How Do I Prevent Diaper Rash?
4 min read
You prevent diaper rash by changing diapers often, keeping the skin clean and dry, and applying a thick barrier cream at every change.
Why does diaper rash happen in the first place?
Most diaper rash is irritant contact dermatitis: skin sitting too long against a wet or soiled diaper. It is close to universal in the first two years, so a rash is not a sign you did something wrong. Prevention comes down to two things, less contact time and a barrier between skin and moisture.
Change often, and the moment it is soiled
The single biggest risk factor is a wet or dirty diaper left on too long. Change frequently and as soon as you can after your baby goes. For a newborn, plan on about every 2 to 3 hours (American Academy of Pediatrics). Overnight, a more absorbent diaper helps, but a soiled one still needs changing.
Clean gently, then let the skin dry
Clean with warm water or a mild, fragrance-free wipe and a soft cloth. Pat dry, do not rub. Wet skin is fragile skin. A few extra seconds letting the area dry before the next diaper goes on does more than any product.
Use a thick barrier cream
Put a thick layer of a zinc oxide or petroleum-based barrier cream on at each change. The AAP says there is no such thing as too much: apply it thick, like icing on a cupcake. You do not need to scrub it all off between changes. If it is not soiled and still intact, leave it and add more on top (American Academy of Pediatrics).
Give the skin diaper-free air time
Air is free and it works. Let your baby go without a diaper for 10 to 15 minutes, two or three times a day, on a waterproof pad. More if a rash is starting. Airflow dries the skin and breaks the cycle of heat and moisture.
Keep the diaper loose, not tight
A diaper that is too tight rubs and traps heat and moisture. Secure it snug but not tight, and skip plastic covers that seal in wetness. A little airflow under the diaper protects the skin.
Wash your hands, and watch for triggers
Wash your hands after every change to keep yeast and bacteria from spreading. If a rash keeps coming back after a specific wipe, cream, or diaper brand, a fragrance or dye may be the trigger. Switching products for two weeks can sort it out (American Academy of Pediatrics).
When prevention is not enough
Even a good routine will not stop every rash, and that is normal. If a rash will not clear, spreads, blisters, bleeds, or comes with a fever, call your pediatrician. See how to treat diaper rash at home tonight, why your baby keeps getting diaper rashes, and when to call the pediatrician.
Sources
American Academy of Pediatrics, HealthyChildren.org, Common Diaper Rashes and Treatments: https://www.healthychildren.org/English/ages-stages/baby/diapers-clothing/Pages/Diaper-Rash.aspx
Mayo Clinic, Diaper rash (air time, loose fit, hand-washing): https://www.mayoclinic.org/diseases-conditions/diaper-rash/symptoms-causes/syc-20371636
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