Your baby’s skin…
Healthy skin is important for healthy babies. The skin is one of the most visible signs of the body’s well-being and vitality. It therefore warrants the same attention given to any other aspects of an infant or child’s well-being.
Unfortunately, skin care is one area of infant care that has often been driven by custom rather than by scientific evidence. Let us examine some of the basic principles that will improve skin-care decisions.
Being parents, we want to keep our baby’s skin healthy and smooth. Let us try to understand a bit about baby’s skin.
Baby skin
Skin is a major organ system in the newborn infant; it represents 13% of the total body weight. An infant has a much larger surface area relative to its weight, than an adult.
• Presence of vernix caseosa
The vernix caseosa is only present at birth. It is a fairly thick film that covers the epidermis and consists mainly of dead cells in combination with lipids (fatty matter) from the epidermis, sebaceous glands, etc. The vernix caseosa helps decrease the removal of water from the surface of the skin (also known as transepidermal water loss) and thus keeps the skin well lubricated as the newborn adjusts to its new environment.
• Functions of the skin
a. Defense:
The skin is the body’s largest organ and protects the delicate organs inside the baby’s body.
b. Protection:
It acts as a barrier that prevents entry of toxins and organisms into the body that can cause infection and allergies.
c. Temperature Regulation :
It keeps the baby’s body at the correct temperature (by allowing perspiration for cooling and “goose-bumps” for warming).
d. Sensory Experience:
The skin with its highly sensitive nerve endings puts a baby in touch with the outside world. In fact it is through the skin that they experience the tender and loving touch of their parents.
Baby skin vs. Adult skin
The skin of babies has a smooth vulnerable appearance and the features are mainly like adult skin with some variations. It is important that we understand these differences since they contribute to a better understanding as to why a baby’s skin requires special care and develops diverse problems as compared to an adult’s skin.
These differences include:
a. Fragility:
The elastic fibers in baby’s skin (dermis) are not completely developed. So baby skin is very fragile and can break or get damaged very easily.
b. Vulnerability to external irritants:
Infant’s skin is thinner than adult skin.
It absorbs unwanted substances applied on the surface much more easily than adult skin. Also, fatty substances that may be undesirable and cause irritation penetrate through a baby’s skin much more easily. The main cause of rashes in children is contact with external irritants.
c. Susceptibility to sunburn:
The production of melanin (protective pigment) is lower in infants. Therefore the skin can easily burn if exposed to the sun.
d. Lowered ability to control water loss and maintenance of body temperature:
The heat regulation mechanism in infants differs from that in adult skin. The differences are mainly due to variations in the area-to-body volume, ratio of skin vascular reactivity and the tendency of losing heat by sweating, where all of these can lead to more loss of heat in infants after a minor stimuli.
Why is correct skin care important for babies?
Shortly after birth, the baby loses its protective covering of vernix and is continuously exposed to various environmental factors and conditions. Therefore, if proper care is not taken during this vulnerable period till the time the skin matures fully, this precious skin can get easily damaged.
As long as the skin of the baby remains intact, it tends to remain healthy. Scientists believe that correct infant skin care can help establish the basis of healthy skin for the rest of the child’s life. By keeping the skin undamaged, it will be best placed to perform all the functions and thereby prevent associated skin problems as well.
Good skin care practices for infants
The infant unlike an adult is exposed to frequent change of nappies, continuous wiping and cleaning of nappy area and area around the mouth and nose, as well as skin friction against diapers / nappy liners. All these situations present several opportunities for skin damage if not handled properly.
Since healthy skin should be kept intact, following are some tips on good skin care practices for children:
a. Avoid exposure to irritating agents like harsh soaps and detergents:
Harsh soap is the most common cause of irritation. Abandon the use of adult soaps and shampoos in favour of mild, gentle, clinically tested baby products. There are special baby shampoos that are as gentle to the eyes as pure water and do not cause any irritation even if they accidentally enter the baby’s eyes while bathing.
b. Reduce contact with Irritants from the environment:
Mainly urine and faeces in the diaper area and the detergent residue on clothes are the primary cause of irritation. You should change nappies frequently and dean the area with a gentle cleansing product.
Also use a product like baby powder in the area. This performs two functions:
• Reduces friction between the skin and the clothing (especially in the nappy area).
• It acts as a protective barrier that helps prevent the penetration of irritating substances through the skin.
c. Maintaining the right level of moisture in the skin:
Maintaining the right moisture level for infant’s skin is very important to ensure that the skin remains healthy. There can be two kinds of problems related to moisture levels:
d. Loss of moisture or dehydration:
The effect of this is dry and cracked skin which will allow a lot of irritants to pass through, leading to skin rashes. The following tips are recommended to minimize this loss of moisture:
• Control the temperature and humidity at home.
• Protect the child from Wind, especially while traveling.
• Have a gentle skin care routine. Clean the baby with the gentlest of soaps and shampoos. The lipids (fatty matter) seem to play an important role in maintaining the moisture content of the skin. So the soaps and shampoos used on children should not wash away these important lipids. Use of a gentle and safe baby soap and baby shampoo all help in a gentle cleaning routine.
The baby requires frequent cleansing to remove irritating urine and saliva. Also removal of encrusted food and faeces from the skin must be done very carefully. A product like baby oil is very useful for removing caked-on material because it will not take-away the natural lipids of the skin while cleansing.
Finally application of baby cream and baby lotion reduces the moisture loss from the outer layers of the skin by almost 50 to 60%. They contain ingredients that are recognized for their ability to hinder water loss from the skin. Therefore they help in maintaining the moisture levels of the skin by not allowing it to escape from the surface.
• to minimize friction and irritation.
e. Avoid sunburn :
In addition to being a potential cause of skin cancer, sunburn is very harmful especially for children because it causes dehydration and results in breakage! Cracks in infant skin. Children are at a greater risk because their skin contains lesser melanin as compared to adults and this results in a higher risk of sunburn.
Some tips to keep them safe from sunburn :
• Avoid exposure to sun especially between 10 am and 3 pm when the sun is the strongest.
Other practical measures are:
Dress them with hats to shield their face from direct sunlight.
Dress them in loose, protective clothing like long-sleeved shirts! Dresses, long pants, etc. basically keep them comfortable and covered.
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