Posts in Baby
5 Things I Know About Diapering

Once you've had your baby, diapering is one of very first tasks that you can expect to take on (and then repeat multiple times a day likely for the following two-ish years). Simple enough it may seem, right? You may find yourself surprised. Particularly for first time parents - though as a mother of multiple children I will say now that this also applies to repeat parents - there is certainly a learning curve. Here I'll give you a quick run down of five tips for what I like to call event-free diapering because believe me, you want to skip on any "events" in this department. 

Step To the Side

Save yourself the embarrassment - and the dry cleaning fee - of saving your clothes from the super potent newborn poo stain. As you're planning the layout of your baby's nursery, be sure to position the changing table in a way that will allow for you to stand at your baby's side rather than at his bottom. Babies' bowel movements can be quite explosive, and you don't want to be in the way when nature calls. Ask me how I know...

Be Prepared With Back Up

When preparing to change your baby's diaper, be sure to place a clean new diaper underneath her bottom before beginning to remove the soiled one. It's not uncommon for babies to pee once their bottoms become exposed to the cool air. Avoid a larger mess by having a new diaper in place and ready to catch the mess before it comes. Added bonus? As soon as you remove the soiled diaper, you can easily lift the front of the new one to cover your baby's bottom while you reach for the diaper cream or toss the soiled bundle.

Know Your Escape Route

Blow outs happen. Babies seem to be experts at getting poo up their backs and over the tops of their diapers. How do you get your baby out of his soiled clothes without getting messy? Easy! Notice the top at the shoulders of your baby's onesie. This envelope-looking bit will open wide enough to allow for you to pull your baby's clothes down and off his body instead of pulling the clothing over his head. You're welcome.

Coconut Oil Is Your Friend

Particularly for newborns, it is a wonderful idea to rub a bit of coconut oil over your baby's bottom after changing her diaper. Baby's first poos are of a dark, sticky, tar-like consistency. This substance - called meconium - may be tough to cleanse, but with a touch of coconut oil you'll be able to remove it from your baby's bum in no time. Coconut oil is also a gentle moisturizer and an anti-fungal meaning it may also prevent your baby from developing yeast or diaper rashes. 

Soak It All Up

...and not in a gross way. Enjoy this time. Yes, you'll change many a diaper, but your baby will be a little different each time you do so. Changing your baby's diaper isn't a race. Take the time to notice the small details on your baby - the tiny feet, the new chunks on her legs, the birthmark on her belly, her smile or coo. Your baby will only be this small for so long, and this small exchange between the two of you is something that will one day be very dear to your heart. Revel in this gentle, quiet, and possibly messy moment. You'll miss it one day. I promise.

There you have it! Five quick tips about diapering that can apply to any parent or caregiver. No matter if you choose to use cloth or disposable diapers, may these tips make your diapering journey a bit more pleasant! Not a fan of changing #allthediapers? Postpartum doulas do that! We'll be happy to help when you need us - just give us a call. 

xo, Chelsea

Newborn Care: Treating Cradle Cap

You've recently had your baby, and one day while snuggling her close you see something strange. You smooth her hair over, and notice that she's got some whitish scaling on her scalp. The flakes seem to brush off easily, but you also notice a touch of redness below. You begin to wonder if she's developed an allergy to her shampoo or if this cause for concern. Odds are, these dry patches are baby dandruff, also know as cradle cap and are treatable at home.

Cradle cap presents as dry, flaky or reddish oily patches on the head and neck.

Typically this is found on the scalp, but it is possible for the symptom to also be found on the body and diaper area. While unsightly, cradle cap does not cause itchiness or discomfort for your baby. Cradle cap is not a sign of poor hygiene or of an allergy, and generally resolves within a matter of weeks. 

What causes cradle cap, you ask?

There is speculation in the pediatric community that hormonal changes in the mother during pregnancy stimulate the baby's infant glands causing this condition. Anecdotal evidence might suggest that the dry, flaky variety is influenced by the baby's climate conditions. While the exact cause is unknown, it is very easy to treat cradle cap at home

Check out our infographic below for instructions on in home cradle cap treatment!

It's important to note that while cradle cap is not a condition that is cause for concern, it is possible for yeast to grow within the crevices that cradle cap create. If you notice inflammation or if your baby shows signs of discomfort, then it's prudent to reach out to your child's pediatrician. Your care provider may prescribe a cream or ointment to aid with these symptoms. 

Do you have any tricks for treating cradle cap at home?

Sources: American Academy of Pediatrics

xo, Chelsea

What's The Deal With Delayed Cord Clamping?

Recently a new official statement was issued by the AAP that "Umbilical cord clamping should be delayed in term and preterm infants due to several health benefits, according the the AAP-endorsed guidance from the American College of Obstetricians and Gynecologists (ACOG)." This new recommendation replaces the ACOG's prior committee opinion published in December 2012. 

What is delayed cord clamping?

In short, delayed cord clamping is the practice of clamping (and subsequently cutting) the umbilical cord after it has ceased to pulse or after the placenta has been delivered after childbirth.

What are the benefits of this process? According to the new committee's report:

  • In term infants, delayed umbilical cord clamping increases hemoglobin levels at birth and improves iron stores in the first several months of life, which may have a favorable effect on developmental outcomes." 
  • Delayed umbilical cord clamping is associated with significant neonatal benefits in preterm infants, including improved transitional circulation, better establishment of red blood cell volume, decreased need for blood transfusion, and lower incidence of adverse health issues such as intraventricular hemorrhage.
  • Given the benefits to most newborns and concordant with other professional organizations, the American College of Obstetricians and Gynecologists now recommends a delay in umbilical cord clamping in vigorous term and preterm infants for at least 30–60 seconds after birth.

In terms of potential or previously cited risks, the committee adds this:

  • There is a small increase in the incidence of jaundice that requires phototherapy in term infants undergoing delayed umbilical cord clamping. Consequently, obstetrician–gynecologists and other obstetric care providers adopting delayed umbilical cord clamping in term infants should ensure that mechanisms are in place to monitor and treat neonatal jaundice.
  • Delayed umbilical cord clamping does not increase the risk of postpartum hemorrhage.

You can find the ACOG's complete report here and the AAP's condensed version here

What's this mean to you?

As you prepare for your baby's arrival, this new recommendation is relevant as it will likely impact the conversation you have with your midwife or other medical practitioner. Note that per the ACOG, the ability to provide delayed umbilical cord clamping may vary among institutions and settings, and the decisions in those circumstances are best made by the team caring for the mother and infant. Because of the possibility for variations, if delayed cord clamping is something that is important to you, it's recommended that you speak with your care provider to determine which options are available to you. As always, we offer birth plan consultations both virtually and in person, and would love to help you sort through your birth preferences.

xo, Chelsea