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| |    Diaper Changing Tables by Susan E. Davis reviewed by Robert Needlman, M.D., F.A.A.P. Given that you'll be changing anywhere from 5,000 to 8,000 diapers in your child's lifetime, having a safe, comfortable, organized place for that activity is crucial. Some parents are content to change their babies on the bed or the floor, but, frankly, I find these options both messy (pee and poop have a way of getting around) and hard on your back. With my children, I found a changing table the way to go. Different types of changers If space is an issue, a changer-dresser combo unit may be a good option. They're available in many different styles and finishes, and usually feature a pad and a safety bar to help prevent baby from rolling off. Some models have a flip-out changing surface (instead of a built-in changing surface on top), and these should be avoided since they can be unstable. Another note of caution: Using a diaper changing pad alone on a bureau top is not a good idea; most can't be secured there, which means the pad could easily slide off, baby and all. Your other option is to get a stand-alone changing table, which usually has shelves underneath for storing diapers, wipes, lotions, and clothing. They, too, come in a wide variety of styles and usually feature a rim on three sides and a safety bar in front. Look for a sturdy model, so your squirming infant won't be able to tip it over. Use with caution Both types of units are high enough to be kind to your back, but that height also poses a danger to your baby, especially when he's old enough to roll over. The rims and safety bars provide some protection from accidental tumbles, but it's prudent to use the safety strap built into most late-model tables and always keep at least one hand on your baby when changing him. The danger of accidental falls, in fact, has soured some pediatricians on changing tables altogether, and they recommend changing a baby on a bed or the floor. Changing pads The other item you'll need is some kind of diaper-changing pad or cloth. You can use towels, but as your baby gets increasingly squirmy, you'll find the scrunched-up towels get kind of maddening. A better bet is the pre-formed, terry-cloth diaper pads that fit right into the diaper changer. Keep two or more on hand, so you can always have a clean one ready. Buying a changing table Diaper changers can be pricey--as much as $300 for the fancy dresser/changer units. But it's also really easy to find late-model used ones. Scan the newspaper, baby consignment stores, and even charity consignment shops. Just be sure they are sturdy, stable, and come equipped with a safety strap.
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