentation: Compound Cephalic
Position of Presenting Part: Anterior 
KH

Newborn Immediate Postpartum for 40 weeks

TimeHRRRTempColorVoidStoolInits
THURSDAY, 09 MAY 2013
13:45:00Discharge Note
Dana, Norah and family are resting quietly. Dana's bleeding is minimal, vss, NAD. Norah is pink w/ vss. NAD. nuzzling, attempting to nurse. PP care of both discussed at length with Kim. Plan to talk again this evening. PPV at Dana's home 48-72hrs, unless otherwise indicated.
AC
13:45:00Departure from Dana Cluff 's Home: Anna Catron, Primary Provider
13:00:00Departure from Dana Cluff 's Home: Kristy Hammack, Assistant
12:32:08Newborn Physical Performed - 1 hour after birth Go to physical


Weight:
 3997g / 8lbs13oz

Length: 52.7cm / 20.75in

Head Circumference: 34.29cm / 13.5in

Chest Circumference: 35.56cm / 14in
12:03:0312060PinkYes - copious
AC
11:54:27Yes
AC
Vital Signs: Percussion by AC 
11:48:58Comments:
Attempting to nurse.
KH
11:33:4515068Pink
KH
Vital Signs: Clearing 
11:29:33Yes
KH
11:25:0015064
KH
11:22:00Cord Cut/Clamped - 16 minutes after birth
KH
11:18:32Yes
KH
11:13:2220065Pink w/ Blue Extremities
KH
Vital Signs: Grunting; no flaring or retracting. 
11:10:31Apgar Score - 5 minutes: 9
Heart rate: 2 - Over 100 
Respiratory effort: 2 - Strong Cry 
Reflex stimuli: 2 - Cough/Sneeze 
Muscle Tone: 2 - Well Flexed 
Color: 1 - Body Pink/Ext.Blue 
AC
11:07:16Initial Newborn Assessment
Term Gestation:Yes
Breathing or Crying:Yes
Good Muscle Tone:Yes
Meconium:No
Color Pink or Lavender?:Yes
Cord:Full
Comments/Treatments:Skin to skin with mother.
KH
11:06:31Apgar Score - 1 minute: 8
Heart rate: 2 - Over 100 
Respiratory effort: 1 - Weak Cry 
Reflex stimuli: 2 - Cough/Sneeze 
Muscle Tone: 2 - Well Flexed 
Color: 1 - Body Pink/Ext.Blue 
AC
11:05:31Birth: NSVD baby girl with nuchal hand and tight shoulders. Spontaneous cough, followed by strong cry with stimulation.
Mother's Position: Squatting, Not in water
Fetal Presentation: Compound Cephalic
Position of Presenting Part: Anterior 
KH

Labor Flow Sheet for 40 weeks

VITAL SIGNSCONTRACTIONSPROGRESS
TimeFHRBPTempPulseFreqDurStrgDilEffStatInits
THURSDAY, 09 MAY 2013
11:20:18Placenta Presentation at Delivery: Schultz 
KH
11:05:31Birth: NSVD baby girl with nuchal hand and tight shoulders. Spontaneous cough, followed by strong cry with stimulation.
Mother's Position: Squatting, Not in water
Fetal Presentation: Compound Cephalic
Position of Presenting Part: Anterior 
KH
11:04:15Head: Loose nuchal cord, reduced by AC
Nuchal Cord: Yes
KH
11:02:57Crown
KH
11:00:15FHR: 
Comments: FHT audible 
KH
10:54:12Head Visible: Calmly breathing her down
KH
10:51:58120 - 130
AC
10:48:55Mother's Position: Squatting, Not in water
Comments: Out of tub to supported squat in living room. Pressure.
KH
10:45:02
Input: Water 
KH
10:40:11130 - 140
KH
10:38:00
Output: BM 
KH
10:30:41120 - 130
KH
10:29:48Rupture of Membranes: Spontaneous: Clear
Confirmed by: Midwife's Observation
KH
10:29:00130 - 130
KH
10:22:00Mother's Position: Squatting
Comments: Pressure increasing
KH
10:12:00118 - 124
KH
FHR: 
Measured: After Contractions
Coping: Yes
Comfort Comments:
Focused and breathing through contractions. Dana mentions "So much pressure." Listening to hypnobirthing CD.
Mother's Position: Semi Reclining, In water 
10:10:00
Input: 2 spoonfuls of honey 
KH
10:05:00Arrival at Dana Cluff 's Home: Kristy Hammack, Assistant
9:50:00120 - 120
AC
9:35:00120 - 120123/768610.0100%0
AC
Coping: Yes
Progress:
Active Labor: Yes
Mother's Position: Semi Reclining, In water 
9:30:00Arrival at Dana Cluff 's Home: Anna Catron, Primary Provider

Initial Labor Notes from Anna:

"Dana texted @ 230 saying she felt pressure.  Spoke with Dana at 0739 she was still smiling.  Spoke with Dad @ 0839 and decided towards Dana's home.  Arrived @ 0939.  Dana is in the tub breathing well."  


THE BEGINNING! My text message exchange with Anna, our midwife:

May 9, 2013, 2:39AM
From Dana: "Keeping you updated: So I was awakened with LOTS of pressure. It is very rhythmic and has been happening for about an hour. I'm not convinced if it's the real thing or not... But I'm definitely feeling surges! We will do our best to keep you up to speed."

3:08AM
From Anna: "Cool beans! Get some rest!"

3:32AM
From Anna: "Remember to super hydrate and maybe a warm bath."

7:05AM
From Dana: "Ok, I was able to nap and a shower felt nice. They are still very much here... Things are definitely happening this morning!"

From Anna: "Keep trying to subdue them. You don't want to start tired."

...and things happened quickly after that!