Nappy changing - birth to 1 year
Your first choice in nappies will be between reusable and disposable types. Many parents prefer disposables, although an increasing debate on environmental issues has led other parents to consider reusables.
© DK
Yet the issue is not clear cut: the detergents required to clean reusable nappies can be viewed as pollutants to the water supply, and the energy required to wash them might also be regarded as wasteful. While fabric nappies are cheaper than disposables in the long run, you need to consider the increased electricity bills for frequent washing-machine runs, and the cost in your time.
What is clear is that providing that the nappy is changed as often as necessary, and that the basic rules of hygiene are observed, your baby will be happy. The techniques for cleaning and caring for your baby's bottom will be the same.
When to change a nappy
Change your baby's nappy whenever you notice that it is soiled or wet. The number of times the nappy needs to be changed will vary from baby to baby and from day to day. However, you'll probably always change the nappy when your baby wakes in the morning, when he's put to bed at night, and when he's been given a bath. In addition, you'll find that your baby will need to be changed after a feed because of the gastrocolic reflex that stimulates the elimination of faeces when food is taken in.
Always change your baby on a soft, warm, waterproof surface; padded changing mats are ideal for this. Usually made of a foam-filled, waterproof material, they have a slightly raised edge to prevent the baby rolling off. They can be placed on whatever surface suits you best - floor, table or bed. As your baby gets older and starts to wriggle when you change his nappy, you may find it safer and easier to change him on the floor or on a low bed, whether or not you use a mat. Never leave your baby alone on any surface that is above floor level.
How to change a nappy
This is always easier if you are well prepared. Make sure that everything you need is within easy reach. The last thing you want to discover halfway through changing your baby is that you've left the clean nappies downstairs and the cotton wool or baby wipes in the bathroom.
There's no need to wash your baby's bottom with soap at each change: just gently wipe the faeces with a nappy corner then clean your baby's bottom with water or a baby wipe. If your baby has only wet the nappy, use a water-soaked flannel or cotton wool. When you change your baby, watch out for any redness and take the appropriate action (see Nappy Rash).
If your baby is very wriggly and restless during nappy changing, have a toy handy to act as a distraction. With an older baby, involve him in the process by letting him hold something, or give him a book to look at. Talk to your baby all the time - nappy changing is a great opportunity to interact with your baby.
Boys often urinate when changed, so cover the penis with a clean nappy as you take the old one off.
New Babycare
Copyright © 2009 Dorling Kindersley
Text copyright © 2009 Miriam Stoppard
Posted 30.06.2010
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