.png?sv=2022-11-02&spr=https&st=2025-07-17T14%3A15%3A32Z&se=2025-07-17T14%3A28%3A32Z&sr=c&sp=r&sig=Tdhrqorz5s1qkogxOn9GC%2Fd0cTUB85%2BdISrMyg6L2H0%3D)
Disclaimer: This material is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. It is not intended to provide medical advice, diagnosis, or treatment, nor does it replace the advice or counsel of a doctor or health care professional. Reference to a specific commercial product, service, or external web site does not imply endorsement or recommendation of that product, service, or external web site content by CPCMG. We attempt to keep lists of resources and referrals as up to date as possible; however, this information is constantly changing. Please check with the service provider and your insurance company to verify coverage.
When should I change my baby’s diaper?
The diaper should be checked before and after each feeding, after each nap and whenever you feel your infant is unusually fussy.
The longer that urine and stool are in contact with the skin, the more likely a diaper rash will develop.
Some diapers now have lines that change color to let you know the diaper needs to be changed.
Before you change your baby’s diaper, be sure you have everything you need within easy reach to get started.
You can change your baby on the floor or on a waist-high stable and padded surface.
Even if there are elevated edges to the changing pad and a restraining belt, never leave your baby alone no matter what.
How do I clean my baby when changing a diaper?
For babies assigned male at birth
Be sure to clean under the scrotum and in the crevices.
Do not attempt to retract the foreskin of uncircumcised boys as this can hurt your baby.
Separation of the foreskin is a natural process that will occur automatically with time.
If your baby is circumcised, in the first couple of months, it is a good idea to gently push down on the sides of the penis to prevent the skin from sticking to the head of the penis
For babies assigned female at birth:
Be sure to clean any stool from the labial and vaginal area.
Always wipe from front to back.
What is a diaper rash?
Any rash on the skin covered by a diaper
What are the symptoms of a diaper rash?
Mild rashes just have areas of pink, dry skin.
Severe rashes have areas of red skin. In some places, the skin may become raw or even bleed.
Yeast infections are bright red. The borders are very sharp. Small red bumps or even pimples may occur just beyond the border. Yeast rashes usually cover large areas and are in between skin folds.
Pink rashes are not painful, but raw ones can be painful, and your baby may seem uncomfortable with diaper changes or more fussy in general.
What are the causes of a diaper rash?
Stool and urine left on the skin can irritate the skin in the diaper area.
If your baby has diarrhea, they are more likely to develop a rash.
If your baby has sensitive skin, the diaper's material or wipes may cause a rash.
Use of lots of soap or over-scrubbing may cause a rash in the diaper area.
A diaper rash can be caused by yeast, bacteria, or skin irritation.
Yeast is a common cause because it grows well in moist areas such as diapers.
How do I prevent my baby from having a diaper rash?
Change your baby as soon as you notice they have urine or stool in their diaper.
Allow your baby to spend as much time out of diapers as possible.
Gently, but thoroughly, clean your baby with each diaper change.
Using diaper creams may help by providing a barrier for your baby’s skin.
Avoid scented diapers and scented wipes if your baby has sensitive skin.
How do I treat my baby’s diaper rash?
Change your baby’s diaper more frequently and as soon as they have urine or stool in it.
Allow as much time out of diapers as possible.
Continue to gently clean the area, warm water and paper towels work well.
Try switching to a different brand of diapers.
Avoid the use of any scented diapers or wipes; these can be irritating to the skin.
Try an over-the-counter diaper cream or petrolatum (vaseline).
Diaper creams that contain zinc are good for the skin.
When to contact your baby’s healthcare team:
Your baby has a diaper rash that is getting worse.
Your baby was prescribed a medication, and the diaper rash is not improving.
The rash looks infected.
You think your child has a yeast infection.
Your baby has a fever with a diaper rash.
You think your baby needs to be seen.
This publication was adapted from information from American Academy of Pediatrics Patient Education materials.
Reviewed by: TT DO | 05/2024