Nappy rash is the common term given to the rash that develops where the nappy is in contact with the skin. Almost every infant is affected by nappy rash at some time during its early years. The rash develops because of irritation caused by prolonged contact with the breakdown products of urine.

Acetone and ammonia are among the many chemicals that begin to form within minutes of baby wetting its nappy. These chemicals can cause local irritation, which becomes more severe with longer exposure. In extreme cases a secondary infection may take place, which is of course, much more serious and a health care professional should be consulted.

Nappy rash becomes a painful way of life for some infants. The problem is made worse by a predisposition towards skin irritation that may be due to a family history of eczema or 'sensitive skin'. The nappy change routine soon becomes a constant battleground, which can be both frustrating and distressing for mother and baby.

The prevention and treatment of nappy rash can be aided if the amount of time baby's skin is exposed to irritants is reduced. This can be done by changing baby's nappy frequently, leaving nappies off as often as possible thus exposing baby's bottom to air and minimising the use of plastic pants. The application of a suitable barrier cream* can be helpful also.

Remember to ensure that cloth nappies are soaked in a sanitising solution prior to each wash and make sure they are dried thoroughly.

If you suspect that your child has a more serious skin condition, contact your health care professional for advice.