Changing a disposable nappy

By Raising Children Network

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Before you change a nappy, make sure you have everything you need within arm’s reach of the change area. This includes: a fresh nappy, baby cream and baby wipes or a washcloth and some water.
Lie baby down on the change table. If she grizzles, sing her a song or give her a favourite toy to keep her entertained.
Undress baby’s bottom half and unfasten the nappy. Use the front of the nappy to wipe off any poo, then fold the nappy into a tight bundle to prevent any spillage.

Gently cleanse baby’s bottom using baby wipes or a damp washcloth. Make sure you get into the crevices but avoid separating a baby girl’s labia to 'clean inside'. Likewise, a boy’s foreskin should never be pushed back.
To wipe the back of baby’s bottom, hold her by the legs with your fingers between her ankles and gently lift so her bottom comes slightly off the change table. Wiping girls front to back will help avoid vaginal infections.
Apply a dollop of baby cream to prevent against nappy rash.

Open a clean nappy, making sure the fastening tabs are towards the top. Lift baby up by the ankles and slip the nappy beneath her bottom. Fold the front flap up, tuck it firmly around baby's waist and secure each tab.
Once you've dressed baby, secure her in a bouncer or cot, dispose of the dirty nappy and wash your hands.
Remember: never leave a newborn or baby unattended on a change table. They can squirm or roll off in seconds. If you have to take your eyes off baby, keep your hands on.

Last reviewed14-05-2006
References
Campbell, J. (2002). Skin: An induction program for Maternal and Child Health Nurses. Melbourne: Department of Dermatology, St. Vincent's Hospital
Stoppard, M. (1998). The new parent. Dorling Kindersley