whole issue - Real Diaper Association
Transcription
whole issue - Real Diaper Association
N a t i o n a l Q ua r t e r l y N e w s l e t t e r Real diaper association Volume 1, Issue 2 Summer 2005 You are the local cloth diaper advocate By Lori Taylor “Ask Me about Cloth Diapers.” That’s what RDA Board of Directors member Marie DiCocco’s tank top said as she taught Italian Folk Dance at the New England Folk Festival in Natick, Massachusetts, in April. One of the dancers did ask Marie about cloth diapers. The dancer had cloth diapered her children several decades before, but assumed cloth diapers were no longer available. She had friends who just adopted a baby, and she wanted to tell them about cloth diapers. Many people assume cloth diapers are no longer available. You know otherwise. But how will new parents, grandmothers, and family friends know to ask you about cloth diapers? Make yourself visible in your community. Wearing buttons or T-shirts from the RDA “Ask Me about Cloth Diapers” campaign for Earth Day is an easy way to begin. RDA members have found a variety of ways to advocate cloth diapers locally. Take Visible Action: • Use local media. Provide great stories highlighting cloth diapers. Make yourself the contact person. Offer to be interviewed on a local parenting program on radio or television. Write an article on cloth diapers for a local paper, including very small papers. • Make cloth diaper advocate business cards for yourself, and leave cards at baby shops and with mother and baby health care providers. • Reserve a booth at a local baby fair or farmer’s market. Bring a variety of cloth diapers along with diaper facts for visitors to carry away. Make Yourself Visible Locally. You are the local expert. You have access to a wealth of experience and information. As a member of Real Diaper Association, you also know where to go for great ideas. Make sure people know where to reach you. When people do ask you about cloth diapers, know what you are going to say. While wearing her “Ask Me” button shopping at the natural foods co-op Rainbow Grocery in San Francisco, RDA Treasurer Angelique Mullen was asked by a shopper, "I really love that button. Where on earth did you get it?" She took the button off and gave it to the shopper, telling her about cloth diapers. The shopper told Angelique she sometimes feels disheartened because no one cloth diapers anymore. But it isn’t true! People want to know that you use cloth diapers for your baby. Your baby is a great cloth diaper model. When someone sees you changing your baby with cloth diapers, they may say, “What kind of diaper is that?” Be prepared to tell them exactly what it is and where to find out more. There Inside this issue are other ways to make your baby visible, as well. Savannah Rogers, Local Advocacy 1 RDA member of Peoria, Arizona, suggests that parents put their cloth Washing Diapers 2 diapered babies in the local parade. Diaper Rash 3 Business Directory 5 Accredited Circle Leaders 6 Let people know how to contact you later if they have more questions. Nashville, Tennessee, Leader Danielle Whittaker has given out her RDA business card when she has seen people buying disposable diapers. Real Diaper Information booth at the La Leche League conference in Atlanta, Georgia. Continued on page 4 PAGE 2 REAL DIAPER NEWS VOLUME 1, ISSUE 2 Our “In-house” cloth diaper washing routine By Heather L. Sanders Our recipe for washing cloth diapers. Easy as 1, 2, 3! Washing cloth diapers - it seems to be the ONE thing, if any, that will cause the bravest soul to turn tail and run! Well, don't. Cloth still is the healthiest alternative for your child and you will easily get over your archaic ideas about how hard it is . . . because, quite honestly, it is SIMPLE! If you can wash your clothes - you can wash your diapers. The washing machine will not leave residues of baby poo on your clothing and you don't have to worry about your clothes smelling like a diaper pail. Our washing machines are much more effective cleansers than you could ever imagine! Regardless of the diapering system you choose, the Wash-nCare suggestion below will have you washing, on average, every 2 days. Your diapers will remain stain free, smell fresh, and retain maximum absorbency! Below is your recipe for our ‘In-House Washing Method’. Gather your ingredients, take a deep breath and WASH THOSE DIAPERS!!! Ingredients: Detergent: Make sure the detergent is free of fragrances, dyes and fabric softeners (fabric softeners will create a waxy build-up on your cloth diapers that will, over time, cause them to repel your baby's urine instead of absorbing it). Not a good thing! For more information on the difference between the two and for recommendations on types of detergent to use., go to the Soap Vs Detergent page on the Diaper Hyena (http://www. thediaperhyena.com/clothdiaperarticle_soapordetergent.htm). Special Note on Line Drying Prefolds: Line-dried prefold diapers can benefit from the natural bleaching and sterilization from the sun. There are several ways to keep them from being 'crunchy' - which is one of the negatives attributed to line-dried diapers. • • • • Make sure that you use vinegar in the wash for its fabric softening abilities. Make sure that you double - or even triple - hang your prefolds back to back on really hot days/afternoons. This will ensure a longer drying time. Quick drying can make for crunchier diapers all together. It is much better to dry in the earlier hours when it is less hot and the sun is less intense . . . drying your diapers slower. Allow to dry until 'just dry' and then throw them in the dryer for the last 10 to 15 minutes to tumble dry on low or fluff. This will loosen up the cotton fibers and give you the quilted look/feel most loved with prefolds - it also increases their absorbency. Some will do this the exact opposite and allow their diapers to dry out in the sun only after drying them in the dryer until 'just' damp dry. Special note: Beware of line drying on particularly humid days. Your diapers will come off the line smelling moldy or even just 'not so fresh.' Also, be aware of the season - is it spring? Is the ground covered in pollen? If your regular clothesline is strung between a few pine trees (as ours are) you might discover that yellow pine pollen is just about as uninviting on freshly washed diapers as yellow poopy stains! Baking Soda: It doesn't take much - only about 1/2 cup per load. However, baking soda is priceless for whitening and neutralizing acidity levels in your diapers. It is a natural odor and stain fighter and will help keep your diapers nice, white, and fresh smelling. Distilled White Vinegar: Vinegar will help to restore the pH balance in your diapers and neutralizes any bacteria or detergent residues, while helping to soften the diapers. Vinegar can be especially effective with diapers that are to be dried on the line! It will also help with color steadfastness. Our In-House Washing Method: 1. First run a Cold Wash/Cold rinse adding-in only 1/2 cup of baking soda with the water. Make sure that all diapers are opened-up for easier cleaning. Make sure that all AIOs or covers have the Velcro secured on their loop-backs to keep from developing a 'diaper chain' in the washer. Make sure that all prefolds or inserts are pulled out from the pocket diapers. 2. Once this load finishes, run a Hot Wash/Cold rinse adding-in about 1/2 the amount of detergent as suggested on the side of the box. For hard water areas or for those who line-dry, add some distilled white vinegar in the rinse cycle. In most cases, it will help prepare your diapers for line-drying or soften them against the hard water elements. 3. After the second wash, open the lid and take a whiff. Does it smell fresh? If not, run another cold wash/cold rinse with NO DETERGENT, NO BAKING SODA and NO VINEGAR! This is just to rinse out the diapers. Then, pull out your dipes and depending on your preference, line-dry or tumble dry. If you tumble dry, do not leave your covers in - hang them on pegs or lay them out on towels to dry to extend their longevity. Diapers hanging on a clothesline can take one’s breath away. Vinegar in your cloth diaper wash. Two sides of the coin: You may be wondering if the use of distilled white vinegar is truly essential in your cloth diaper wash. After all, there seems to be such a good amount to remember as it is, and if you can cut something out of the routine, vinegar seems to be the most viable option. Well, let us give you some of the attributes of vinegar. And, we are talking distilled white vinegar NOT apple cider vinegar or any other type of vinegar. (Apple cider vinegar will cause your diapers to discolor and become dingy looking.) If you use it at all, you must use distilled white vinegar. Continued on back page PAGE 3 REAL DIAPER NEWS VOLUME 1, ISSUE 2 RDA receives tax exempt status! On July 7, we received confirmation that the IRS determined Real Diaper Association to be a tax exempt organization under 501(c)(3) of the Internal Revenue code. What does that mean to you? All first-time and renewal membership donations made after July 7, 2005 are tax-deductible! Diaper Rash: Comparing Diaper choices By Angelique Mullen Most new parents have experienced changing their baby’s diaper to find their skin covered in a red, splotchy rash. When my daughter was two weeks old, she had her first diaper rash. At the time, we had only used cloth diapers a handful of times. Not knowing what other options we had, we were also using disposable baby wipes when we changed her. My daughter’s rash developed slowly, and eventually became bleeding red. Every time we changed her diaper, she let out blood-curdling screams. I sometimes cried with her, frustrated because I did not know what to do for my sweet baby. It was at this time that I started going to a new-parent support group. Another mother looked at my daughter’s rash and suggested I use cotton and warm water to clean her diaper area. She was convinced it was the wipes that were causing my baby’s rash. At the same meeting, a father in the group raved about the flannel squares that he and his wife used on their daughter. It gave me an idea. I went home and cut up an old flannel sheet. I made about a hundred squares of plain flannel wipes. Wetting our new homemade wipes with warm water only, we used them and her rash cleared up in a matter of days. Diaper rash, also known as diaper dermatitis, is the most common type of rash in infancy, with most children experiencing it at least once by the time they learn to use the toilet. Why do babies get diaper rash? While there are a variety of factors that contribute to rash, the most common reason is excessive moisture against the skin (Boiko, 1997). Usually, a baby will feel a wet cloth diaper because it can be hard to avoid the wetness. Cloth diapers are usually changed more often. Many parents leave disposable diapers on their baby too long. There is urine in the diaper and bacteria in the urine. When the ammonia in urine mixes with the plastic, the baby’s skin does not get a chance to breathe and the bacteria can grow. Babies who urinate frequently or have diarrhea and frequent bowel movements can often be more prone to rash. The frequency of diaper dermatitis decreases as the number of diaper changes increases. It is not known how much exposure to urine or feces is necessary to generate irritation, but one study recommended changing newborns every hour and older babies every 3-4 hours, no matter what kind of diaper they are wearing (Shin, 2005). There are other reasons for rash, such as food allergies, yeast infection, skin sensitivity, chafing, and chemical irritation. For older babies who have started eating solids, diaper rash can result from the introduction of new foods. Food sensitivities can develop and change the content of a baby’s stool, increasing the likelihood of dermatitis. Also, some foods can raise the frequency of bowel movements, adding another source of irritation. Changes in a breastfeeding mother’s diet may alter the baby’s stool, causing rash (Boiko, 1979). Yeast infection rashes or candidal dermatitis can easily grow in the diaper area, especially if a baby has been taking antibiotics for a bacterial infection. Antibiotics kill the bacteria causing the infection, but they can also kill the bacteria that prevent yeast from developing. Without these bacteria, the warm, moist environment of the diaper area makes an ideal breeding ground for yeast infections (Kazzi). Babies with sensitive skin are also more prone to diaper rash. Those with atopic dermatitis or eczema may be more likely to develop diaper rashes, although they will usually get a rash on other parts of their bodies, too (Wong, 1992). Another type of diaper rash is tidemark dermatitis. Tight diapers or bindings that rub against the baby’s skin can cause painful chafing (Kazzi). Some diaper rash may be caused by chemical irritation. Disposable diapering products, including wipes, are composed of many chemicals that are likely skin irritants. Residual detergent, bleach or fabric softener used to launder cloth diapers and lotions or creams used in diapering can also be bothersome. (Kazzi). In my daughter’s case, we concluded that the chemicals in the disposable wipes we were using were probably causing her newborn rash. As common as it is today, diaper dermatitis is a relatively new phenomenon. Fred Weiner, a Montreal doctor who studied rash in the 1970’s, reported that diaper rash was almost unheard of before the use of rubber or plastic pants in the 1940’s (Weiner, 1979). In an article published in the Journal of Pediatrics in 1959, before the introduction of disposable diapers, only 7.1% of 1,505 babies in a one-time clinical study had diaper rash (Tanino, 1959). In a study of diaper rash in the 1980’s, some twenty years after the invention of disposable diapers, 63% of 1,050 babies had diaper rash at least once in an 8-week period (Gaunder and Plummer, 1987). The most recent study I reviewed reported that at least half of all babies will exhibit rash at least once during their diapering years (Shin, 2005). Why would wearing disposable diapers lead to higher incidence of dermatitis? Weiner believed the lack of airflow in a tight-fitting plastic cover to be one of the main factors for rash. He noted that babies also developed rash from plastic or rubber pants (Weiner, 1979). Disposable diapers are made using a large variety of chemicals and the manufacturers are not required to disclose these chemical ingredients. Consumers should be aware of what chemicals are present in disposable diapers. Ingredients include polyethylene film, polypropylene plastic, bleached Continued on page 6 PAGE 4 REAL DIAPER NEWS VOLUME 1, ISSUE 2 Local advoCACY (Continued from page 1) Go to RDA: • Use “Ask Me about Cloth Diapers” buttons, magnets, Tshirts, and bags to draw attention from those who want to know more. http://www.cafepress.com/rdassociation • RDA pamphlet “Cloth Diaper Advocacy” offers some basic suggestions where you can start your work. http://realdiaperassociation.org/media.php#pamphlets Teach the Basics of Cloth Diapering to New Parents. Do you remember being a new parent? You needed information. New parents want to know their options. They want to know what is best for their baby. Gently help them learn about cloth diapers so they can make an informed choice about diapers. these before washing? They will soon have enough experience that they will help others, but for now, you are their expert and some parents will need one-on-one support. Give freely of your experience, and seek more information when you don’t know the answer. Seattle, Washington, Leader Maya Keithly has been holding cloth diapering support meetings since January. For the next scheduled meeting, about a dozen parents will learn to sew basic styles of diapers. At a future meeting, Maya plans to demonstrate washing with lanolin to condition a wool diaper cover. Maya finds that parents often need support in learning about washing methods and nighttime diapers. She also offers a diaper library from which parents can check out diapers, doublers, Snappis, or other items to see if these items work for their baby. Where are you going to meet new parents? You could meet them casually by talking to pregnant women at the park or while shopping. Or ask a few parents to drop by. Danielle Whittaker organized an informal cloth diaper meeting at her work. She even invited a local cloth diaper dealer to show new parents the range of diapers available. Those parents in Maya Keithly’s diapering group are fortunate. Seattle is one of those rare U.S. cities where parents can find a variety of cloth diapering support. It is also the home of RDA business member Baby Diaper Service, who publishes Northwest Baby and Child, a monthly newspaper with extensive information and support for parents. You might offer to make a presentation to a parenting class sponsored by a midwife, hospital, or community center. Find out a little about the parents beforehand, so you can tailor your approach to their needs. Are they likely to choose cloth diapers because of the lower environmental impact or because it is so much less expensive to use cloth diapers? Whether one-on-one, through published articles, or by distributing basic information, you can easily offer your expertise to other parents who need help learning the art of cloth diapering. At a parenting class, take diapers to touch and feel. Take your baby so you can demonstrate how easy it is to use cloth diapers. Take a big pile of diapers along with a few teddy bears or dolls so new parents can try it for themselves. Prepare your remarks or an outline before you go, and test how long it takes you to cover the material. Be sure to leave plenty of time for questions. Take Teaching Action: • Create your own meeting for new parents. You can often find free rooms in libraries, churches, and community centers. • Put cloth diapering information in new parent packs at hospitals. If you have a local diaper service, organize a pamphlet or coupon to go with a pamphlet. If you have a local manufacturer, they might even be willing to include a product sample. Go to RDA: • For quick start tips, see RDA Advocacy Sheet “Cloth Diapering Classes.” http://www.realdiaperassociation.org/ pdf/rda_advocacy_classes.pdf • RDA pamphlet “Cloth Is Best” offers basic information about cloth diapers, while the pamphlet “Get Real” gives parents some solid reasons to use cloth diapers over other options. http://realdiaperassociation.org/media.php#pamphlets Support Parents Using Cloth Diapers. If you have made sure that new parents know how to contact you, you are likely to get more questions once they are using cloth diapers. How can I prevent leaks? Do I have to soak Take Supportive Action: • If your local food co-op or baby store carries cloth diapers, ask if you can leave business cards or pamphlets with your contact information near the cloth diaper display. • Hold a support meeting and publicize it by city on Craig’s List or another listing of local meetings: http://www.craigslist.org/ Go to RDA: • RDA Advocacy Postcards, based on carefully documented Diaper Facts, are available in color or black & white in two sizes. Each postcard gives several strong reasons to use cloth diapering for Health, Environmental, or Cost reasons. http://realdiaperassociation.org/advocacy. php#advocacypostcards http://realdiaperassociation.org/diaperfacts.php • RDA Advocacy Sheets offer quick tips for starting local support projects, including getting cloth diapers into local stores and helping parents sew their own diapers. http://realdiaperassociation.org/advocacy.php Make Connections. Are you the one among your friends who always knows the answers about cloth diapers? You are probably the person your friends ask when they need to know where to buy covers or natural diaper cream. You know the world of cloth diapers, and you know your local community. Connect them. Are there other groups where you might make contact with cloth diapering parents? Are you a member of an attachment parenting, babywearing, or breastfeeding group? Savannah Rogers and Melissa Buck found contacts for local cloth diapering activism through a booth at a La Leche League conference in Georgia. Their booth was quite eye-catching, PAGE 5 REAL DIAPER NEWS VOLUME 1, ISSUE 2 RDA Business Member Directory Arizona Wildflower Diapers Shannon Doan www.wildflowerdiapers.com Scottsdale, Arizona (888) 677-3228 toll free California Bitty Bums Heather Scheirmann www.bittybums.com Simi Valley, California (805) 527-3936 Blue Penguin Carol Stewart www.bluepenguin.biz Los Angeles, California (888) 422-2945 toll free (323) 344-1311 fax Granola Mamas Nikki Burns & Heidi Guthrie www.granolamoms.com El Cajon, California 92020 (619) 444-6298 Peachie Baby Company Danielle Stein www.peachiebaby.com Rancho Santa Margarita, California (860) 736-8684 fax Pipsqueak Diapers Brit Montrella www.pipsqueakdiapers.com Long Beach, California Sierra Babies Megan Goldstein www.sierrababies.com Walnut Creek, California Snoogie Snaps Heather Tremblay www.snoogiesnaps.com Los Angeles, California Colorado Little Earth Kimberley Hoch www.little-earth.biz Broomfield, Colorado (720) 887-3540 Righteous Baby Ann Hall www.righteousbaby.com Lyons, Colorado (303) 823-5980 Connecticut Papaya Patch.com Cari Wolverton www.papayapatch.com West Hartford, Connecticut (800) 521-0701 toll-free (860) 521-0731 fax District of Columbia PM Organics Marie DiCocco www.pmorganics.com Alexandria, Washington DC (703) 627-1512 Florida In Our Forrest Jaimee Miller www.inourforrest.com Sarasota, Florida (866) 760-8093 toll-free Sunshine Diapers Brenda Wells www.sunshinediapers.com Gainesville, Florida (352) 335-2093 Georgia Better for Babies Leah Carter www.betterforbabies.com Carrollton, Georgia (678) 481-7265 Wallypop Sarah Reid www.wallypop.net Des Moines, Iowa (515) 274-4676 Maine Buzzie Bee Jennifer Moore Temple www.buzziebee.com Rockland, Maine (207) 542-0505 Humanity Infant and Herbal Cheri Fennell humanityinfantandherbal.com Augusta, Maine (207) 626-0433 Mother of Eden: Make a Difference Program Corrie Sweeney moeconsultant.com/corrie43 Buxton, Maine (207) 929-6697 Massachusetts Zannadu Joanne Sarkar www.zannadu.com Framingham, Massachusetts (508) 292-1669 Ella's Diapers Melissa Moody www.ellasdiapers.com Jonesboro, GA Michigan Tree City Diapers Molly Ging www.treecitydiapers.com Ann Arbor, Michigan (734) 623-2088 Idaho One Stop Diaper Shop Jessica Wiseman diapershop.com Rigby, Idaho (866) 264-1656 toll-free Minnesota Tots and Bottoms Bree Norlander www.totsandbottoms.com Saint Paul, Minnesota (888) 804-8687 toll-free llinois Diaperco.com Marcy Moorhead www.diaperco.com Sterling, Illinois (866) 342-7390 toll-free (815) 625-6755 fax Nevada Little Lamb Organics Jessica Hannon littlelamborganics.com Las Vegas, Nevada (702) 645-3506 (702) 658-4284 fax Iowa The Stork Wearhouse www.thestorkwearhouse.com Des Moines, Iowa (515) 255-1671 New Jersey DiaperPin Jennifer Liptrot www.diaperpin.com Oldwick, New Jersey (908) 872 4407 PAGE 6 New York Dara and Scott Tiffany Johnson www.DaraandScott.com Watertown, New York (315) 489-1494 REAL DIAPER NEWS Time For A Change Nicole Cameron www.time-for-a-change.org Stow, Ohio (866) 229-8797 toll-free Fuzbaby Lori Taylor www.fuzbaby.com Buffalo, New York (800) 597-0561 toll-free (716) 833-9337 fax Oregon Granny's Ark Julie Claunch www.grannysark.com Beaverton, Oregon (503) 997-5065 Firefly Diapers Lori Taylor www.fuzbaby.com Buffalo, New York (800) 597-0561 toll-free (716) 833-9337 fax Pennsylvania Baby Naturale Marlene Dunwoody www.babynaturale.com Huntingdon, Pennsylvania (877) 714-6287 toll-free Terra Cotton Diaper Services Victoria Peter www.terracotton.com Rochester, New York (585) 978-9081 DiaperWare.com Inge Brunner www.DiaperWare.com Moylan, Pennsylvania (888) 848-8740 toll-free North Carolina Our Natural World Laura Johnson www.diaperchangingparty.com Warsaw, North Carolina (910) 293-7673 Ohio Mother and Child Creations Tonya Dutton motherandchildcreations.com Findlay, Ohio (419) 423-7302 Precious Beginnings Diapers N’ Things Amy Rapp www.diapersnthings.com Pataskala, Ohio (888) 247-4533 toll-free (614) 367-0718 fax Jack's Magic Beanstalk Heather Meyer & Jenni Tellers jacksmagicbeanstalk.com Philadelphia, Pennsylvania (877) NurseMe toll-free Rhode Island A.F.E.W. Natural Changes Stacey Grant www.afewnaturalchanges.com Smithfield, Rhode Island (401) 233-1895 Tennessee Cloth Diapers N More Amanda White clothdiapersnmore.com Knoxville, Tennessee (877) 231-9735 VOLUME 1, ISSUE 2 Texas Li'l Bambino Ashley Henry www.lilbambino.com South Padre Island, Texas (956) 772-9185 (956) 761-3960 fax Vermont Green Mountain Diapers Karen Amidon greenmountaindiapers.com Vernon, Vermont (802) 254-7361 (800) 330-9905 fax Virginia Nurtured by Nature Kristen Gallagher www.nurturedbynature.net Sterling, Virginia (571) 238-9282 Washington Baby Diaper Service Mark Stief www.seattlediaper.com Seattle, Washington (800) 562-BABY toll-free (206) 767-0179 fax Cloth Diapers by Sara Sara Thompson www.clothdiapersbysara.com Blaine, Washington (360) 371-2405 Canada The Diaper Hyena Kim Becker ww.thediaperhyena.com Sherwood Park, Alberta This list is current as of 8/3/05. Accredited Real diaper Circle leaders Maine Christy Perce Newcastle, Maine [email protected] New York Melissa Corbett New York, NY [email protected] Utah Amanda Rathbun Provo, Utah [email protected] Corrie Sweeney North Waterboro, Maine geocities.com/corrie43 [email protected] Tennessee Danielle Whittaker Antioch, Tennessee [email protected] Washington Maya Keithly Everett, Washington www.oceanasoul.com/rda.htm [email protected] To see complete descriptions of our business members and Circle Leaders, go to: www.realdiaperassociation.org/directory PAGE 7 REAL DIAPER NEWS with diapers pinned on a clothesline against a blue sky background. Their contact list forms the core of the future Atlanta area diaper advocacy group. RDA business member Brenda Wells of Gainesville, Florida, the local “Diaper Lady,” invited her Sunshine Diapers customers to a picnic earlier this Spring. She wanted to get together with the large number of great local parents she had met, and she took the opportunity to tell those gathered about Real Diaper Association and encourage cloth diaper users to become cloth diaper advocates. VOLUME 1, ISSUE 2 As new parents prepare for baby, friends and family members will also offer advice. Health care providers need to know about the effect of diapering options on a baby’s health. Local waste officials need to know the facts concerning disposable diapers and solid waste. Social services need to know the best options for low-income diapering. Local Leader Danielle Whittaker was concerned that standards for local daycare facilities were not allowing use of cloth diapers. So, Danielle decided to educate those who write the standards. She wrote to state and county commissioners as well as the Tennessee Department of Human Services. Which issue is most important in your community? You know best what is the need in your community. Find that issue, and get to the heart of it. Take Education Action: • Write a list of compelling cloth diapering facts and offer it to your town newspaper along with a list of contacts for local cloth diapering parents and businesses. • Make a note of all objections you hear to cloth diapering and make a solid plan of action to address them directly. Families enjoying a cloth diaper picnic in Gainesville, Florida. Help the people you know to know one another. Help them learn what they can to do support cloth diapering. Take Connecting Action: • Ask a local store to carry cloth diapers. Offer contact information for local manufacturers or for national companies that offer diapers wholesale. Make it easy for them to say yes by anticipating their questions and providing good answers when you first approach them. RDA Advocacy Sheet “Cloth Diapers in Local Stores” offers some tips. • Have you met other experienced cloth diapering parents in your area? Ask them to join you in becoming local advocates. Support one another in your advocacy as well as supporting others in their cloth diaper use. The first RDA leader, Maya Keithly, told us, “I adore the satisfaction of seeing a parent become an advocate, I am amazed at how responsive the public now is.” Go to RDA: • RDA Local Resource Directory will show you whether you have RDA leaders or business members in your area. Help others find them and use their expertise. Offer to help. http:// realdiaperassociation.org/directory/ Educate the General Public about the Benefits of Cloth Diapers. Parents who will diaper their babies are not the only people who need to know that cloth diapers are still a great option. Go to RDA: • For general cloth diapering education, choose RDA pamphlet “Get Real” or advocacy postcard “Why Choose Cloth Diapers? Here are a few reasons.” New parents need to know “how” and “how many.” The non-parents in your community may need to know “why.” Health, environment, and cost. Let them know. http://www. realdiaperassociation.org/pdf/GetReal.pdf http://www.realdiaperassociation.org/advocacy. php#advocacypostcards • When you need more information than you have access to, contact RDA. Tell us what support you need in your local work. We want to help. Since early Spring, I have taken the opportunity to talk and write to many RDA members actively advocating cloth diapers in their local communities. The dedication and creativity of our members takes my breath away. The centralized organization of RDA allows members to pool ideas and build on the ideas and experience of others. The strength in cloth diapering advocacy, though, happens when each one of you speaks to others about your own experience. Please share your stories with us, and we will share the stories with other RDA members. One of the simplest things you can do to start is to make yourself visible with a button or T-shirt. After the last Italian Folk Dance at the New England Folk Festival, Marie DiCocco reached into her “Real Diapers, Real Babies” tote bag to pull out the RDA brochures she had printed. The cloth-diaper curious dancer’s main question was, How do I find cloth diapers today? Marie sent her away with several brochures and the address of the RDA website. One more person asked about cloth diapers. That’s what we’re here for. Real Diaper Association is the dreamchild of Lori Taylor, who wrote this story. She is Chairperson of the RDA Board of Directors and owner of Fuzbaby and Firefly Diapers. PAGE 8 REAL DIAPER NEWS VOLUME 1, ISSUE 2 Diaper Rash (continued from page 3) paper pulp, petrolatum, stearyl alcohol, hot melts (glue), elastic, cellulose tissue, and perfume. There are also super absorbent polymers (SAP), sometimes called absorbent gelling material, that keep the diaper from leaking. SAP has been known to cause skin irritations and severe allergic reactions including vomiting, staph infections and fever. The use of super-absorbent polymers was banned from tampons in 1985 due to links to toxic shock syndrome. When wet, this gel can escape through the liner and end up in direct contact with a child’s skin (Landbank, 1991). In disposable diapers, there are also traces of dioxin and tributyl-tin (TBT), two highly toxic chemicals. TBT is known to cause hormonal problems in humans and animals (Greenpeace, 2000). Dioxin is a by-product of the bleaching process. Dioxin is a carcinogenic chemical, listed by the EPA as the most toxic of all cancer-linked chemicals. It is banned in most countries but not in the U.S (Greenpeace, 1994). Considering this list of ingredients, it might be expected that research would show a higher incidence of rash and allergic reactions in babies wearing disposable diapers. How do researchers view the connection between diapers and dermatitis? What type of diapers cause more rash? During the first 20 years that disposable diapers were on the market, they were composed of cellulose fluff as an absorbent. In the mid-1980s, sodium polyacrylate (SAP) gel began to replace cellulose fluff. SAP is able to absorb liquid in excess of 80 times its weight. For a few years after SAP diapers were introduced, they were sold alongside the old cellulose disposables without SAP. Eventually, throwaway diaper manufacturers stopped making “non-SAP” disposable (Shin, 2005). Today, unless you buy eco-friendly disposables in a natural food store, all disposable diapers contain SAP. The pro-disposable studies claim that super-absorbent polymers themselves are the reason fewer babies get rash with this type of diaper. Most pediatricians seem to believe it also. They claim that diaper rash is due to excess skin moisture, and the SAP in disposables wick the moisture away from the baby’s skin (Boiko, 1997). On closer inspection, it appears that many of the studies favoring disposable diapers are influenced by the manufacturers, who either sponsor the research or adjust the way in which the results are presented. The dozens of studies I surveyed appear to favor the use of disposable diapers for rash prevention. Also, most pediatricians seem to believe that disposable diapers are superior to cloth when it comes to keeping babies dry and rash-free (Boiko, 1997). In fact, studies and medical professionals in favor of cloth diapers are hard to find. Why? If disposable diapers put harmful chemicals next to babies’ skin, it would make sense that throwaway diapers would cause more rash. The reasons may be economic and political. Fred Weiner was an early exception to the tendency to favor disposable diapers. Dr. Weiner, the Montreal doctor previously mentioned, studied 146 infants who appeared for their one-month checkup. He reported that babies wearing disposables had 20% more incidences of diaper rash than babies wearing cloth diapers with plastic pants, and three times more than babies wearing cloth alone. He did not, however, gather information on the frequency of diaper changes or the overall health of the babies, which could have been a factor in the development of the rashes. He also did not blind his study, which means that he knew which parents used cloth and which ones used throwaway diapers. Regardless, he came to the conclusion that disposable diapers were not allowing the babies’ skin to breathe, and airtight fitting diapers should be avoided (Weiner, 1997). Another study (supported by a grant from Johnson and Johnson) in 1982 also failed to demonstrate superiority of disposable diapers. Unlike previous studies, this was “double-blinded,” which means that not only were the examiners of the rash unaware of what kind of diapers the participants were using, the mothers of the infants studied were not aware they were participating in a study about diaper rash. This eliminated any bias by parents or the examiners toward a particular diapering system. The study was also controlled to some extent by standardizing skin care. No specific recommendations were given with respect to laundry practices or the frequency of diaper changes. The results showed that there was no significant difference between cloth and disposables when it came to diaper rash (Stein, 1982). Diaper rash can be a problem for some babies, but what diapers offer the best protection? For example, two studies conducted in 1987 found that babies wearing diapers with absorbent gelling material had significantly less rash than babies wearing home-laundered cotton diapers. One study compared three different diapering systems -- two types of disposable diapers as well as home-laundered cloth. However, the study did not control how the cotton diapers were used or laundered. No mention is made of the type of cotton diaper or the type of cover used (plastic or wool). Detergent was not standardized or measured, and there is no note of how often diapers were PAGE 9 REAL DIAPER NEWS VOLUME 1, ISSUE 2 washed. The authors even admit, “No attempt was made to control or change the diaper care or the skin care habits of the participating families.” (Campbell et al, 1987). done on the health effect of SAP on infants and other chemicals that are present in throwaway disposable diapers. We need unbiased research that examines all angles of rash and the role of diapers. Until then, change your babies frequently and keep There are other problems with this study. The participants using their bottoms clean. Diaper rash is ultimately under the control the two types of disposables were blinded, meaning that those of the primary caregivers. who were grading the rash and taking measurements did not know what diapering product was used on that particular baby. Sources: However, the cloth-diapered group was not blinded. If researchers had biases against cloth diapering, this could easily Allsopp, Michelle. Achieving Zero Dioxin: An emergency have influenced their conclusions. A leading disposable diaper strategy for dioxin elimination. September 1994. Greenpeace. company sponsored the study. Boiko, S. (1997). Diapers and diaper rashes. Dermatology Nursing. 2/1/1997. Another study done on diaper maintenance in 1989 compared seven brands of reusable diapers of various types (cotton, Borkowski, S. (2004). Diaper rash care and management. birdseye, terry, flannel among others), four types of Pediatric Nursing, 11/1/2004. “conventional” disposable diapers (the kind without SAP), and five types of disposables with SAP. Again, the diapers with SAP Campbell, R. et al. (1987). Clinical studies with disposable were found to be better at keeping the skin dry. There was no diapers. Journal of the American Academy of Dermatology, 17: difference found between cloth diapers and conventional 978-987. disposables when it came to dryness (Wilson, 1990). Gaunder, B. and E. Plummer. (1987). Diaper rash: managing This study, however, was not conducted on babies. They used and controlling a common problem in infants and toddlers. college-age volunteers who did not wear diapers, but instead Journal of Pediatric Health Care. 1: 26-34. wore, on their arms, square patch samples cut from the diapers. Greenpeace. New Tests Confirm TBT Poison in Procter & Each diaper patch was loaded with synthetic urine made from Gamble's Pampers: Greenpeace Demands World-Wide Ban of distilled water, sodium, chloride and a nonionic surfactant. Participants had to wear the patches of fake urine for two hours. Organotins in All Products. 15 May 2000. The moisture absorbed by the patch was recorded. How Kazzi, A.A. Pediatrics, Diaper Rash. eMedicine, http://www. relevant can this be if it is not measured on a baby’s skin? emedicine.com/emerg/topic374.htm I do not find that the question of rash and diaper systems has been adequately addressed by the research. I am not satisfied with the generalizations of researchers and pediatricians. Although many doctors might disagree, it seems risky for babies to spend years with throwaway diapers papered to their bottoms. While there are a variety of factors that contribute to rash, the most common reason is excessive moisture against the skin. Cloth diapers tend to be changed more often. Usually, a baby will feel a wet cloth diaper because it can be hard to avoid the wetness. On the other hand, many parents leave disposable diapers on their baby too long. There is urine in the diaper and bacteria in the urine. When the ammonia in urine mixes with the plastic, the baby’s skin does not get a chance to breathe and the bacteria can grow. The Landbank Consultancy Limited. A Review of Proctor & Gamble's Environmental Balances for Disposable and Reuseable Nappies. July 1991. It may be that previous studies don’t provide satisfactory answers because they don’t consider advances in design of both cloth and disposable diapers. The old studies comparing conventional, cellulose disposable diapers and “old-style” cloth diapers are worth learning from, but they are not relevant to today’s diapers. Disposable diaper manufacturers have significant financial resources to spend on research and development, and are constantly trying to prove with science that their products are superior to cloth diapers. As a result, their diapers have changed. Cloth diapers, also, have changed dramatically since the days of plastic or rubber pants that did not let babies’ skin breathe. Today, parents use a wide variety of cloth products, including all-in-one and pocket diapers. Some parents do not use plastic of any kind to diaper their child, preferring to use only wool covers over cotton diapers. Weiner, F. (1979). The relationship of diapers to diaper rashes in the one-month-old infant. The Journal of Pediatrics, 95: 422424. Seymour, J.L. et al (1987). Clinical effects of diaper types on the skin of normal infants and infants with atopic dermatitis. Journal of the American Academy of Dermatology, 17: 988-997. Shin, H.T. (2005). Diaper dermatitis that does not quit. Dermatologic Therapy, 18: 124-135. Stein, H. (1982). Incidence of diaper rash when using cloth and disposable diapers. The Journal of Pediatrics, 101: 721-723. Tanino, J. et al. (1959). The relationship of perinatal dermatitis to fecal pH. The Journal of Pediatrics, 54: 793-800. Wilson, P.A. et al. (1990). Diaper Performance: Maintenance of Healthy Skin. Pediatric Dermatology, 7: 179-184. Wong, D.L. et al. (1992). Diapering Choices: A Critical Review of the Issues. Pediatric Nursing, 18: 41-54. It seems clear that now is the time for new research on diaper rash. In order to ever find an adequate answer to this issue, we need a new study on diaper rash that is independent of disposable diaper manufacturers. It needs to be blinded and controlled with standardized laundry practices, a variety of cloth Angelique Mullen is a mother, an RDA founder and activist, and a diapers and covers used, and an equal number of diaper former school teacher. She lives in Daly City, California with her husband and three year-old daughter. changes performed. Independent research also needs to be NATIONAL QUARTERLY NEWSLETTER Real Diaper Association P.O. Box 156887 San Francisco, CA 94115 http://www.realdiaperassociation.org Email: [email protected] Real Diapers for Real Babies Remember to renew your membership! August 11 marks the first anniversary of the Real Diaper Association website going live. Now is the time to renew your membership. Renew by going to: http://www.realdiaperassociation.org/directory/member/index.php or mailing a check to the address above. Email us at [email protected] for more information. Washing Routine (Continued from page 2) ''Heads-Up"': The reasons to use vinegar: • • • • • • • Vinegar will help neutralize the ammonia that forms over time in wet cloth diapers. Vinegar lowers pH, helping detergents to function more effectively Vinegar helps eliminate soap residue/film build-up. Vinegar deters the setting-in of stains. Vinegar can help keep colors from bleeding. Vinegar can cut down on lint. Vinegar is a natural fabric softener and static cling reducer. "Tails": The reasons to NOT use vinegar: • • In some areas with 'hard water,' there is a chance that vinegar can mix with trace minerals in your water supply, causing your diapers to smell acrid once urinated upon. In which case, you would want to cease using vinegar in your diaper pail/wash. If you notice a build-up of residue on your diapers or your diapers are not as absorbent AND YOU HAVE NOT been using fabric softener sheets in the dryer or any detergent with fabric softeners built-in, temporarily cease your use of vinegar. In this situation, vinegar might not be the culprit, but • once there is a build-up on your diapers, they will need to be 'stripped' before you should continue regular usage of vinegar. If you notice that your diaper covers are getting stinky, vinegar may be the culprit. Many of today's diaper covers have some polyester in them and polyester easily holds in smells. Vinegar's acidity can react to baby's acidic urine and together, they can release a very acrid smell. Vinegar is usually the solution to a good amount of more unnatural substances used in your cloth diaper wash. Just be aware that TOO MUCH of any good thing IS TOO MUCH. We recommend that you use no more than 1/2 cup of distilled white vinegar in any wash cycle. A good way to watch out for this is to get a fabric softener ball. Fill it 1/2 to 3/4 full of vinegar and pull the top. Throw this into your Hot Wash/Cold Rinse cycle and it will open up in the rinse cycle. This ensures that you use it in the right cycle and also ensures that you don't use too much. Heather Sanders has created and sold two cloth diapering businesses. She is one of the RDA Founders, a board member, and webmaster. Heather lives in Texas with her husband and three children. Article submissions: Real Diaper News accepts article submissions for upcoming issues. We are interested in articles about the history of diapering, the science of diapering, specific issues in cloth diapering, and local cloth diapering advocacy. Articles should be about 600-1200 words long. Submissions can be sent to [email protected] or the address listed above. For more on our submission guidelines , please visit: http://www.realdiaperassociation.org/article-submissions.php