Bathing
You may bathe your baby daily, but for the first few months,
2 or 3 times a week is often enough for a full bath. Clean
your baby's drools and spills as they happen and keep the
face, hands and diaper area clean.
Keep the bath water level below the naval or give sponge
baths until a few days after the navel cord has fallen off.
Submerging the cord could cause infection or interfere with
its drying out and falling off. Getting the cord a little
wet doesn't matter.
Use tap water without any soap or with a nondrying baby
soap. Don't forget to wash the face and neck; otherwise,
chemicals from dribbled milk and food can build up and cause
an irritated rash. Also rinse off the eyelids with water.
Don't forget to wash the genital area. However, when you
wash the inside of the female genital area (the vulva),
never use soap. Rinse the area with plain water and wipe
from front to back to prevent irritation. This practice and
the avoidance of any bubble baths before puberty may prevent
many urinary tract infections and vaginal irritations. At
the end of the bath, rinse your baby well; soap residue can
be irritating.
Changing Diapers
After you remove a wet diaper, just rinse your baby's bottom
off with a wet washcloth or diaper wipe. After soiled
diapers, rinse the bottom under running warm water or in a
basin of warm water. You can't clean BMs off the skin with
diaper wipes alone. Millions of bacteria will remain and
cause diaper rashes. After you clean the rear, cleanse the
genital area by wiping front to back with a wet cloth. If
you have a boy, carefully clean the scrotum. If you have a
girl, carefully clean the creases of the vaginal lips
(labia).
Shampoo
Wash your baby's hair once or twice a week with a special
baby shampoo that doesn't sting the eyes. Don't be
concerned about hurting the anterior fontanelle (soft spot
on the head). It is well protected.
Lotions, Ointments, and Powder
Newborn skin normally does not require any ointments or
creams. Especially avoid putting any oil, ointment, or
greasy substance on your baby's skin because this will
almost always block the small sweat glands and lead to
pimples or a heat rash. If the skin starts to become dry
and cracked, use a baby lotion, hand lotion, or moisturizing
cream twice a day.
Cornstarch powder can be helpful for preventing rashes in
areas of friction. Avoid talcum powder because it can cause
a serious chemical pneumonia if inhaled into the lungs.
Umbilical Cord
Try to keep the cord dry. Put rubbing alcohol on the base
of the cord (where it attaches to the skin) twice a day
(including after the bath) until 1 week after it falls off.
Although using alcohol can delay the separation of the cord
by 1 or 2 days, it does prevent cord infections, and that's
what is most important. Air exposure helps the cord stay
dry and eventually fall off, so keep diapers folded down
below the cord area. If you are using disposable diapers,
you can cut a wedge out of the diaper scissors so the cord
is not covered.
Fingernails and Toenails
Cut the toenails straight across to prevent ingrown
toenails. When you cut fingernails, round off the corners
of the nails so your baby doesn't scratch himself or others.
Trim the nails once a week after a bath, when the nails are
softened by the bath. Use clippers or special baby
scissors. This job usually takes two people unless you do
it while your child is asleep.
Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
Copyright © 2005 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved.