Nappy rash: gentle care and when to ask

When the next change reveals a sore patch

You open the nappy and notice a patch of skin that looks sore. It's easy to start replaying the day, wondering whether you missed a change or chose the wrong wipes. Nappy rash is common, and noticing it gives you a reason to pause and think about what might help.

Start by looking at the skin and how your baby seems. Are they uncomfortable during cleaning? Is the area spreading? You don't have to decide exactly what kind of rash it is before asking a pharmacist, nurse or doctor to help.

Further guidance: NHS: Nappy rash

Keep the next few changes gentle

Change wet or dirty nappies promptly and clean with water or fragrance-free, alcohol-free baby wipes. Dry the skin gently. If it works for your day, a little time without a nappy on a safe, washable surface can also be useful. Keep everything you need close before beginning.

You can make the setup easier on yourself too. Put a soft cloth and a clean towel within reach, keep a spare outfit nearby and leave enough time that you aren't trying to rush through an uncomfortable change. Check the nappy fit so it isn't rubbing or fastened too tightly.

Further guidance: NHS: Nappy rash

You don't need to try the whole cupboard

When something looks sore, it can be tempting to add a new wash, a different cream and a packet of wipes all at once. Fragrances, soaps and products left on the skin can contribute to irritation. Ask for advice about what to use rather than layering several treatments together.

A pharmacist can help you choose an appropriate barrier product; follow the instructions you're given. Keep a note of the name if different people are changing nappies. 'Use the cream in the white tube' is less helpful when there are three white tubes in the bathroom.

Further guidance: Raising Children Network: Nappy rash treatment and prevention

A small note can spare a lot of remembering

If you want to keep track, write down when you first noticed the problem and what you actually saw. 'Sore patch near the leg fold this morning' gives someone a clearer starting point than 'rash bad'. You don't need to fill in a detailed report at every change.

It can also help to note a product change or professional advice, in your own words. The app doesn't assess skin or identify the cause of a rash. A dated note is simply a way of remembering what happened when someone asks you about it later.

When to get another pair of eyes on it

Seek medical advice if the rash isn't improving, becomes worse or spreads, or your baby is very uncomfortable. Blisters, broken skin or a fever also deserve advice. If your baby seems unwell, ask for help promptly instead of waiting to see what the next few entries show.

You can take the product names and a few dated observations to the conversation. Ask what to use, how to use it and when you should expect a review. A specific plan is easier to follow than trying another suggestion from every well-meaning person who visits.

Further guidance: NHS: Nappy rash · Raising Children Network: Nappy rash treatment and prevention

Help everyone follow the same plan

Once you've been given advice, share it with the people who help with changes. Keep the relevant product and its instructions together, and make sure caregivers know when to get back in touch with a professional. Avoid having several people independently add different treatments.

At the next handover, describe what's changed in ordinary words: 'less uncomfortable this afternoon' or 'the patch looks larger'. Leave the diagnosis to the person assessing your baby. Your job is to care for them, notice what's happening and get support when you need it.