Cloth Diapering a Baby with Spina Bifida

Raising a baby with spina bifida comes with unique needs, but cloth diapering can still be a wonderful option. Parents often assume disposables are the only choice when extra medical care is involved, yet cloth diapers offer flexibility, comfort, and cost savings,  with a few helpful adjustments.

Why Consider Cloth Diapers?

1. Gentle on Skin: Babies with spina bifida may have increased risk of skin breakdown. Cloth diapers are soft, breathable, and free of many chemicals found in disposables.
2. Custom Fit: Cloth offers adjustable snaps and elastic to fit comfortably around braces, positioning aids, or catheter tubing.
3. Economical: Medical expenses add up quickly. Cloth is reusable and can save hundreds or even thousands over time.
4. Eco-Friendly: Using cloth helps reduce the large amount of disposable waste families often face.

Special Considerations for Spina Bifida

1. Frequent Changes

Babies with spina bifida may have more frequent diapering needs due to neurogenic bladder or bowel concerns. Keeping a larger stash of cloth ensures you always have clean, comfortable diapers ready.

2. Accommodating Braces or Devices

Some children may wear orthotics, a Pavlik harness, or positioning equipment. Trim-fitting diaper styles such as flats, preflats, or all-in-ones are easier to adjust around medical devices without adding unnecessary bulk.

3. Skin Protection

Because spina bifida can increase risk for pressure sores or irritation:

Choose natural fibers (cotton, bamboo, hemp) that are gentle and breathable.

Use a stay-dry liner if your baby’s skin is prone to wetness sensitivity.

Change promptly after bowel movements to avoid prolonged moisture contact.

4. Catheterization

For families who need to catheterize regularly, a diaper that opens and re-closes easily is key. Hook-and-loop closures (Velcro-style) or side-snapping options make it simpler to access without fully removing the diaper.

• Washing Cloth Diapers
• Pre-rinse to remove waste.
• Main wash on hot with a strong detergent for sanitation.
• Extra rinse if skin is sensitive.
• Sun-dry when possible for natural stain removal and extra freshness.

Pro tip: Keep a small wet bag in your diaper station to separate catheter supplies from dirty diapers, keeping everything organized.

Parent Tips & Tricks

• Keep liners handy for easier cleanup and less staining.
• Build a slightly larger stash to reduce laundry pressure on high-care days.
• Don’t be afraid to mix cloth and disposables when traveling or during hospital stays, every cloth change still helps.
• Reach out to cloth diapering communities (like Cloth Joy’s resources) for troubleshooting and fit advice.

 

Final Thoughts

Cloth diapering a baby with spina bifida may take a little more planning, but it can absolutely work, and many parents find it brings comfort and savings during a time when both matter most. With the right fit, frequent changes, and gentle fabrics, cloth diapers can provide your baby with softness and protection while giving you peace of mind.

Every child with spina bifida has unique needs, so it’s always wise to check with your healthcare team for personalized guidance. Cloth Joy is here to support families with articles, troubleshooting guides, and products designed to make cloth diapering easier for everyone.