sending her home red and sore

[kmdwestyorks]

I collected my DD (13 months) from childcare on friday afternoon and when i got her home out of her nappy she was very very red and sore looking. She's obviously been left sat in soiled nappy for some time during the day.

She has eczema and i work really quite hard to keep nappy rash at bay. She's just had a round of candida infection that started after her usualy childcare days and has come home sore previously, I'm told that i just have to accept thats what happens in childcare.

AIBU to think it's unacceptable?

My DS 2.6 years tends to come home from nursery with a slightly red bottom occasionally as he never tells anyone if he's pooed in his nappy so unless you smell it there is no way to know he has been. Even at home he sometimes gets a sore bottom. I personally wouldn't cause a fuss unless it was actually nappy rash not just a sore bottom. I believe that my sons nursery do a fantastic job and can't be expected to know if my DS has pooed his nappy without physically checking him every few minutes. With several other children to look after this just isn't possible.

tell me about it secondcoming - I put DS3 (2yrs old) in a clean nappy this morning around 8.50am. I changed him at about 4.30.......because it was falling down (then had to change the little blighter again at just gone 5 because he pooed).

Toccatanfudge - you sound strangely proud of keeping your child in a soaking nappy.

sunshiney - these modern disposables hold an amazing amount and are designed to wick moisture away from the skin

HTH

he was happy - why would I fight to change a nappy that wasn't pooey and wasn't making him unhappy?

a "soaking" nappy is (imo) when it starts to leak out of the nappy and wet the clothes.

Er... We don't go to the loo in the night nearly as much as we do in the day
nappies obviously need changing far mire regularly in the day than at night because children drink throughout the day and not throughout the night , hopefully
god isn't it obvious??

In my nursery we change the nappies 3 times a day and then any extra poo's or extra soggy ones as well.

We check them all at changes but do only change the wet ones, although some people do change dry ones to fresh ones,(i don't know why) we use to change a little boy into a larger nappy as the parents used his baby brothers on him and they were to tight even if it was dry, but that was an exception to the rule.

It is a huge waste of nappies, often the children have barely wee'd an we have to change it. Some nurseries change them as and when needed, we attempted this but it just didn't work for us, as we seemed to spend most of the day checking nappies hmmmm fun

Some of the children come in soaking wet, covered in nappy rash at 8am, or a really dried on poo, so it does go both ways. You can't always stop the rash forming.

Every five hours, I would say that's reasonable.

Taccatanfudge, was I wrong to deduce the nappy was soaking - you described it as 'falling down'.

Falling down due to the volume of liquid in it, ergo 'soaking'

ahhh now you see soaking I see as if it's started to leak through because they can't hold any more.

the way I see it - he's happy, he's not pooed, he's not leaking I leave him.

Some days he wants me to change his slightly wet nappy frequently, other days he's not bothered >

Fair enough if he's not got a rash toccata

My DS1 got blisters and bad sores so quickly he had to be changed so much, as wee aggravated the sores. And yes it did cost a feckin fortune but I'd rather pay the money than have him in pain.

Fortunately DS2 does not have the same problem and in truth is more along the opposite end of the scale. He tends to "go" all at once then is dry for ages. His skin doesn't burn like DS1's, so I buy a lot less nappies for him!

PS Metanium should have given me a loyalty card.

Is it possible that the DC who get really bad problems could be allergic to the fibres in disposable nappies?

I thought nappy rash had become non existant since the invention of disposables.

Two of my DGD suffer from ex(God, can't remember how to spell it) - Skin Conditions!!! seems to go hand in hand with asthma.

It has never left sores or redness in the nappy area.

Eczema

Existent

I think I was away the day they taught spelling at school.

When my mum worked in Childcare, they had one poor little boy there who turned up every Monday with the most horrific nappy rash.

They had just got it all nicely cleared by Friday, his mum would have him for the weekend and it would all start over again.

The mum was a professional, always immaculately groomed.

I know DS's skin does get irritated by bio washing powder and softener. I don't think he had an allergy/intolerance to the fibres in nappies as the sores were near the "source of the problem" not all over his bum. Surely would be all over if the fibres were a problem?

Having said that I found Pampers were the best nappy to use for him. I assumed this was because they fit well and took away more moisture than other brands. I don't know for sure.

I got v good at finding pampers money-off vouchers!

I think it's good practice to tell the collecting parent that their child has a rash and when it was discovered, so that they could get to a chemist on the way home, or go to a drop-in dr clinic that evening if necessary. If they don't tell you things it implies a lack of care. You might not have discovered that rash for another 2-3 hrs at home. Surely the childs key worker fills you in on the childs day?
Not unreasonable to have a word with the manager in view of a pre-existing skin condition.

Just a thought, is it the nappies themselves that are causing the rash, have the nursery changed the type they use, or if you supply your own, have they used different ones?

I would mention it but remain calm and rational, just tell them that he is prone to it and to make sure he's checked regularly and plenty of barrier cream is applied.

Nappy rash can occur v. fast as people have said above, but it can also occur during a bout of teething, and sorry to sound yuck but depending on the consistency.

I tried real nappies on my son and after one hour in the shopping centre the wee had totally decimated his little bottom - he looked like he had been dragged over a cheese grater - it must have been all the hot ammonia.

Yes they are there to change a nappy, but we all know what it's like, if DC are busy eating their lunch or fast asleep on their nap and fill their nappy, do you wake them up, or stop them eating nicely? No you'd probably wait until they were awake or finished eating and sometimes 15 mins in a hot baby gro is all it takes - my ds sometimes had blood and tiny little cuts, if he had been sitting on those marbly malteser ones that don't smell...

He was also pretty good at squeezing one out in a clean 1 minutes on nappy...it was his party trick in nursery. Remember they are probably doing a regular change as best they can, and that can take about 20 mins for 3 babies...

Just make sure they know you know, and that you are on the lookout if it happens again...

All the best!