HALIBUT DERMA® - Advice

How often should I change my baby’s nappy?

You must change your baby’s nappy whenever their bottom is wet. Nappies are usually changed after every feed, when the baby wakes up in the morning and before bed, at night. However, there are also exceptions to this rule: it’s best not to change your baby after every feed if they bring up excessive amounts of milk, as the movements involved (lying down, holding up, cleaning, rubbing, legs and bottom up, etc.) will probably make this worse. Some newborn babies also have the habit of pooping while they sleep. In this case, it’s preferable to change the baby as soon as possible, in order to make sure the baby stays clean and prevent infection (even if you need to interrupt their sleep).

How many nappies will I use in a day?

Changing nappies is one of the most common parenting tasks. Although experience and parental instinct count for a lot, it’s always worth recalling a few relevant aspects. In the first few weeks after birth, it may appear that babies do little else besides soiling nappies. In fact, most newborn babies will go through 10-12 nappies a day, as they may wee up to thirty times and poop up to ten times. This frequency will decrease naturally after a few weeks.

What should I know before changing a nappy?

You must never leave your baby unattended on the bed or baby changing unit, even for a second. It’s best not to take risks, even if the baby is very small and unable to turn. Therefore, make sure you have all required items at hand before you start.

  • Disposable baby wipes are useful, although some paediatricians advise against their use on babies younger than one month. Some specialists advocate the use of soap and water alone up to this age, given the extreme sensitivity of the baby’s skin.
  • Neutral soap is preferable to cleansing creams. In case of nappy rash, it’s best to just use soap with an acidic pH (4-4.5) and water, or even just water.
  • Use a soft sponge that won’t scratch the baby’s bottom (avoid sponges in case of nappy rash). Sponges must be changed and/or sterilised every so often, as moulds breed in their moist environment.
  • In order to avoid infection, make sure your baby’s bottom and genitals are thoroughly dry before you put a clean nappy on. Use a cotton towel to dry these areas or let them dry naturally.
  • Talcum powder is no longer used, as the shaking of the bottle releases talcum dust that might be inhaled by the baby. Additionally, talcum powder may form a paste difficult to remove when mixed with urine and faeces.
  • You should have a protective cream at hand at all times, as well as sterile gauze and 70% alcohol, if the umbilical cord is still attached.

Practical advice for changing a nappy

  • Start by washing your hands and ensuring you have all required items at hand: nappies, sponge, soap, towel, etc.
  • Clean the baby’s bottom and genitals using a baby wipe, or with soap and water, using a sponge. Pay special attention to skin folds and make sure all areas are perfectly clean.
  • Nappy rash may occur when the baby is teething or if they suffer from gastroenteritis, as faeces are usually more acidic in these circumstances.
  • The best creams are those containing vitamin A and zinc oxide, an excellent antiseptic agent. Creams containing dermocorticoids should only be used if prescribed by a paediatrician.
  • Nappies will become tighter as the baby grows. Move on to the next size when nappies become too tight, but make sure the edges of the bigger nappies don’t leave red marks on the delicate skin of your baby.

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