Abstract
Maintaining the health of a newborn's skin is an essential part of infant care and the choice of nappies and hygienic nappy-care plays an important role in achieving this. The critical care points where compromise can occur are identified as the time the infant spends in a wet nappy, leading to mechanical, chemical and microbial trauma, the cleansing routine of the skin at nappy change time, the steps taken to preserve the skin's own defence mechanisms, and control of infection through avoiding contamination of clothes, bedding and carers by soil and urine. There are factors common to infant care in both home and hospital although it is recognised there are added risks when many infants are cared for together.
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