Category Archives: Pregnancy

All about Prefolds! (34w1d)

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Preface: if you could care less about how we’re going to diaper this kid or why we chose the method we did – go ahead and skip this posting.

I talked about cloth diapering a bit a couple of months ago, but we decided to go with a different type of diapers (to start with at least) after I did more research. (We might start out in disposables anyway, especially if our little guy comes as soon as we think he might and is very wee.)

The type of diapers we’re using are referred to as Prefolds. They’re similar to the cloth diapers that our parents used on us – absorbent cotton layers within a moisture-barrier cover. But whereas the diapers our moms used on us were single layers (flats) that required piling 4-8 layers on top of each other, pinning them onto us and then stuffing our huge fluffy butts into plastic/rubber pants with really tight leg gathers to prevent leaking… today’s prefolds and covers are a much easier, thinner option.

The term ‘prefold’ and opposed to ‘flat’ means that there are varying layers sewn into the diaper, in thirds. So the left and right thirds of the diaper are thinner than the middle third, expressed as #x#x# – so a 4x8x4 has four layers on the left and right sides, and 8 layers in the middle. MUCH easier to achieve the necessary absorbency without trying to pin 8 whole diapers onto a squirming baby!

The covers are single layer, moisture-resistant (I’m hesitant to tempt fate by saying moisture-proof) material in the shape of a disposable diaper with velcro tabs. The prefold diaper can be folded and applied to the baby using a Snappi (or pins) or just folded in thirds, laid into the cover and applied like a disposable diaper. (Folding and using a Snappi is preferred as it will contain baby poo much better.) The covers usually don’t get messy when the diaper is changed and can be used several times before needing a wash. Rotating through two covers during the day gives time for the cover to air out between uses. (Of course, if the cover gets wet or dirty, it goes into the diaper pail with the dirty prefold it held.)

We decided to go with prefolds and covers for a couple of reasons:

  • Prefolds and covers are more customizable in sizes than the AIO (all in one) or pocket diaper options we were looking at. The covers are adjustable in size, and there are myriad sizes and thicknesses of prefolds to choose from.
  • Prefolds can be used on newborns much easier than AIO diapers because you can use to use thinner inserts. Less layers between newborn baby’s legs is good.
  • Prefolds are less picky than other types of diapers. With other materials (microfiber, fleece, hemp, etc) you can’t use diaper creams and have to pay much closer attention to your washing routine. The materials are very sensitive to build up from detergents or hard water and will start to repel moisture, which causes diapers to leak like mad. Cotton prefolds are much hardier and actually work better the harder you wash & dry them. (Detergent choices are still important with cloth diapers though, as you don’t want to strip the moisture-resistance from the covers nor do you want the chance of enzymes or brighteners to not be rinsed from the diapers which could cause a nasty rash when combined with baby pee.) Another benefit of cloth diapering is that diaper rashes are almost unheard-of, but if a rash happens you don’t have to worry about ruining your expensive pocket diapers by using diaper cream.

I’ve purchased 3.5 dozen infant-sized and 3 dozen regular-sized prefolds along with a dozen covers, which should be enough of a stash to get us through diapering this kid from start to finish. (Cost on all that was just over the cost of 2 months of disposable diapers.) We might still purchase some pocket/AIO style diapers (like the ones I originally blogged about) but we’re not sure. Those all-in-one styles are easier to use, but word on the diaper forums I frequent is that once you start using prefolds, you just don’t wanna use anything else! We’ll see. I’m just glad that I’ve found options out there that we can afford!

I color-coded all the prefolds by running a blue or red zigzag stitch along the serged edges – thinking that once we’re using both sizes together it will be easier for Paul to tell them apart at a glance by checking the color as opposed to the size. (An infant-sized layer inside a regular-sized layer can make all the difference for staying dry during a long nap when the little guy is 6 months old!)

I had some fun last weekend prepping the prefolds for use. That’s the only downside to prefolds – the first-time prep of them. You have to wash them with hot water 5-10 times (drying in-between) to wash out ALL the natural wax and oil from the unbleached cotton and to get them to shrink up fully and “quilt” to full absorbency. But I found a shortcut on one of my diaper forums: BOIL THEM!! Two stock pots and two hours later, 3.5 dozen diapers were ready to be put into service! Boiling the prefolds for 15 minutes did the work of 3 full cycles through the washer and dryer. I was able to wash them all twice in the washing machine and after the 2nd time through the dryer, they’re SO soft and fluffy! Even Paul was impressed and remarked that he thought they’d make good diapers!

So our schedules will be enriched with the addition of 2-3 extra loads of laundry a week. But the cost savings over disposables, and the benefit of knowing we’re not tossing 60-80 diapers a week into the local landfill is well worth it to us. The laundry part won’t be a thing at all, especially while I’m exclusively breastfeeding our little man. EBF baby poop is totally water soluble, so with a regular wash + an extra rinse, our baby’s diapers will be perfectly clean – and so will our washing machine. We have enough diapers to do laundry every 2nd or 3rd day (assuming 12-15 every 24 hours) so we won’t be struggling to keep up. Once baby starts on solids, we’ll dump the poo into the toilet (we’ll install a little sprayer onto the supply line for the toilet to help spray off the diaper) and wash everything the same way. Wet diapers are wet diapers, regardless of how old he is.

Paul and I are happy with our choice. We know it’s not for everyone, but we think it will work for us. If anyone has any questions about cloth diapers, I’m happy to answer them or provide links to where I got the info that helped us make our choice. Here’s a couple of my favorites:

  • Little Lions is who all our prefolds came from. They have great prices on seconds and clearance specials as well as great customer service. They also have some great info about cloth diapering in general.
  • Luv your Baby Products are the supplies of Kawaii Baby diapers in the US and Canada. The lady who runs the place is amazing and has seen her business explode in the last year thanks to favorable ratings on diaper forums. I got our covers from LuvYourBaby and I’ll purchase pocket/AIO diapers there too if we go that way.
  • DiaperSwappers is a fantastic CD (cloth diapering) forum and sales resource. It’s probably the biggest clearinghouse for the used CD market anywhere and is a VAST resource of CD knowledge from amazingly helpful mamas all over the world.

LOLercoaster + Tilt-a-Whirl (33w5d)

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I feel like I’m getting jerked around and I don’t like it.

Today everything seems to be fine! No really. Like according to everything today I’m barely pre-eclamptic. Apparently once you’re in the pre-eclamptic zone you don’t get out, but you can vary within the zone from mild to moderate to severe. Today I’m at the mild end. Which is great. My blood pressure was 147/97 today, as compared with 157/110 yesterday.*

Except: if I’m barely worse off than I was two weeks ago (no protein showing up on today’s dip stick) then why am I being forced to modify my work schedule and burn my precious paid leave for nothing? Why can’t I work at least half days in the office? (I’m wanting to be in the office because there’s stuff I can do there that I can’t do at home – the amount of stuff I have to do at home is finite and will get burned through in this next week for sure in order for me to keep up full-time hours.)

YES, OF COURSE I’m happy that things look rosier today. Healthier Mama means baby stays put which is a good thing. OF COURSE. This is just all very hard to take on 3 hours of sleep (cried myself to sleep finally last night and was up at 4:30am this morning) with hormone overload raging. I feel so completely out of control and that scares me and makes me angry.

Yes, I’m a control freak – but it’s not that. I literally feel like I’m being told different things each time I go in now and it’s hard to assimilate them all together and find a way to waddle through the next day or three before the next appointment where I’ll be told who-knows-what. Going with the flow when your health, your baby’s health, and your family’s financial stability are all on the line is really very difficult to do. And being constantly told to calm down and relax and just let everything in the world go doesn’t help. (I appreciate everyone’s support, really I do…. it’s just hard advice to follow.)

So for now, we’re stable (?) in this mild pre-eclamptic state. I did get the 2nd steroid shot today, so at least those are doing their thing – with their peak of efficacy in about 7 days. I’m planning on going into the office again tomorrow for a half day because there’s stuff I need to wrap up there still. Depending on how things go at my monitoring appointment on Monday, I may go into the office for a half day or two next week as well. I don’t feel that I’m pushing it to do that, especially if my blood pressure is barely higher than it was two weeks ago. If BP readings are creeping up, I’ll stay home. I have monitoring appointments M-W-F next week, and I actually see Dr. Schwartz on Wednesday. They’ll do a urine dip-stick at each appointment which I guess is the starting point for worry if it comes up with anything.

*To recap BP over the last few weeks for perspective:

Date
BP
June-3
147/97
June-2
157/110
May-26
155/97
May-19
131/83
Apr-28
138/85

Pre-Eclampsia (33w4d)

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We knew this was a possibility. Just didn’t think it would actually happen so dang fast. (But to put it in perspective, Dr. Schwartz expected to see symptoms of pre-eclampsia in me by 28 weeks or so. It usually shows up in non-hypertensive, non-diabetic, non-obese, non-thyroid-challenged women between 32-37 weeks. So the fact that I got to nearly 34 weeks with my medical history is astounding.)

Fetal Monitoring appointment today went well. Baby was head down (again) and cooperating with holding still for the monitor. It wasn’t strapped so tightly to me this time, so he wasn’t kicking at it. I actually fell asleep for a little bit while being monitored.

But when they took my blood pressure, things got a little scary. 157/110, up from 138/83 two weeks ago. (It was ~150/97 last week) And that’s with hella medication. The results of my 24-hour urine test came back in the mid 300’s, which indicates mild/moderate (as opposed to severe) pre-eclampsia.

None of this is a surprise. What Dr. Schwartz told us about at the beginning of this 3rd trimester is coming true. The hope is that the creeping up of my blood pressure stays slow/moderate, and that the protein count doesn’t skyrocket. More labs were taken today and the results will be in tomorrow – which will give a more exact look at what the situation is. I’m not showing many other symptoms – and especially none of the symptoms of HELLP syndrome. But I’m up 2 pounds this week, so that’s a tad worrisome.

If things are getting worse quickly, Dr. Schwartz will have to hospitalize me for more intensive monitoring (BP readings every 15 minutes, IV therapy, fetal monitoring, etc.) Nobody wants that – cuz it would stress me right the hell out. Being in the hospital (by definition, uncomfortable) wasting paid leave with no baby, strapped to a bed would just suck SO bad. And it’s possible that I could be monitored for up to a week before things reach a critical point where the baby has to come out. So that would be a TON of paid leave down the drain. If I’m allowed to be at home, at least I can still do *some* work, and Paul is here to keep a close eye on me. We live like 7 minutes from the hospital if that becomes necessary.

In preparation of the baby coming much sooner than anticipated, I got the first of two steroid shots today. (Supposedly they burn like crazy, but I didn’t feel it at all!) For those who know or care, I’m being given Betamethasone.

So here we are. I’ve been told I can’t go into the office any longer. Dr. Schwartz didn’t get into specifics right yet, but basically I need to be off my feet as much as humanly possible, with feet elevated. And most importantly, I need to be in a calm environment, away from stress. I need to go into the office tomorrow to collect some things and wrap up some stuff, but I’ll be leaving at noon for my 1:00pm appointment. I might go in for a couple hours on Friday too. Cuz seriously, I wasn’t ready to not be in the office quite yet.

Dr. Schwartz is back at home in Denver until Monday, so he’ll call me during my appointment tomorrow to go over my lab results and answer whatever questions we come up with by then. He’ll be back in the office for a 9-day stretch starting on Monday, so I have a strong suspicion that he’ll deliver me during that time, assuming I don’t need to be delivered this weekend for some reason.

As far as baby goes: he’s doing OK at this point as far as we can tell. He was 4 pounds exactly two weeks ago, so we’re assuming he’s somewhere between 4.5-5lbs right now. Our concern for delivering him soon is his lung maturity. The steroids they gave me today (and tomorrow) are designed to kick his lungs into high gear to make surfactant to make it easier for him to breathe. He’ll have to spend some time in the NICU when he comes, but we don’t know how long – could be 2-4 days, could be 2 weeks or more. No way to know until he gets here. If we make it to 36 weeks (doubtful) they can use amniocentesis to check the development of his lungs, but prior to 36 weeks, there isn’t much they can do to check. If he comes sooner than that, it will be because my body just can’t take being pregnant anymore.

We’ll have a better idea of where we stand after tomorrow’s appointment. I already have appointments for Monday, Wednesday and Friday next week for fetal monitoring. Here’s hoping I can keep those.

I still need to pack my hospital bag. I need to wash some baby clothes and put things away in drawers and in his closet. I need to go out and buy some preemie-sized clothing and onesies. It never occurred to us that we could have a preemie. We knew the pregnancy would almost assuredly have a bumpy ending, but having a preemie never occurred to us. I can’t believe I’m typing that word.

I don’t know how to deal with this, really. I’m a planner, and I can’t plan anything right now. I don’t know how things are going to go or what my options are anymore. I don’t know how nursing/pumping gets dealt with in a NICU situation. What do we do with ourselves when we can’t be at the NICU? Does it make me a terrible parent that I’m still worrying about getting to work during all of this? I’m vacillating between abject terror and a preternatural calm, both stemming the knowledge that I am in control of absolutely none of this. I’m going with the flow, because I don’t have any other choice. I’m doing my best to stay calm because stress really doesn’t help the situation. Prayers would be appreciated though. An update will happen as soon as possible after the appointment tomorrow afternoon.

Pregnancy Portraits (33w1d)

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Yesterday we set out at a ridiculously early hour (7:00am) to head to Red Rock Canyon for some portraits of Paul and I at this special time. I think we would have liked to wait a little longer, but between the uncertainty of how long I’m gonna stay pregnant and not wanting to be taking portraits in triple-digit temperatures, yesterday seemed ideal. (We’re forecast for triple-digits on Friday.)

Tom (Gramps) was the camera man of the day, and he did a fantastic job. With his backwards visor and his big fancy pants camera, he looked like a paparazzo. ha!

But the day was beautiful, the wind was calm, and it was just perfect temperature when we got out into the canyon a little after 8:00am. Tom and Paul were suitably impressed with my less-than-billy-goat like skills at getting up on the rocks and such. Great care was taken, and I never even slipped once. Not bad for the unwieldy pregnant lady.

Nearly three hours and 400-something images later, we were on our way home, having stopped at the Welcome to Las Vegas sign.

We culled out our favorites: have a look at the whole gallery by clicking any image below!


LOVE THIS.

Fetal Monitoring (32w4d)

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Today was my first experience with fetal monitoring. They did an ultrasound to see what position the baby was in and then took me to another room with a reclining chair for me to hang out in to be monitored. It took the nurse a minute or two to find his heart with the monitor, but once she got that thing strapped on, it was clear as a bell! (Actually, the baby started kicking the monitor which was funny to feel and hear!)

My blood sugar took a nosedive while we were there though. I’d had a super busy morning and a board meeting right before my appointment, so I just hadn’t eaten enough. I took my blood sugar and it was at 48, so I asked for and chugged some juice.

My blood pressure though… not good. It’s been 138/83 or lower this whole time. Today’s lowest was 155/96, and that was after I was done with the monitoring, so I’d been chilling out for a while. So they took some blood and another urine sample, and I’ve got the 24 hour urine collection to do tomorrow. (I did one when I was about 20 weeks or so as a baseline.) We’ll see. Dr. Schwartz says he’s not worrying about me yet so I’m not to worry either.

I feel the same though. Swelling hasn’t gotten any worse. No pain in my upper abdomen. I’ve had a twinge of a headache a time or two in the last week, but nothing severe or lasting at all. No weight gain since last week. (Shocking since I’ve been so dang hungry!) I’m trying to think positive and assume it was the busy/stressful day at work directly before the appointment or because my blood sugar was so low. We’ll see. If pre-eclampsia has started, we’ll figure out a way forward from there.

Unless something changes though, I’ve got an appointment for monitoring in a week, and then I go to twice weekly after that. FWIW, the baby monitored excellently today – Dr. Schwartz said he couldn’t be more pleased.

Tonight we went to our Baby Basics class, and were fairly disappointed. I didn’t learn anything at all. Paul at least got to change a diaper on a baby doll and we both burrito’d the doll and put a shirt on it. Some of the information presented directly contradicted what we’ve already learned in our Prepared Childbirth classes, and what we’ve read in books and online. So meh. Good to have the experience under our belts, but we’re both looking forward to the Breastfeeding class in two weeks much more. I figure between the couple of baby care books we have, my experience, and just fumbling along – we’ll be just fine.