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UTI during pregnancy

Urinary tract infections during pregnancy

What is a urinary tract infection?

When you hear the phrase "urinary tract infection" or its acronym, UTI, you're likely to think of a bladder infection and its accompanying symptoms ­– such as a frequent urge to urinate and a burning sensation when you do. This condition, also called cystitis, is fairly common among sexually active women between 20 and 50. But it's not the whole UTI story.

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In fact, you can have a UTI in any part of your urinary tract, which starts at the kidneys, where urine is made; continues through tubes called ureters down to the bladder, where urine accumulates until you pee; and ends with the urethra, a short tube that carries the urine outside your body.

UTIs are generally caused by bacteria from your skin, vagina, or rectum that enter your urethra and travel upstream. Often, the bacteria stop in your bladder and multiply there, causing inflammation and triggering those familiar symptoms.

But bacteria may also travel from your bladder, up through the ureters, to infect one or both kidneys. A kidney infection (also called pyelonephritis) is the most common serious medical complication of pregnancy. The infection can spread to your bloodstream and become life-threatening for you.

A kidney infection may also have serious consequences for your baby. It increases your risk of preterm labor and having a low-birth-weight baby, and it has been linked to an increased risk of fetal or newborn mortality.

It's also possible to have bacteria in your urinary tract and have no symptoms. This is known as "asymptomatic bacteriuria." When you're not pregnant, this condition generally doesn't cause problems and often clears on its own.

During pregnancy, however, asymptomatic bacteriuria that's left untreated significantly increases your risk of getting a kidney infection and is associated with preterm labor and low birth weight. This is one reason your urine is routinely tested during pregnancy.

Does pregnancy make me more likely to get a UTI?

It's not clear that pregnancy increases your risk of cystitis, and there's a fair amount of research showing that pregnancy does not make you more likely to have asymptomatic bacteriuria. However, pregnancy greatly increases the risk of getting a kidney infection.

Here's why: Higher levels of the hormone progesterone decrease the muscle tone of the ureters (the tubes between the kidneys and the bladder), causing them to dilate and slowing the flow of urine. Plus, as your uterus enlarges it may compress the ureters, making it that much more difficult for urine to flow through them as quickly and as freely as usual. 

Your bladder also loses tone during pregnancy. It becomes more difficult to completely empty your bladder, and your bladder becomes more prone to reflux, a condition where some urine flows back up the ureters toward the kidneys.

The upshot of these changes is that it takes longer for urine to pass through your urinary tract, giving bacteria more time to multiply and take hold before being flushed out, and it also becomes easier for the bacteria to travel up to your kidneys. What's more, during pregnancy your urine becomes less acidic and more likely to contain glucose, both of which boost the potential for bacterial growth.

What are the symptoms of a bladder infection?

Symptoms of a bladder infection (cystitis) vary from woman to woman. Common symptoms include:

• Pain, discomfort, or burning when urinating and possibly during sexual intercourse
• Pelvic discomfort or lower abdominal pain (often just above the pubic bone)
• A frequent or uncontrollable urge to pee, even when there's very little urine in the bladder

You may also find that your urine is foul smelling or looks cloudy. You may see blood in it as well. You might run a low-grade fever, but more often than not, your temperature will remain normal.

Since the frequent urge to pee is common during pregnancy, it may be hard to know for sure whether you have cystitis, especially if your symptoms are mild. If you think you might have an infection, be sure to call your healthcare provider so your urine can be tested.

What are the symptoms of a kidney infection?

If you have any signs pointing to a possible kidney infection, you need to get medical attention immediately. Symptoms often come on quite abruptly and commonly include: 

• A high fever (often with shaking, chills, or sweats)
• Pain in your lower back or side just under your ribs, on one or both sides, and possibly in your abdomen
• Nausea and vomiting

You may also notice blood or pus in your urine and may have some symptoms of cystitis as well.

What happens if I have asymptomatic bacteriuria while I'm pregnant?

Asymptomatic bacteriuria is associated with preterm birth and low birth weight. And if the bacteriuria isn't treated, your chance of developing a kidney infection may be as high as 40 percent. However, with adequate treatment your risk goes down dramatically, to between 1 and 4 percent.

To find out whether there's bacteria in your urinary tract, your practitioner will collect urine at your first prenatal visit and send it to a lab for testing, whether you have symptoms or not. If this initial urine culture is negative, your chances of developing a UTI later in pregnancy are small.

If the culture is positive, you'll be treated with oral antibiotics that are safe to take during pregnancy. Taking the full course of antibiotics, usually for a week, should clear the infection.

After treatment, you'll be tested again to make sure the infection is gone. (If it's not, you'll be retreated using a different antibiotic.) Repeat urine cultures should be done at regular intervals throughout your pregnancy to make sure you don't have another infection. If the bacteriuria recurs, you'll be treated again and likely be put on a continuous low dose of antibiotics for the remainder of your pregnancy to prevent yet another recurrence.

What happens if I get a bladder infection?

If you develop a bladder infection (cystitis) during your pregnancy, the drill is similar, though you might be given a slightly shorter course of oral antibiotics. The antibiotics will probably relieve your symptoms within a few days, but it's important to complete the entire course that your caregiver prescribed in order to get rid of all of the bacteria in your urinary tract.

You'll be tested after treatment and periodically thereafter (as well as any time symptoms recur) and retreated if necessary. If you keep getting bladder infections, you'll need to take a low dose of antibiotics daily for prevention.

What happens if I develop a kidney infection?

If you develop a kidney infection during pregnancy, you'll be hospitalized and started on intravenous fluid and antibiotics, and you and your baby will be carefully monitored.  Your caregivers will be assessing a variety of things, including your temperature, blood pressure, pulse, breathing, and ability to make urine; your baby's heart rate; and whether you have any signs of premature labor. 

The length of hospitalization for a kidney infection varies, depending on your individual situation. If, after an initial 12- to 24-hour assessment, it's clear that you have a mild case, you're responding well to treatment, and preterm labor is not a concern, your caregiver may decide to discharge you from the hospital and switch you to oral antibiotics for the remainder of your treatment.

On the other hand, if you have a severe case, you'll need to remain in the hospital for further treatment and monitoring, and you won't be discharged until 24 to 48 hours after your temperature returns to normal and you no longer have any symptoms. 

Once you complete your treatment, you'll be put on a regimen of low-dose antibiotics for the remainder of your pregnancy to help prevent another infection. Without daily suppressive therapy, your risk of getting another kidney infection is very high.

What can I do to avoid getting a UTI?

Take these steps to minimize your chances of getting a urinary tract infection:

• Drink plenty of water, at least eight 8-ounce glasses a day.
• Don't ignore the urge to pee. And try to empty your bladder completely when you urinate.
• After a bowel movement, wipe yourself from front to back to prevent bacteria in the stool from getting near the urethra.
• Keep your genital area clean with mild soap and water.
• Clean your genital area and pee before and after sexual intercourse.
• Drink cranberry juice. Studies show that cranberry juice – and its relative, lingonberry juice – can reduce bacteria levels and discourage new bacteria from taking hold in the urinary tract. (Drinking cranberry juice won't cure an existing infection, though, so if you're having symptoms, you still need to see your practitioner right away to get a prescription for antibiotics.)
• Avoid feminine hygiene products (sprays or powders) and strong soaps that can irritate your urethra and genitals, making them a better breeding ground for bacteria. And don't use douches during pregnancy.

This article is from babycenter.  View it here

Itsy Bitsy Girls Stuff

If, like me, you have a little girl you are already aware that EVERYTHING is soooo tiny!  From toys to hair accessories!

I have had the hardest time finding something for these itsy bitsy hair ties, but I finally found something that works perfect!  Joann has these storage things for sewing and other crafts, $1.49 each.  

They have lots of different sizes and styles.  Just thought I'd share my find of the day!

Clothes and Fluffy Butts

I, like you use cloth.  I have cloth diapered my son from 6 weeks to potty training and my daughter from birth.  I learned quickly that cloth diapers are bulkier than sposies.  Tis the nature of the beast and a small hurdle to work with when using cloth.

SoftBums are super trim when compared to many other brands out there and the Slide 2 Size system allows you a tailored fit to your baby so they will fit well even under most brands of Jeans.  Remember the Echo is just a bit trimmer than the Omni so if you have a snug outfit try the Echo with a regular pod or O-Pod for the trimmest fit.


All these pictures are pictures of my children and I KNOW they were wearing cloth in all of these pictures.

Cloth is called "fluff" for a reason, it is a little thicker.  Some people may think of this as a negative, but let me tell you...it give extra padding when babies are learning to walk!  I think it's cute and generally use the term "duck butts" for the babies in our house!  


I can only think of one piece of clothing that did NOT work over our SoftBums: Skinny Jeans for a 12 month old (who makes these things anyways)-I didn't buy them, they were a gift. 


I think the biggest hurdle is when baby is small.  Buying clothes that are an age range bigger than the age of your baby...

For example, depending on the size of your newborn you may be better off buying 0-3 month not newborn, or if your baby is 3 months buying 6 month clothing.  This worked for my kids, especially in regard to bottoms.  Obviously T-shirts buy to size but pants, a size bigger will allow you extra room in the tush for the duck butts.  Here is where we can run into problems though, the dreaded "sets" where you get a shirt and a pair of pants the same size...Buying a size a head will let them grow into them and generally one size to the next doesn't change too much so tucking in will help or rolling pant legs. 


I hated onesies even with sposies...just such a pain.  I know a lot of people love them and I understand why, but using them with cloth can cause some issues.  I always had wicking when I used onesies, the legs of the onesies would creep into the leg of my cloth and wick, even if baby was hardly wet.  Solution, cut the onesies off just above the legs and hem, or leave long so you can tuck the unfinished edge into pants.  I did find another trick, snap the snaps on the crotch of the onesie only in the middle then fold the legs over so the edge doesn't rest where diaper meets leg of baby.  Generally, this works best with babies who aren't mobile yet, because it won't stay tucked forever.  Onesies have their place-like this photo.  Note the snowcone Omni under the onesie.  NOTE THE HUGE THIGHS.  This is my son at 6 months.  His thighs were so big they didn't fit in a bumbo seat.  No joke! 

Newborns: I loved the sacks with the elastic on the bottom.  My daughter lived in these for a long time.  She had a comfort thing with her feet where she would interlock her toes and it would make her so mad if she couldn't do this (weird I know).  These work great for cloth, no restriction.  They also have these that have the zipper up the front too.  Wrap around t-shirts work great under the sack things if you feel like baby needs a layer under the sack.  


Sleep and plays: If they are the cotton ribbing (stretchy cotton) you will probably want to try a size bigger because they shrink like mad after washing.  The fleece ones seemed to fit my babies to size even over cloth.  Other than that, try to stick to bottoms that have some stretch to them and trial and error--try it all out.  I loved Rompers on my son, which are the short sleeve short leg one piece dealies.  I had some similar wicking issues as the onesies, but not as bad, especially when old enough to walk the legs wouldn't bunch up as bad as when crawling.

Girls: Skirts/Dresses or stretch leggings work wonders.  Depending on the brand generally fit to size.  We LOVE Carter's in this house.  Their clothes are practical, comfy, tagless, and fit great even over cloth.  Jeans are generally an exception to the rule needing to be just a touch bigger, but even they sometimes fit to size from Carter's.  Old Navy's jeans fit well over cloth and a lot of them (up to 2T) have snaps down the legs for changing diapers.  If it's cold don't forget about baby legs.  Search Pinterest for "DIY baby legs", there are some great ideas out there!  Try similar things like overalls where there is lots of baby butt room.


Boys: Anything with stretch.  For younger babies cotton pants/shorts and overalls, older boys basketball shorts generally fit to size (depending on brand) but things like khaki or jean shorts you may have to up a size to get the fit you want.  Don't forget the boy's baby legs too.  He can wear his diaper and baby legs and ***VIOLA instant outfit!  

Every baby is a different size and not all of this will hold true for anybody.  Just try different things and keep on searching.  You will find what works for you, and I promise there are plenty of cute clothes that will fit over your SoftBums!  

If you have an outfit that you LOVE and the fluffy butt is preventing you from using it...throw a sposie on and put a SoftBums cover over it to prevent blowouts (and to look cute) and sport the outfit!  


Don't forget the instant outfit: Diaper only!  

Clean Mama Printables Giveaway-

I hardly ever enter giveaways because I never win.  I entered one because I am an organizing freak and these looked like they were right up my ally.  I entered then forgot about it.  I never win anything.  Serious.  If there were 5 entries and 4 won prizes, I wouldn't win.  Just how it is.


Well, I WON!  $25 to spend in her Clean Mama Printables Etsy Shop!


I picked out my prize and it showed up in my inbox about three minutes later.  They. are. awesome!  

I started thinking the momma's on this blog would love them so I asked if she wanted to do a giveaway on our blog too!?  


She has generously offered up TWO $25 shop credits for her Etsy store and wanted to share a 20% off coupon, 20Softbums for our wonderful readers!  

So what are these you ask?


Becky has put together organizational kits for many, many different things, from nutrition and weight loss to home maintenance logs.  They are logical, easy to use and read, and cute.  


With my $25 credit I picked up the "New Busy Mama Kit".  It has 19 different organizational forms and all super super useful.  Here is her description from her store:


The ALL NEW Busy Mama Kit includes:

*Today – a daily planner with a schedule, mini to do list, notes section and dinner box
*Flexible Weekly Docket – cute checkboxes with don’t forget, calls and emails section 
*Schedule for the Week – track your day and week in half hour increments 6am-midnight
*Perpetual Calendars (2) – aqua and lime 
*Household Food Inventory – keep track of the food in your house
*Shopping List – 2 check-boxes per item (coupons, quantities, or in your cart)
*All Over, Everywhere Shopping List – perfect for those multiple errand shopping trips
*Monthly Cleaning Checklist – blank month and blank sections so you can fill in your own rotating cleaning tasks
*To Do List – three columns so you can fill in you to dos
*Before I Forget – never forget a milestone again – just keep a running list
*In Case of an Emergency – write down simple emergency information and have it in a handy spot, just in case
*Weekly Family Schedule – never forget a class or play date
*Card + Gift Record – keep track of cards and gifts sent
*Important Dates to Remember – never forget an anniversary or birthday again
*Appliance Maintenance Log – a great way to keep track of when you serviced or fixed your appliances
*Automobile Maintenance Log – no more oil changes at 8,000 miles – keep track!
*Insurance Policies – write down all your insurance policies so you never let a premium lapse
*Family Medical Information – keep your family’s medical information on one page


These are wonderful tools, I think most Mom's can agree would help in every day-to-day living!


Please enter below for your chance to win!





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About me...

My name is Megan.  There are 2 Megan's that work for SoftBums.  A Megan S and a Megan B.  I am Megan S, Megan B is your contact for customer service!  

I just turned 29, I am married to a wonderful man named Jon, and we have 2 kids.  Mason is 3 (3/31) and Mari will be 2 on 10/3.  My kids are the light of my life and my husband is our rock!  

Between Jon and I we have interests in almost anything.  I am big into the outdoors, camping, fishing, skiing, water skiing, hunting, fixing, anything I can get my hands on I like to try.  I am not very out going, pretty quiet and laid back until I am comfortable in my surroundings.  I graduated from a high school about an hour north of where we live now and my parents both live in the area.  Right out of college I attended the University of MN-Duluth and graduated in 3 years with a Bachelor of Science in Cellular Biology, Chemistry and Genetics.  I went down to Mayo Clinic in Rochester and started working.  

I worked in a Biochemical Genetics Laboratory down there for 3 years.  This lab was super interesting because the big wig was super famous (in the chemistry world) and taught me a lot. I met Jon in 2007 and in 2008 we moved up to the Minneapolis area.  I began working at a small laboratory which researched generic drugs and then lost my job in January 2010.  Two weeks after loosing my job we found out I was pregnant and I then decided to stay home for a while with both the kids.  

I finished up a couple general education requirements in the next year and last fall I was accepted into the nursing program at a local school.  I start back in about a month for my last 2 semesters.  I have long term goals of becoming a midwife hopefully servicing central Minnesota and low income families.  

I began working for SoftBums after I bought my first set of diapers from Sarah in 2009 (2 pumpkin, 2 ocean, 2 lime) I would help with blog posts and other things.  Life got busy and I didn't have much time to help her out anymore, but then after I lost my job I had more time and am back helping!  I wish I could do this full time!  


Currently my days are filled with arts and crafts, outdoor fun, YMCA visits, swimming at my dads, marriage counselling, SoftBums, Blog Posting, cleaning, and sewing.  I love my life, I love my family and would have it no other way!  


Ask me questions if you have some!

Realizing that...

My children are CRAZY!


They don't sit still!  I get comments all the time like "your kids are busy", "how do you keep up?", "you don't really need to go to the gym since you have these 2"  


No joke.


We attempted to have family pictures yesterday...not quite a fail, but close--not because of her, but my kids!!!  They weren't naughty, just busy!  RUNNING EVERYWHERE!


Our Photographer was from PicturesandPretties.com and was wonderful!  She was so calm and was not deterred by our active family, she worked right along with us, stayed positive and encouraging, and we resorted to bribing with M&M's toward the end.  


I am sure she got some great shots of us and the kids, but I can only imagine the out takes she has on her SD cards right now.  I am sure I am making some weird faces, that I really don't want to see.  HA!  


She posted this one on her facebook fan page last night, this is probably the only photo where the kids would stay with us.  Only because we are holding on to them (and yes, they love this).  I love this photo because it is us.  Completely us.  Mason was laughing his head off, Mari is laughing trying to pull her way back up my leg, Jon is goofy, and I am just watching it all unfold.  This is my family, and I love them. 

(Can you see Mari's blueberry under her skort?)

Thank you Danielle, I can't wait to see what else you captured!


If you live in Minnesota, check her out!  She is an amazing lady with an amazing talent!

SoftBums How To:

Clean your Hook and Loop

I think I saw this on our FaceBook page, somebody was wondering how to clean out the Hook and Loop on their diapers.  

This is the easiest way for sure.

I found this kind of funny.  I am not one to nit pick over my diapers.  They are poo catchers-they are cute and fluffy and I love them, but I use them hard-and generally do not fuss over little imperfections--as long as they catch poop, I am happy!  

So this afternoon, I wanted to write a little post on cleaning out hook and loop-well, I forgot, put kids down to nap (where the diaper stash is) and did not want to risk waking anybody up since we have family pictures this afternoon and everybody needs their rest.  I had set out a couple covers for the photoshoot, one of which is a lilac and the other a Miss Kitty.  The lilac is pretty new and the H&L is clean, crossing my fingers the Miss Kitty would produce an at least semi fuzzy hook and loop I opened the laundry tab, and BINGO!!! 


Look what I found!

No joke.  I didn't drag it across the floor or dig lint out of my belly button for this...it's how it is.  

I am sure most of my fuzzies come from our cloth wipes because our wipes, are rags and the edges on all of them aren't serged and they fray.  And, note the long hair...yep, that's mine.  I shed like a banshee these days and apparently it all goes into the diapers?  No idea, but that's what my diaper tabs look like.  Still works fine or I would have noticed it was full!  LOL  

So all you need to do this is a comb.  You can get A LOT of it out by just using your fingers--but your fingers will get raw picking lint out of a bunch of diapers.  So if you're sitting down to clean a bunch of them, grab a comb.  I honestly, learned this from my anal retentive grandma (Love you Grandma) when I was about 8.  Grandma's tricks are best.

Guess what you do next?  Yep, just use the comb to comb out the lint.  

WARNING: Be careful you don't comb too much, too hard, or pull straight out because you don't want to un-hook the hookers (LOL) on the H&L.  Be gentle.

This is what it looks like when you're all done!  Not too shabby!?

Here is all my lint from one tab.  

Give it a try!

Favorite Apps for Kids

Gone are the days when I judged parents for using electronic equipment to entertain their children.  I apologize to those whom I silently judged.


I have crossed officially out of the "terrible two's" and into the "I think I'm going to run and hide 3's".  All I can say is WOW!  I will disclaim this with my son was an amazingly easy 2 year old, my daughter (turns 2 in October) will not be easy...I can tell that much now...Maybe her 2's will actually be terrible, and then I won't even want to imagine her 3's.  I digress-


Foster the independence, I have to remind myself daily, hourly-actually.  I want him to be independent when he can be and need me when he needs me.  Sometimes that means he needs to be busy, and needs me not to do it for him.  He LOVES my iPhone, so it is an easy go-to when he needs to be occupied for a few minutes (shopping, pooping, any social gathering where he has to sit still for more than 2 minutes).  


He is amazing at using it, navigating to what he wants only asking for help when I need to type in a new keyword on YouTube.  Lately, he is obsessed with Superman.  This is putting it lightly.  He is Superman.  He refuses to take off the shirt, will only wear Superman Underwear, wears his cape ("tape") wherever we go, he doesn't walk-he fly's, he "rescues" his little sister (which usually ends up in her being squished), and at time only responds to being called Superman and not his real name.  


I told you that to tell you this: Superman keywords on YouTube do not result in child appropriate videos like the keywords "Backyardigans", "horses", "Thomas", "trains", or "puppies"  generally do.  I stay present and tuned into what he is watching.  I don't generally give him the phone and pay no attention, so yesterday while hubby HAD to watch the ESPY's Mason was playing on my phone.  When I hear some not appropriate words, and look over and some how YouTube "suggested" some Miami Vise video game videos for him to watch.  Awesome.  


There is a now no YouTube rule for children in the house.  Instead, enter Gube.

It's like YouTube for kids.  Videos are approved to be kid safe and there are thousands of them.  I am in Love with it, my son is not so sure yet.  He keeps looking for YouTube (which I have now hidden the icon in my phone) and is looking for the "StupidMan" video which is so inappropriate.  Gube sells for $2.99 (I think...)


Other favorites at this time are:

Ant Smasher: Which is free unless you want to upgrade to the "kids" version then its $0.99.

I couldn't find a picture for it, but FisherPrice's See n' Say app is wonderful.  Best $2.99 I've spent in the app store so far.

Obviously some of these are for me, but he loves the PBS Kids App, which directly links to PBS videos, and the Thomas App has coloring, puzzles, a story book which is interactive, and a matching game ($5.99).

More kids games, my son's favorites are Thomas, and Fireman Sam.  He also like the "kitty" app which repeats whatever you say to him.  The Phone4Kids is loved my my 21 month old, and See n' Say is loved by both.  

I know it isn't the best to let kids play on electronics all the time...which I don't, all the time.  These are useful when needing to entertain kids for a period of time when our hands are full or need a few minutes with both hands.  

Do you have any favorite kid's apps?

Creative Craft Recipes

MOON SAND:

Mix 9 cups extra fine, colored play sand. Add 3 cups cornstarch and 2-1/4 to 2-1/2 cups water. Start with 2-1/4 cup and gradually continue adding water until you have the desired consistency. Mix well. Cover and store in an airtight container.

FLUBBER

1/2 cup white Elmer’s glue
2/3 cup warm water
food coloring
1 teaspoon Borax
2 glass bowls

In a small glass bowl, mix together glue, 1/3 cup warm water and food coloring (add enough drop until desired color). In another glass bowl, mix Borax and 1/3 cup warm water. Pour glue solution into bowl containing Borax mixture, gently stir together. It will be wet, and within a few minutes it will set.

SIDEWALK PAINT:

You’ll need 1/4 cup of cornstarch, 1/2 cup water and food coloring. Combine the cornstarch and water. Mix until smooth. Add a few drops of food coloring. Make a few batches of different colors. Use paintbrushes, foam paint rollers or sponges to paint the sidewalk.

WINDOW PAINT:

Mix together equal parts dish washing liquid and washable liquid paint or powdered tempera. Mix until it’s a creamy consistency. Use paintbrushes. Easy to clean from windows with a moist paper towel, too.

KOOL-AID DOUGH

1-1/4 cups flour
1/4 cup salt
1 packet Kool-Aid unsweetened drink mix
1 tablespoon cream of tartar
1 cup boiling water
1-1/2 tablespoons oil
wax or parchment paper
airtight containers

From: http://www.frugalvillage.com/2011/03/30/create-kids-crafts-in-your-kitchen/

July Calendar Bums Giveaway

Enter here to win your very own Berry Owls Shell!  

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July Calendar Bums

Calendar Bums continues! Each and every month this year, we will be introducing a new limited edition color or print as part of our "Calendar Bums" campaign.

This month SoftBums is having a hoot with Berry Owls! The cutest girly print we've found yet. These pink and brown owls are adorable! They're available for purchase now at www.SoftBums.com Stella loves her new Berry Owls Echo, especially out at the park playing on the swings.

More exciting stuff on our SoftBums blog: I Love Cloth Diapers

Berry Owl Echos are available now for a limited time only in Echo with velcro from www.SoftBums.com or from your favorite SoftBums Retailer!