The baby might wake up and try to move about and asphixiation might occur. The spikes too have to be fastened securely so that they don't get too loose. My mother also used cloth diapers. They were made of flannelette material. Pampers were not heard of when I was helping my mother bring up my younger siblings.
Flannelette diapers are less expensive and they are easy to wash.
I encourage my daughters to use cloth diapers on their babies. Rosemary Forbes volunteers her time to various Native organizations and is working at the Indian Mission on Main Street with Native children. She also works as a trainer, teaching self-awareness in places such as Yellowquill College.