Nappy rash

Nappy rash is most often caused by the baby's skin coming into contact with urine, especially when a soiled nappy is not quickly changed. Some babies are particularly susceptible to it, for example due to having sensitive skin.

Nappy rash may be triggered by:

• The formation of ammonia when urine comes into contact with microbes on the baby’s skin.
• Plastic pants that don’t allow moisture to move away from the baby’s skin.
• Nappies that chafe the baby’s skin.
• Contact irritation from chemicals in laundry powder, fabric softener, baby wipes, soaps or lotions.

Babies with a personal or family history of other skin problems (e.g. cradle cap or eczema) are more likely than others to experience nappy rash.

• Your baby can get nappy rash regardless of whether you use disposable or cloth nappies. It is moisture that is the problem, so make sure you change a wet or dirty nappy as soon as you can.
• Use nappies that are specially designed to draw the moisture away from your baby’s bottom, especially if nappy rash is present or if your baby is particularly susceptible to it.
• Until the nappy rash clears up, avoid plastic pants or diaper covers, as they trap moisture.
• Every time you change your baby’s nappy, wash her bottom with plain warm water, and dry it thoroughly. It may be helpful to apply a barrier cream at the same time.
• In European herbal medicine, calendula creams and lotions are traditionally used to relieve the pain of nappy rash and encourage healing.
• Use only baby wipes and other products that are specially formulated to be gentle enough for babies’ skin. Avoid any products that contain alcohol.
• Switch to low-allergy washing powder, and make sure all laundry is thoroughly rinsed so that no residue of detergent remains.
• Leave the nappy off as often as possible, but take care to avoid sunburn.
  

• Seek medical advice if infection is present, the rash does not clear up after 3-4 days, or if it spreads to the abdomen.