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Nappy rash

• Faeces– Faeces contain irritating enzymes, bacteria and Candida albicans (the yeast that causes thrush). The presence of faeces also increases the skin’s normally slightly acidic pH, making it more susceptible to damage.
• Urine– Faecal enzymes turn urine into ammonia, a harmful (and smelly) chemical that attacks the skin.
• Wetness– Wetness from urine and faeces, or from using nappies and creams that prevent moisture evaporating can cause irritation. Wet skin eventually becomes macerated and damaged.
• Friction– Chafing from the nappy and between skin folds can damage delicate skin. So can rough handling and rubbing.
• Chemicals– Harsh soaps, creams and lotions irritate some babies. They can strip the skin of its protective barrier making it dry and itchy and increase the skin’s pH.
• Allergies- Reactions to chemicals, nappy components or detergents used to launder cloth nappies can also occur.
• Raised temperature– Warmth beneath the nappy may cause inflammation.
• Yeast– The warm, moist nappy provides an ideal place for Candida albicans to grow and infect the skin.

• A bare bottom break of at least 15-20 minutes after each change
• Use cotton wool and warm water to clean your baby
• Apply a thin layer of barrier cream before putting on a new nappy
• Avoid using plastic pants and nappy materials that do not allow air to circulate.
• Use non-biological washing powders to launder reusable nappies and rinse them thoroughly.
• Make sure air can circulate

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