7 Rules for Protecting Baby’s Skin
July 14, 2020
There’s pretty much nothing more aww-inducing than the velvety feel of a baby’s skin—soft, plump and with a magical scent that makes everyone melt with joy. An infant’s skin, however, is still developing throughout the first year of life. “This makes babies more susceptible to damage from the sun, wind, cold and other irritants,” says Estee Williams, MD, a dermatologist in New York City. That doesn’t mean you have to swaddle baby in protective Bubble Wrap until they’re in preschool. (Though that would be convenient!) Instead, just follow these simple rules for caring for baby’s delicate skin.
You should always wash baby’s clothes before the first wear, advises the American Academy of Pediatrics (AAP). This practice can help remove any potential store- or factory-borne irritants that could bother baby’s skin. But don’t toss those onesies in the machine with any ol’ soap. “Less is more when it comes to baby detergents—less fragrance, less dyes. You’re looking for gentle ingredients here,” says Nanette Silverberg, MD, chief of pediatric dermatology for Mount Sinai Health System in New York City.
Babies don’t really need a daily soak in the tub. “Bathing a few times a week is reasonable,” Silverberg says. (The AAP notes that three baths a week during baby’s first year is plenty.) The reason? More frequent tub-time can break down the skin’s barrier, which dries it out. Other things to watch out for: Too-warm bathwater that can speed up the loss of moisture from the skin’s protective layer, and harsh cleansers that may act as irritants. “Use a mild, pH-neutral cleanser in a lukewarm bath,” Williams says.
While a head-to-toe soak doesn’t need to happen on the regular, it’s imperative to always keep baby’s face and skin folds clean and dry from saliva, dribbled milk and the like. “Whenever skin is continuously exposed to any type of moisture, be it milk, sweat, urine, saliva or water, there’s potential to cause redness, chafing and peeling,” Williams says. And sometimes when moisture builds up it attracts yeast (aka candida), which can make an existing rash worse. To keep your drooly baby’s skin healthy, gently pat—not rub—their face and in between those cute, chubby rolls with a soft washcloth when needed, but at least twice daily, recommends Williams.
It’s totally normal for newborns to have peeling, dry skin during the first month. “While their skin can absorb water well, it cannot efficiently hold moisture due to their not-yet-developed skin barrier,” Williams says. After the first several weeks, however, if baby’s skin still looks dry, feel free to slather on the moisturizer. “Creams and lotions are best for warmer climates, and petrolatum-based products and thicker creams are better in cooler temperatures,” Silverberg says. No matter which you opt for, each works best when applied to wet skin, ideally within three minutes of getting out of the bath. If you wait longer, the water will evaporate from baby’s skin, sapping its natural protective oils. (For babies with sensitive skin or eczema, you’ll want to apply moisturizer at least once a day and always after a bath.)
During chilly winter months, it’s not a bad idea to crank a cool-mist humidifier in the nursery. Most indoor heating systems lower relative humidity, leading to dry inside air that can irritate baby’s skin. “A humidifier, however, can raise the water content in the air, which helps to combat some of the drying effects of indoor heat,” Williams says. Bonus: A nighttime humidifier can also keep a runny nose from drying up and causing discomfort. Just don’t forget to change out the water frequently to avoid mold and bacteria.
Real talk: Baby’s skin often looks pretty darn wrecked in those early days, with up to 20 percent of newborns peppered with neonatal acne. And that’s not the only thing that can muck up baby’s complexion: There are lots of harmless rashes and pimple-like conditions that babies are either born with or develop during their first few weeks, such as miliaria (tiny raised, red bumps with whiteheads); the hive-like erythema toxicum (red blotches with yellowish bumps at the center); and pustular melanosis (brown bumps on baby’s neck, back and limbs). If you get the urge to treat these blemishes, don’t, says Silverberg. That’ll simply irritate baby’s skin more. “But there are similar conditions, like bacterial folliculitis or toddler acne, that can have other consequences,” she says. “In cases of severe or persistent rashes, it’s best to consult with your pediatrician or a pediatric dermatologist.”
“Babies produce less melanin, which leads to more sensitivity to the sun,” Williams says. As such, infants under 6 months should wear hats with an all-around three-inch brim, long sleeves and long pants when out and about. If full-on sun is unavoidable, apply a minimal amount of broad-spectrum zinc oxide or titanium dioxide sunscreen of at least SPF 15 to baby’s face and the back of the hands.
About the experts:
Estee Williams, MD, is a medical, cosmetic and surgical dermatologist who treats adult and pediatric patients in New York City. She received her medical degree from Albert Einstein College of Medicine and completed her dermatology residency training at SUNY Downstate Medical Center.
Nanette Silverberg, MD, is chief of pediatric dermatology for Mount Sinai Health System in New York City. She is also a clinical professor of pediatrics and dermatology at the Icahn School of Medicine at Mount Sinai. She graduated Summa Cum Laude with commendation in research from the SUNY Downstate Medical School.
Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.