Dr Sarah Brewer

Sarah Brewer advises on nappy rash

There are four main types of nappy rash:

• Chemical irritation and friction from prolonged skin contact with soiled nappies
• Infection with the yeast Candida albicans (thrush)
• Rash due to allergic reactions to ingredients used in baby products and toiletries
• Less commonly rash may be due to a bacterial infection

• Check your baby's nappies frequently so they can be changed as soon as they are soiled, especially if using non-disposables
• Use water, special cleansing creams or impregnated wipes to cleanse his skin rather than using soap
• Ensure all old cream is removed from skin creases to prevent a build up of soiled cream
• Dry thoroughly and apply a protective barrier cream
• If a nappy rash develops, leave the affected area exposed to the air as much as possible - e.g. let her lie on her nappy, rather than fastening it round her
• When washing re-usables, use enzyme-free washing powders
• If the rash doesn't clear up quickly, ask your doctor or health visitor for advice in case medical treatment is needed