Diaper rash: prevention and gentle care

Diaper rash is irritation in the skin area covered by the diaper. It can happen because of moisture, long contact with urine or stool, rubbing, diarrhea, irritating products or infections that need pediatric assessment.

In most mild cases, skin improves with more frequent changes, gentle cleaning, careful drying and a good barrier cream.

What it can look like

It may appear as:

• redness in the diaper area;
• shiny or irritated skin;
• small sensitive patches;
• discomfort during changes;
• worsening after diarrhea or frequent stools.

If there are very red dots in folds, sores, pus, blood, fever or your baby seems in pain, ask for medical advice.

What to do

• Change diapers more often.
• Clean with warm water or gentle fragrance-free wipes.
• Pat, do not rub.
• Let skin dry well.
• Apply a generous layer of barrier cream.
• Allow short diaper-free time when possible and safe.

If the rash comes with many watery stools, also read newborn diarrhea.

What to avoid

• Do not scrub off all cream at every change.
• Do not use scented or harsh products.
• Do not apply steroid or antifungal creams without guidance.
• Do not use talcum powder.
• Do not fasten the diaper too tightly.
• Do not wait for weeks if it is worsening.

For daily hygiene, review baby's first bath and the newborn skin checklist.

When to call the pediatrician

Call if:

• it does not improve after a few days of gentle care;
• it worsens quickly;
• there are blisters, crusts, pus or bleeding;
• the rash strongly involves the folds;
• your baby has a fever;
• your baby seems in pain;
• it comes with diarrhea, vomiting or fewer wet diapers.

To monitor stools and urine during irritation, use the diaper tracker.

Useful links

• Newborn diarrhea
• Newborn stool guide
• Baby's first bath
• Diaper tracker
• Newborn skin checklist