To the question "how to protect the delicate skin of babies? ", Cesare Filippeschi he answers without hesitation: “it must be treated with delicacy and care”. Therefore, he advises mothers and fathers to “not use aggressive and perfumed detergents, potentially sensitizing, not even those based on alcoholic components, degreasers or based on antiseptic disinfectants, because they are irritating, but to prefer dermatologically tested delicate detergents. Furthermore, even in the case of detergents that can be used without rinsing, she still recommends rinsing under running water ".
Il dermatologist at the city's Meyer Children's Hospital also advises to protect the baby's skin with emollient creams, preferably rich in ceramides, because they help to keep the skin's hydrolipidic film unaltered, therefore the skin's barrier function from the aggression of external agents.
Read also: the delicate skin of the newborn
But he warns: “18 different products are not needed to take care of the skin of a newborn. Just as it is not said that everything that is natural is better. There are phytotherapeutic products, for example, such as the so-called non-pharmacological natural creams, which can have an allergenic or irritating power ".
Not too many clothes
Even the skin breathes and to let it breathe, the dermatologist of Meyer invites parents not to over-dress their children, because when they are too covered, the body temperature increases, therefore sweating, with the risk of dehydration, and all this can promote skin irritation. which, in turn, facilitate the triggering of the itch.
So what to do?
- DON'T need wrap them up
- to dress a newborn rule on you adults: so if you go around in a shirt, it is not a good idea to have them wear body, t-shirt, overalls, sweater, jacket and then carry them around on the stroller under a very heavy blanket.
- opt for one onion topping, in order to prevent them from overheating: it is a good idea both in summer and in winter
How to avoid diaper rashes
"The diaper - suggests Filippeschi - should be changed as often as possible during the day". And before putting on a clean and dry nappy, it is better to wash the groin and bottom under warm running water. "Avoid using soaked wipes, even more so if children have particularly delicate skin - for example with atopic dermatitis - because soaked wipes are potentially irritating".
When you are out and about, it is better to use the thermal waters: they can be found in the pharmacy.
In case of irritation, do not immediately resort to an antifungal ointment, because not always everything that appears in the diaper area is a fungus or a candida. Often the redness is caused by the caustic action of urine and feces which, in those with particularly delicate skin, can produce a kind of burn: it is therefore an immediate chemical damage, and not an infection. Although it cannot be ruled out that, in these cases, any infectious agents may attack more easily. And therefore an infectious dermatitis can present itself as a complication of an irritative dermatosis.
It is therefore important, at each diaper change, not to neglect regular cleansing under water and, in case of irritation, the use of a moisturizing and emollient cream avoiding putting too much of it, so as not to create a sort of plug that could worsen the situation.Read also: Should a baby bath be done every day?
Absolutely to avoid the use of pharmacological ointments or antiseptic products without the doctor's indication, because they can alter the bacterial flora and promote infections in the area.
In case of atopic dermatitis, or eczema atopico, which is a very common inflammatory skin disease in childhood, Filippeschi reassures mothers and fathers by encouraging them to use cortisone ointments. "I believe it is important to break down corticophobia, the terror of using cortisone ointment, because the absorption of cortisone at the skin level it is minimal while the beneficial effects are significant, because cortisone helps to keep the skin intact and therefore not to scratch its barrier effect. And in addition to improving the quality of life immediately, it reduces the possible occurrence of future allergies. In fact, if a child has atopic eczema for many years that is not managed well, he can become allergic in the future. Because - continues the dermatologist - some studies have shown that the antigens of allergenic substances pass through the abraded skin, enter the circulation and sensitize the child more easily ".The baby or girl with atopic eczema has red, dry, peeling, dry or moist skin that causes itching
In most cases, atopic eczema improves in the summer, with sun exposure - "the sun is a real therapy”Says Filippeschi - while it usually gets worse in winter. “In any case, the vast majority tend to resolve themselves over the years”.
"Atopic dermatitis - he continues - is not related to a greater propensity to skin infections, unless it is not treated adequately: then itching can cause the child to become skinned and the wounded skin is more vulnerable to infections".
However, Filippeschi recommends parents to do not resort to DIY: Before using cortisone or other drugs, always contact your pediatrician or specialist to identify the most appropriate treatment according to the lesions: moisturizers, emollients, anti-inflammatory creams, antibiotics ...
Protecting the skin from the sun does not mean running away from the sun's rays
Especially with summer just around the corner, Filippeschi recommends protecting the skin of boys and girls (but also their own) with adequate sun creams, not exposing them to the sun at peak times (from 11,30 to 16,00) and in the rest of the day to do it however with caution: gradually.It is advisable to use creams with a high protection factor, effective against ultraviolet rays B and A Read also: the decalogue for children in the sun
“But this does not mean escaping from the sun's rays and preventing boys and girls from playing on the beach or in the park in the city, for fear of getting burned. Today we find in many children a vitamin D deficiency precisely because of the very little life in the open air ". And it is now known that the sun's rays stimulate the skin to produce vitamin D, which is essential for calcium (introduced with food) to strengthen bones.The protective sunscreen should be placed appropriately on the whole body and not as a sticker only on the moles
If you want to know more:
Eczema: How to Help Your Child Avoid the Itch
Atopic dermatitis clinical guidelines - American Academy of Dermatology
SIDEMAST guidelines on Atopic Dermatitis 2022-2022
Updated on 05.03.2022TAG:
- remove the diaper
- first year