Baby Talk | What causes diaper rashes?
Rashes occur most frequently in the diaper area for several reasons. Because diapers have a plastic outer covering sometimes a parent doesn’t realize that their baby has soiled the diaper. When a baby urinates, the urea in the urine interacts with the bacteria on the skin. This combination of ingredients leads to a release of ammonia. The ammonia then changes the pH of the skin making it susceptible to rashes.
The natural bacteria that are present in bowel movements can also lead to breakdown of the skin.
The best way to avoid a diaper rash is to change a baby’s diaper often.
Another cause of diaper rashes is friction. Friction occurs when the diaper and the skin constantly rub against each other. There are many sizes and types of diapers. It is important that you use diapers that are not too tight around your baby’s legs. There needs to be a little room for air to circulate.
When a baby is on antibiotics they are more likely to develop what is called a yeast rash. A yeast rash has bright red spots with a distinct border. Your baby’s doctor will give you a special medication to cure this rash.
Changing your baby’s diaper often helps reduce the chance of a diaper rash. The best way to clean the diaper area is to wet a soft cloth with plain water and gently clean the genital area. When changing a little girl’s diaper you should always clean from front to back. Little boys it doesn’t matter which direction you go in. Let your baby go without a diaper and “air out” the genital area whenever you can.
If your baby does develop a rash, change your baby’s diaper more often. Use water to clean the area and then dry it with a soft towel. Ask your baby’s doctor what products he or she would recommend to treat a rash. If the rash does not start to clear up with in two to three days you need to have your baby seen by the doctor.
Some babies are more prone to diaper rashes. Even the most diligent parent who changes their baby’s diaper regularly may notice a rash. Florida is a naturally warm humid envirnnment, controlling rashes can be a challenge. Always consult your baby’s doctor if you have a concern about your baby’s skin. The doctor will not consider you to have “rash” behavior by asking lots of questions.
Katie Powers, R.N., is a board-certified lactation consultant and perinatal educator at Manatee Memorial Hospital’s Family BirthPlace. Her column appears every other week in Healthy Living. Contact her at katie.powers@mmhhs.com.
This story was originally published July 10, 2017 at 4:40 PM with the headline "Baby Talk | What causes diaper rashes?."