How to avoid diaper rash

Diaper rash (also known as nappy rash) is a result of prolonged contact of urine with the child's bottom (diaper area), chafing of the skin caused by nappy contact, especially if the nappy is too tight or too crisp, or the perfume in some nappies, which may cause sensitivity.

Some rash can also occur if  there is a change made from one brand to another (perhaps due to different composition of chemicals used).

In a diaper rash, skin under or around a baby's diaper may become very sore and red, with red spots, blister and broken skin.

Simple diaper rash is a burn-like rash (in areas touched by the diaper), which is red, slightly rough and may be scaly. In severe cases, there may be sores and weeping area.

The chemical irritation of ammonia, produced by stale urine, breaks down the protective barrier normally form by the skin, causing redness and rawness (inflammation). This allows germs of various types to attack.

The rashes are often the result of allergies to chemicals in the diapers, lack of air, higher temperatures because plastic retains body heat and because babies are changed less often.

Diaper rash can also be caused by food allergies, soap or other chemicals allergies. Rashes can also occur when a child is teething or has been experiencing diarrhea.

Diapering tips

• Check your baby often for wetness and change diapers whenever wet.

• Wash a newborn baby's bottom with warm water at every diaper change. Use mild soap and rinse baby well. Older babies don't need such frequent washing. You can use the inside front of the diaper to wipe stool off baby's skin. Wipe girls from front to back to avoid infections.

• Pat baby's bottom dry, or allow to air-dry before diapering.

• Nylon pants worn over diapers will reduce leakage and allow baby's skin to breathe. Plastic pants don't let in air.

• Wash your hands after every diaper change. Whether you use cloth or disposable diapers, washing your hand prevents the spread of infection.

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