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Baby

How your choice of Baby’s nappy impacts nappy rash

Think about it! A newborn baby’s skin is sensitive. The air affects skin profoundly, with different babies reacting differently to dry and moist climates. Not only does Baby’s skin take some time to adapt to the changed environmental conditions outside the womb, but it is more delicate in structure and sudden contact with water for cleansing, baby cosmetic products, an array of fabrics, and direct contact with urine and faeces, all impact skin health.

Water used to bath Baby in or clean her buttocks is totally different from amniotic fluid, and much harsher for a small baby’s skin – that’s just one of the reasons why one shouldn’t bath babies often or completely in the first month.

Even the gentlest baby cosmetics may contain chemicals, some of which can be quite harsh on Baby’s skin too. The buttocks are cleansed more than any other area, making product savvy and selection critical. And sometimes, it’s even better not to apply any barrier creams or lotions, than to use products which themselves may cause irritation.

Almost every fabric has the potential to irritate skin, especially Baby’s delicate skin. This could be from detergents used to clean, chemicals involved in the manufacture, and the inherent nature of the fabric, to name a few. There’s no real telling ahead of time, but the more natural and organic the fabric, the less adverse impact there will usually be for babies with sensitive skin (often found to run in families).

In the womb, Baby passes urine (and sometimes a bit of meconium stool) into the amniotic water, but this is a sterile ‘system’ and Baby’s skin, protected as it is by the creamy white vernix layer, is adapted to handle this, and Mother Nature has an efficient cleansing system to back it up. After birth, Baby’s skin will be far more prone to the irritating and burning effects of urine and stool, and for this reason one of the early challenges parents face is how to approach the vital issue of nappy selection.

Impacting on this is the busy modern life of many families – how do Mom Jane Soap and Dad Joe Soap balance convenience and quality care? How do they find the best fit for their baby? Given so many factors leading to possible buttock rash, how do they navigate this basic yet amazingly complex issue?

I’m a great believer in marrying practicality with the best and safest options. While some babies will need their busy parents to look for cloth nappies to minimise nappy rash, most will do just fine if they have a disposable nappy that meets the needs for air circulation, gentle touch on the skin, and effective absorption to draw away urine and soft poo from the skin. These three criteria are essential for the prevention of nappy rash in babies in disposables.

So, a nappy that stays dry longer and actively draws moisture away from the skin, while being soft as a baby’s bum and allows air to permeate the outer layer, will help protect your baby’s skin from the dreaded buttock rash! Simple, really.

How good it is to be able to let Sister Lilian Centre fans know that they can enter a competition to win a six-month supply of Pampers Active Baby-Dry disposable nappies in their Rate and Review competition.

Competition details:

Rate and Review Pampers and you could win a 6 months’ supply of Pampers Active Baby-Dry for your little one. 
2 winners each week!

Just write your review here: https://www.pampers.co.za/product/active-baby-dry

Go to @PampersSA for more information on their Facebook page

Take tender care of teething troubles

Did you know, Mom, Baby can start teething any time from birth to 18 months, although most babies start at about six months?

Some babies are born with teeth already erupted! These aren’t always the proper milk teeth and may need to be pulled by your dentist so that they don’t interfere with breastfeeding. If they are milk teeth, don’t worry, your little one will develop ways to breastfeed effectively.

After the first four teeth there’s usually quite a long wait before more teeth erupt, and Baby will probably have all of his milk teeth by the time he’s two and a half to three years old. It’s impossible to predict with total accuracy the order the teeth will erupt in, although the common pattern includes:

·         The bottom two middle teeth

·         The top two middle teeth

·         The two next to the top middle ones

·         The two next to the bottom middle ones

·         A gap is left next to the top erupted teeth and the next two top teeth come out

·         A gap is left next to the bottom erupted teeth and the next two top teeth come out

·         Teeth fill the gap at the top

·         Teeth fill the gap at the bottom

·         The two bottom back teeth

·         The two top back teeth

Teething symptoms

Some teeth come out easier than others, so symptoms can differ from tooth to tooth. Be careful not to confuse teething symptoms with sensitivity to formula milk, windiness, cramps, earache, or a reaction to a breastfeeding mom’s diet. Common teething symptoms include:

·         Increased drooling – if it’s accompanied by other symptoms, otherwise it’s quite normal

·         A rash around the mouth

·         Looser stools – but not diarrhoea; this should be treated by a doctor immediately

·         Nappy rash from increased stools and higher acidity

·         Different and unpleasant smelling stools

·         Restless nights

·         Fretful crying

·         Going off solids and needing more milk

·         Mild fever – high fever can indicate secondary infection and needs to be treated

·         Red, swollen gums with a line of white where the tooth will emerge

Don’t assume that Baby is teething because he starts putting his hand – and anything else he can find – into his mouth; from about two months babies go through an oral phase where they tend to explore everything with their tongues and mouths. This also stimulates saliva production which causes drooling and can look like teething.

Tender teething treatments

·         Give homeopathic chamomile tablets and the tissue salt Mag phos to help with teething - crush these remedies, mix in some water or breast milk to form a paste, and rub the paste onto Baby’s gums or just put it into his mouth where it will dissolve

·         Use the tissue salt Calc phos if Baby is a slow teether

·         Freeze rooibos tea or fresh fruit juice to make an iced lolly for Baby to suck if he’s old enough

·         Give Baby a teething ring to gnaw on

·         Rub Baby’s gums with a clean finger

·         Give Baby lots of comfort

·         Be patient about Baby returning to a full diet

·         Give Baby a probiotic if he has loose stools

Caring for your baby’s skin in the early days

Everyone loves a baby with a smooth, healthy skin, but you need to know a bit about this important organ to know how to keep it that way.

As for adults, a baby’s skin is the largest organ of the body, but there the similarity stops. The basic structure and function of the skin is more-or-less the same, no matter the age, but the cells are smaller and the collagen fibres are thinnerin babies. From the outside in, we all have anepidermis, a dermis and a subcutaneous corium layer. Baby’s skin, like adults’, contains hair follicles, sebaceous glands, nerve endings, sweat glands and capillaries.

The stratum corneum (SC) or outermost layer of the epidermis, consists largely of aging and dead skin cells which protect sensitive skin below while new cells are generated just below. This layer is 30% thinner than in adults, according to clinical research, but the rate at which shedding occurs with babies is quite rapid and mothers often comment on how small babies seem to have lots of flaking, dry skin. Just below this, the next epidermal layer is also much thinner than adult skin, another reason for infants requiring special skin care. The corium has two main layers, one of which contains connective tissue and elastic collagen bundles.

Functions of the skin

·         To protect and encompass internal organs

·         To protect the body from some forms of injury

·         To protect against invading organisms

·         To help regulate body temperature

·         To help prevent dehydration

·         To assist with excretion of waste products

·         To manufacture Vitamin D when exposed to sunlight

·         To give cues about the environment by its sensory functions

Babies grow in a hydro-environment though and their skins need to adapt and develop to life in air after birth. Theirskin in early months and years is more permeable and more prone to dryness. Just as a baby’s head-body proportion differs from adults, so does the ratio between their skin surface area and volume or weight. By implication, baby skin is more affected by topical products and sun exposure, and is more susceptible to possible dehydration, the latter especially because their skin has less natural moisturising factors. Infant skin is able to absorb more water than adult skin but loses water at a faster rate too.

Other essential differences include fewer lipids and less melanin in a baby’s skin. Their skin also has a more alkaline pH than adult skin soon after birth, accounting for their less mature skin barrier and more minor skin problems. The normal pH of skin is slightly acidic, between 4.5 and 6.5. Baby’s skin has been shown to have a pH of about 6.34 soon after birth but often reaches a slightly alkaline 7.0 in the early months and years. The acid nature of skin gives it anti-microbial properties to help protect it from harmful bacteria.

Vernix caseosa

Derived from the Latin words for varnish (vernix) and cheesy (caseosa), this thick, creamy substance which coats Baby at birth, is useful both before and after birth. Do not immediately wash off all vernix caseosa from your baby’s skin after birth as it acts as an emollient against the dry external environment, helps conserve heat, and contributes toward the barrier effect of the skin.

Bathing your baby

The most important things to know about bathing babies is that a complete bath is unnecessary in the early weeks, and that you should use the gentlest products possible, to protect Baby’s sensitive, developing skin. One of the easiest and best ways to bath Baby is for you to bath together, with Baby cradled on your lap.

How to burp your baby

Often, a Baby reflecting Mom’s anxiety seems to have a build-up of wind, and may even cry a lot and be suspected of having colic. This means that the best thing you can do to help ease symptoms is to relax! Some effective ways to do this include:

  • Taking things easy and only doing what’s necessary
  • Keeping Baby in a baby carrier or sling close to your body
  • Allowing Baby to sleep with you
  • Taking a homeopathic remedy to aid relaxation

If Baby is handled by too many strangers or gets over-stimulated with loud activity she will also get fretful and cry lots, which can make her digestive system tense and bloated, which may even look similar to colic. Keep this in mind for the first three or four months and make sure that you don’t plan too many outings or activities.

However, many babies do swallow a bit of air with their milk feeds, especially if they are fed on a schedule (as this usually overfills their small stomachs at the time of a feed, and gives them hunger pangs when they are kept waiting). The best preventative strategy is to feed your baby when she is hungry.

If you do need to burp your baby, take into account that different babies respond to different ways of winding, but these four are popular and successful:

 

1.       Hold Baby upright over your shoulder and rub her back. Walking at the same time and gently jiggling her will free trapped air bubbles while gravity stretches her torso.

 

 

 

2.       Lay Baby face-down over your lap with her head higher than her buttocks, which will ensure that the gullet is elongated, and gently pat her back to free trapped air.

 

 

 

 

 

 

3.       Hold Baby's back against your tummy, place your arm around her tummy, and apply slight pressure to free air, aided by gravity stretching her torso.

 

 

 

 

4.       Massage Baby's tummy in a clockwise direction around his navel.

 

 

 

Sister Lilian’s two special tips 

  • Sit Baby on your lap with his jawline resting in the angle between your right index finger and thumb, and rub or pat his back with your other hand. Lift Baby's left arm at the same time, as this stretch helps the air to be released.
  • Massage the middle third of the underside of Baby's feet (the insteps) with your thumbs – do this whenever your baby seems uncomfortable with wind.
 
 

Constipated ?

So has your baby been experiencing constipation? Try Sister Lilian’s special tip and smile . PS – it works for toddlers, pregnant women and Dads too!

 

Sister Lilian’s top ten tips for treating nappy rash

Everyone raves about how smooth and soft a baby’s bottom is; but when you open up Baby’s nappy you find red, inflamed skin and a tender looking bottom. Nappy rash. Don’t worry, most babies get nappy rash occasionally, especially if they have sensitive skin or get diarrhoea! You’ll need to treat it so that it doesn’t develop into something more serious, but it shouldn’t require a trip to the doctor – unless it doesn’t disappear after a few days of home treatment. Here are Sister Lilian’s top ten tips for treating nappy rash:

1.       Change soiled nappies as soon as possible.Urine contains urea which gets converted into ammonia and irritates the skin, causing painful redness. This is made worse by poo, because it contains urease which speeds up the conversion of the urea to ammonia.

2.       Clean thoroughly.Wipes and cotton wool and oil aren’t very effective at removing all traces of urine and stool, so wash Baby’s buttocks with gentle soap and water at every nappy change, so that the rash is not aggravated.

3.       Leave Baby to play without a nappy for ten minutes after you’ve cleaned him up. This allows the inflamed area to dry properly.

4.       Expose Baby’s buttocks to direct non-midday sun. Do this for ten minutes each day to help speed up healing.

5.       Use rooibos to treat nappy rash naturally. Rooibos has wonderful skin-healing properties! Moisten a rooibos teabag with two teaspoons of boiling water, allow it to cool, place it on the affected area, and leave it on under the nappy until the next nappy change.

6.       Treat stubborn rashes with thrush in mind.There is often a candida infection when Baby has frequent nappy rash or it is resistant to all home treatment. Calendula tablets and cream, and the tissue salt remedy Kali mur, are likely to support Baby’s body to heal itself. Alternatively, candida in the nappy area can be treated using anti-fungal cream from your pharmacy.

7.       Try changing nappy brands.This is especially if Baby is prone to rashes. You can also try switching to cloth nappies or placing a nappy liner inside disposable or terry nappies.

8.       Cut out baby cereal from Baby’s diet. Rashes can also be a reaction to Baby’s diet, and baby cereals are a prime trigger.

9.       Avoid dairy and soy based formula milk.If you’re breastfeeding, reduce dairy and grains in your diet too.

10.   Try changing washing detergents if you use cloth nappies. The detergent may be too strong and irritate Baby’s delicate skin.

 

Read Sister Lilian’s blog to find out how to prevent nappy rash.

Read your baby like a book

Did you know that you can tell a lot from just looking at your baby’s body, and observing his cues in the early days and weeks? There are three stand out ‘types’ of babies:

1.       For instance, if Baby is pleasantly plump baby, loves his milk and food and has smooth skin, he will be easy to please, enjoy contact with others and chances are, sleep deeply. He might be prone to sniffles though, and just a little more relaxed about starting to sit, crawl and walk.

2.       Petite babies who suffer from cramps and colic and are rather high-need in the early months, will often be less keen on sleep. However, they’re very bright and curious but may be moody and tend to separation anxiety. Chances are, Baby will be prone to dry skin andallergies too.

3.       If your baby has a medium build, intense eyes and seems determined, he will cry seldom but loudly and purposefully. He maypass wind frequently, and you’d better not keep him waiting for milk or food. What’s more, he probably won’t take kindly to being picked up by strangers.

Crying cues

If your baby’s crying and you need to know what to make of it, consult this list:

•                    Tense, drawn-up limbs  - the birth might have been a difficult one and massage, chiropractic or homeopathic remedies could help

•                    A red, scrunched up face – Baby’s frustrated and probably wants food

•                    Pulling, rubbing or swiping of ears – Baby’s tired and comforting or a walk is called for

•                    Baby’s abdomen feels hard and tense – wind or colic is likely

Keeping perspective isn’t always easy, so bear these pointers in mind:

•                    Baby might be too hot or cold - feel in the nape of his neck to check.

•                    A loud, strident cry without an obvious cause is seldom associated with serious illness.

•                    Ill babies usually whimper or cry softly and pitifully, and will have other signs of illness.

•                    A cry that is higher pitched than normal may indicate an ear infection.

•                    Check that no ribbons or tight garments are restricting blood flow.

•                    Listen out for a dry, raspy cry which might indicate a sore throat.

•                    A cry that ends with a bark-like cough might be croup. 

•                    Incessant crying could be caused by various illnesses, like urinary tract reflux, and will need to be diagnosed by a doctor.

Why not take my quiz to identify your baby’s personality type? You’ll find lots of tips that will help you with your unique baby!

Things to think about if you’re choosing and using dummies

So many expectant couples make dummies one of the first things they purchase when they start equipping their baby’s nursery, so I thought it’s probably time for me to share some thoughts about choosing and using this almost universal symbol of babyhood!

In many countries, dummies are mostly called ‘pacifiers’ and the reason is quite clear – parents want to pacify their crying or unsettled baby, because everyone wants a content, calm baby! Whether you call them dummies or pacifiers, there are a few things to take into serious consideration if you’re looking at buying some, and the chief factor is that inherent, reflexive behaviour all babies have, called suckling. That of course is what Baby does at the breast, and is in essence a vital physical and emotional survival strategy, ensuring mother’s milk will be accessed but also a host of other physiological benefits from being held close to Mom.

Sucking – which is what babies do with dummies, bottle teats, thumbs, or other fingers – is a way to try and satisfy the deep seated reflexive suckling need when Mom’s breast is not available, and should always be seen within this light.

For many babies, a dummy will help satisfy their suckling reflex and it can be an effective way to soothe unnecessary tears from high-need babies. When Mom cannot be there to fulfil her baby’s suckling need, sucking will have some emotional value. If your baby is using a dummy, make sure that you cuddle and comfort him in your arms sufficiently too – it should not be a way to be hands-off with Baby! There are many who criticise sucking on dummies and other items (often rightly so) but when it truly can help a baby, giving a dummy shouldn’t be disregarded without some thought as to what the most important thing needing to be achieved for Baby’s sake, is.

Effects on breastfeeding

If you’re keen to breastfeed, it’s best not to offer a dummy. Breastfed babies may get confused by the different shape and feel of the dummy teat in their mouths, and it can disrupt their latching while breastfeeding. Some breastfed babies simply refuse a dummy, mush preferring the real deal from Mom! Conversely, some babies are quite happy to switch between the breast and dummy.

Choosing a dummy

When it comes to choosing a dummy, it’s not as straightforward as it might seem. The biggest mistake many parents make is with the size of the dummy, often getting one with a teat which is too big for a newborn or very small baby, which makes them gag. Once Baby is at a weaning age, his dummy needs change again, as do those of a teething baby. Some brands of dummies take this into account as they strive to aid a baby’s developmental phases. Of course, Baby is an individual so you’ll have to take his preferences into account too!

Another important consideration when using a dummy is keeping it clean. Avoid using sterilising solutions because the thrush organism can still grow in some of them. Instead:

·         Wash the dummy thoroughly in soapy water

·         Place it in a container of just-boiled water

·         Let it stand in the water for ten minutes

·         Take it out and store it in an airtight container – many dummies come with their own container to keep them clean

 
 
 
 

Is it safe to use petroleum jelly for nappy rash?

There is a huge range of baby skincare products available today and everyone seems to have a different opinion – which actually makes sense, because all babies react differently. Petroleum jelly is the ‘one-type-suits-all’ product many moms turn to. It’s been used for years and is a traditional babycare product, so it must be safe – right? Maybe not.

The good

Petroleum jelly is a natural substance derived from oil extracted from the earth. Over the years it’s built up a good reputation for treating skin conditions like burns, scrapes, rashes, and dry cracking. It’s easy to see why it’s used for nappy rash !

The not so good

One of the skin’s main functions is to absorb and excrete certain things, and in order to do this it needs to be able to breathe freely. Petroleum jelly blocks the pores completely, preventing this natural process. This ‘smothering’ action is why petroleum jelly is recommended to smother and kill head lice eggs.

Petroleum jelly effectively locks moisture into the epidermis layer of the skin, but it also prevents the skin from excreting waste or absorbing much needed moisture from the atmosphere. Recent paediatric research seems to have found that this can lead to systemic infection when petroleum jelly is used regularly – so, Baby’s skin looks good, but waste and infections are trapped inside!

It’s important that a baby’s skin develops its own protective bacterial barrier. It does this naturally when Baby comes into contact with Mom’s ‘good’ bacteria at birth, and continues in the first few months as Baby adapts to the environment. Just think: the super effectiveness of petroleum jelly may be doing the same thing to the good bacteria Baby needs to fight infection as it does to lice nits…

The (possibly) ugly

There isn’t any proof that petroleum jelly has an ugly side, but that’s the point – there isn’t much proof it has a good side either! In fact, very limited research or evidence is available on the possible impact – good and bad – petroleum jelly can have on skin, overall health, and even the environment (seeing as it’s a by-product of the petroleum industry). Little is published on the refining process used to make petroleum jelly and how it might affect human health. What we do know is that the process has changed considerably since it was started by entrepreneurial chemist Robert Chesebrough between 1860 and 1870. Researchers have been able to determine that there are different degrees of refinement, and that less refined products can have irritant or even carcinogenic effects.  

Yes, petroleum jelly has some positive effects on skin, but it also has a bad side…and possibly even an ugly side. With such a huge range of products available, maybe it’s best to find something with fewer risks and a little more research to back it up.

Why not read Sister Lilian’s 10 tips to prevent nappy rash  naturally?

 

When crying is colic and when it is not

Colic is often the first suspect when newborns cry a lot, and nothing seems to help. But, not every cramp and cry is colic – often Baby just has digestive discomfort which can be solved if you think out of the box. Not only that, you have to let go of being stubborn, and you need to respect your baby’s individuality! There is an answer – the question is: Will you listen?

Colic symptoms and causes

Seven common symptoms of colic include:

1.       Pain or discomfort during or after feeding

2.       Struggling to pass wind

3.       A red scrunched up face

4.       Arching his back

5.       Rigid tummy muscles

6.       Drawing his legs up to his abdomen

7.       Balled fists and strident crying 

This could be a reaction to Baby’s milk formula, or excessive dairy, grains and sugary foods in a breastfeeding mom's diet. Additional symptoms, like skin rashes or mucus, can indicate that digestive discomfort is part of an allergy or intolerance.

Colic can also have emotional triggers, including:

·         A traumatic birth or C-section – choose natural birth and take Baby for chiropractic for body re-alignment afterwards

·         Being handled by too many strangers – discourage this in the early weeks

·         An anxious mother – you really are key, Mom, so approach Baby confidently and he will pick up on this good vibe

Colic cures

These five are all related to diet and are the way to go in many instances:

1.       Breast milk is perfectly suited to babies; the emotional benefits are part of its anti-colic magic. 

2.       Avoid scheduling Baby's feeds; let him eat when he’s hungry – that applies to breast and formula babies!

3.       Special formula milk for colic can be effective, but expensive! Dairy and soy formula can cause colic.

4.       Avoid a bland diet, high in refined, baked grain products and dairy, Mom – you might think this will help but eating more like in pregnancy is often the easiest cure for cramps.

5.       To settle persistent cramping, give Baby 25ml baby rooibos tea between feeds.

At the Sister Lilian Centre, we have seven other tried and trusted strategies to help relieve colic too:

1.       Rock your baby

2.       Bath with your baby

3.       Walk or dance with your baby

4.       Nurse your baby

5.       Bond with your baby through talking and lots of skin-to-skin contact

6.       Let Baby sleep with you

7.       Give a safe natural colic remedy

 

Bathing your baby in the early days of life

 

Bathing is not necessary in the first weeks, to protect Baby’s skin, but when you do start, it can be a little overwhelming to bath your wriggly baby. Never fear, you’ll feel like a pro in no time!

Before starting the bath, use a face flannel or moistened cotton wool to clean Baby’s face. To wash Baby’s hair, swaddle him in a towel and hold him with his head cradled in your hand. His body should be securely against your body, tucked under your arm. Your thumb should go over one ear, and your middle finger should cover the other ear to prevent water from entering his ear canals.

Make sure you choose the gentlest of products, so that you don’t harm Baby’s skin in any way.

Next, follow these five easy steps:

 

1.       Slip your hand under Baby’s neck and grasp Baby’s furthest arm securely with your fingers, with his neck lying on your wrist. Slip your other hand under his buttocks.

 

 

2.       Place Baby in the bath and drape a wash cloth over his tummy, so that he feels secure.

 

 

 

3.       Make sure his feet are braced against the end of the bath. An unhappy baby will usually settle immediately and you can wash his tummy, arms, legs and genitals in this position.

  

4.       To turn Baby over onto his tummy, grasp his furthest arm from the front with your free hand, slip the hand that had been cradling him towards you under his back and grasp him around the chest (thumb on chest, fingers cradling around to his back), turn him onto his tummy in a ‘froggy’ position, with his arm and chin resting over your forearm. Now you can wash Baby’s back and buttocks.

 

 

5.       Once Baby is washed all over, grasp him securely around the chest with both your hands, hold him upright to keep his head from flopping and to allow excess water to drip off, place him on his back on a towel, wrap him up, and dry him off.

 

 

And don’t forget, Mom and Dad, one of the best ways to bath Baby is for you to bath together, with Baby cradled on your lap. You’ll both love it!

10 Simple but effective ways to prevent nappy rash

There are three major causes of nappy rash, the first being the nappy itself. Baby’s nappy area is kept covered for most of her baby-life – no wonder irritation occurs!

The second cause is the urine and faeces which often burn Baby’s sensitive skin. What Baby eats will also affect this, because what goes in must come out…

Although it’s meant to help, medication is the third major cause. Often antibiotics deplete the healthy bacteria on the body, leaving Baby’s skin vulnerable to irritation. Antibiotics can also cause diarrhoea, which is the prime trigger of nappy rash.

With all this in mind, here are Sister Lilian’s top ten tips for preventing nappy rash:

1.       Choose Baby’s barrier creams and gels carefully, as these can sometimes cause rashes or other adverse effects   -  I have also written a blog about petroleum jelly  used in baby skin care.

2.       Use good quality diapers/disposable nappies, or organic cotton or bamboo cloth nappies to help ensure fewer problems with rash and irritations.

3.       Opt for disposable nappies specially designed to draw moisture and runny poo away from the skin, giving further preventive protection.

4.       Be careful about what detergents and softeners you use on fabric or terry nappies, as they can irritate sensitive skin.

5.       Change soiled nappies as soon as possible. The longer Baby’s skin is exposed to urine and faeces, the more irritation is likely to occur because of the ammonia which is produced by urine – and accelerated by faeces.

6.       Wash Baby's buttocks thoroughly after each nappy change where possible. It’s best to use soap and water: dunk Baby’s buttocks in a basin of warm water and wash thoroughly with gentle soap as part of your nappy-changing routine. Simply wiping Baby with a damp cloth or using oil and cotton wool doesn’t clean as effectively.

7.       Use soaped or perfumed cleansing wipes only for convenience when you’re away from home, and preferably choose sensitive care ones.

8.       Let Baby’s nappy area dry completely after each nappy change by letting her play without a nappy for ten minutes after you’ve cleaned her up.

9.       Expose Baby’s buttocks to direct non-midday sun for ten minutes each day if she has sensitive skin.

10.   Wait until Baby is at least six months old before introducing solids, and then start with fresh seasonal fruit (not cooked) and yellow veggies.

 

If your baby does develop nappy rash, see Sister Lilian’s blog on ten top tips to treat nappy rash .

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