Tips to deal with nappy rash

If you leave your child’s nappy on for too long, whether wet or dirty, the chances of them getting a nappy rash are high. Babies with sensitive skin are also prone to having nappy rash. According to childcare expert, Meg Faure in her best-selling book, Baby Sense, one of the main reasons for fussiness in the early days of your baby’s life is the result of discomfort – and prolonged dampness and friction can irritate your baby’s skin.

Although nappy rash is common throughout the year, dermatologist Dr Avela Mayekiso believes it can specifically flare up during the summer months. “This is because water-borne infections like gastroenteritis are more prevalent during the warmer months, increasing fecal contact with your little one’s skin,” she says. 

What is nappy rash? 

Nappy rash is very common in babies, especially between 9 and 12 months of age, and is characterised by red, inflamed skin on the bottom – or any area that is in contact with the nappy. The ammonia in urine and faeces is the usual cause, but some nappy rashes are caused by thrush and need to be treated with an anti-fungal cream. If your little one’s nappy rash hasn’t cleared within three days after using barrier creams, changing your baby’s nappy more often, or letting her go without a nappy, it could be linked to a fungal infection. Severe, bright red, elevated patches of skin, especially at the top of the thighs or in the skin folds around the groin, and fluid-like blisters and pustules around the rash could signal a fungal infection. 

Treatment options  

To treat the rash, gently wash the nappy area with warm water and dry with a soft cloth or towel, then apply a good barrier cream to the nappy area. You can also try giving your baby as much nappy-free time as possible. Most rashes should clear up within a few days. If the rash persists, visit your paediatrician. 

Prevention is better than cure 

Keep rashes at bay by following these prevention tips:

• Change your baby’s nappy as often as possible.
• Steer clear of perfumed wipes and use gentle, alcohol-free wipes instead. Avoid using scented soaps, creams, or lotions on your baby’s nappy area.
• Apply bum cream liberally after every nappy change. A barrier cream prevents your baby’s skin from coming into contact with irritants such as urine. Choose petroleum jelly or zinc-based creams that protect your baby’s skin from moisture.
• Use a good quality nappy that absorbs extra moisture and keeps your little one dry for at least eight to 12 hours.
• Allow your baby’s skin to breathe. Take your little one’s nappy off for an hour or so every day, so their skin is exposed to fresh air.
• Dry your baby’s skin properly after each nappy change, making sure you dry between the skin folds.
• Some babies are allergic to certain nappy brands. Consider changing your nappy brand if your baby is suffering frequent nappy rashes.