Bathing your baby can be....interesting....to say the least, especially if you are a nervous, first time mother. Add clubfoot to the equation though, and then you might find yourself very anxious indeed!
My solution to bathing my clubfoot babies was to give them a quick bath in the doctor's office each week between cast changes. You can generally count on there being a brief period of time between the nurse / tech taking the baby's casts off, and the baby actually getting the new pair put on.
During this time, I would carry my babies to the sink in the room where we were and wash them thoroughly, especially from the waist down - where it's the hardest to keep one clean while he or she is wearing casts. The nurses at the Ponseti Clinic in Iowa City were very generous in this regard, offering wash cloths and towels.
Pay special attention to washing the legs, gently scrubbing behind the knees and around the ankles, then between all the toes using your hands to rub any loose skin off, then rinse thoroughly.
Between cast changes however, it's another matter.
During the six months that Brian wore full length orthopaedic leg casts, I had a brain-storm one night. Turn his baby bath tub in to a sieve! Using a large drill bit, I perforated his plastic tub with several holes so that the water would run right through it, never puddling in the bottom. With Brian laid in this tub, I could hold his casted legs up (usually with the help of a 2nd person) while I thoroughly washed the remainder of his body, including his little privey parts. Pouring water carefully over him to rinse, the soap and dirt went through the holes and down the drain right with the water, leaving him clean, yet his casts completely dry.
Make sure the baby is in a calm, receptive mood for the bath.
Have the room warmer than usual if at all possible.
Have all your necessary soaps and towels laid out with in arm's reach.
Don't leave a baby unattended in any amount of water, ever!
Once casting begins, remember they will be changed every 5 to 7 days, therefore your baby won't have a lot of chance to get all that dirty; however, you can keep baby fresh and clean between appointments with sponge baths, then give her a good washing in the sink at the clinic before the new ones are put on.
For parents who aren't squeamish, a bundle of inexpensive wash cloths make great tools to wash your baby and even clean her bottom using only warm water, and maybe a gentle solution of baby soap. We were raised on Ivory soap, which is gentle and can be easily made in to a liquid soap for easier use. (chop the bar of soap up then melt it in just enough liquid to make a creamy mix to use).
You'll use several wash cloths a day probably, but they wash well and are reusable. A small bucket kept by your washing machine can hold the dirty cloths through the day and then toss them in the washer before you get in bed. If you were to place the wet wash cloths in an air tight container the next morning, you could work out of that all day, never having to use spend money on running a major appliance to dry them.
Other parents might opt to bathe their baby using wet wipes. They are relatively cheap and disposable. Many infants object to the cold wipes though, and wipey-warmers have their own fair share of issues (such as going dry and burning on the bottom, growing bacteria in the warm, moist climate, taking up precious space). I guess there is just no one right answer.
For the more ambitious penny pinchers among us, home made wet wipes or baby wipes are the rage. For the price of a quality roll of paper towels and a few ingredients you probably already have on hand, you can put together a couple boxes of these yourself.
Homemade Wipes to Bathe Your Baby 1/2 roll of paper towels (cut in half to make short rolls) 1/4 c. baby shampoo* 1/4 c. baby oil* 2 cups lukewarm water Container that the rolls fit in
*adjust quantity to suit your taste (no! Don't eat it!)
Cut roll in half and remove center cardboard. A bread knife might work well for this, or, let Daddy in on the fun with some of his power tools. Make sure the container you are going to use will hold the 1/2 roll of paper towels (an empty store bought wet wipe box would be handy but so is an empty shortening can and other things). Mix up your shampoo, oil and water; place half of roll in your container, pour in your liquid,close the container then gently turn it around and upside down to distribute the liquid. To use, pull out from center.
Bathing your baby who has clubfoot is probably not as fun as bathing a baby who doesn't wear casts, but remember that the serial casting phase is very short lived, and soon you will be able to give that little sweetie all the full body baths you want, including that special joy of including your baby in the bath tub with you.
One thing I noticed very quickly was how soon my babies outgrew their little plastic baby bathtubs....and how inefficient these tubs actually were for bathing a baby. Mostly, in my opinion, they ended up being a mess and making a mess.
I quickly opted for Plan B: Lay the infant in the bottom of the (regular household) bath tub with just enough water to keep them wet, warm and occupied. To me, that translated in to not enough water to cover the entire bottom of the tub. Laid out in the tub I could easily wash their whole body and rinse it clean, with out spilling water on the kitchen floor or having a big, wet, plastic "Thing" I had to figure out where to keep stored handy yet out of the way, too.
As children are able to sit up, bath time becomes even more fun - but also more dangerous. Bath seats made for babies have lead to numerous infant drownings and injuries. My recommendation is to avoid them completely.
Parents who use infant bath seats tend to do a couple of things that lead towards that potential tragedy:
First, they fill the tub deeper than they would other wise, and second, they are lulled in to a false sense of security that they can leave the room for a moment believing the baby is safe from drowning.
Never under estimate what a small baby can do! They can quickly get out of the seat, one way or another, falling face first in to the water, possibly with part of their body still trapped in the seat making self-rescue (if a baby possibly could self-rescue himself) impossible.
If your baby can sit up, bathe her in the kitchen sink where you can easily reach, or in your own bath tub, sitting only in an inch or two of water. But never leave your baby unattended whatsoever!
Wet babies are slippery - bathed in the sink or tub, you can easily drain the water, then wrap the child in a towel before picking her up to help avoid both chills and accidental drops.
All in all, life with clubfoot, including the aspect of bathing your baby, is really no different than life with a baby would be otherwise. With some ingenuity and common sense, you will find this to be a happy time in parenthood.
Bathing your baby is almost as much fun as he had getting dirty!