Nappy rash

[popsycal]

Didn't quite know where to post this one but here goes. DS goes to a childminder Wednesday to Friday. She is fantastic and I wouldn't change her for the world. Except for one thing.......

Every Wednesday evening, DS comes back with nappy rash. He is an 'at least 3 poos a day' boy and we change his nappy immediately after it is dirty. He never ever gets nappy rash with us - we have been very lucky. Most Wednesday nights, we apply metanium cream and the redness goes by the morning....however!

Today, when I got there to pick him up it was obvious that he had a dirty nappy so i changed him and his whole bottom was red raw and parts and it were bleeding. I have never seen it like this before and was quite shocked. HE has had his nappy off for most of the evening and has gone to bed with metanium and barier cream on and I will change his nappy again before I gp tp bed. The poor little thing even cried when I used sensitive wipes on him so have gone back to basic - cotton wool and water.

I want to say something to her tomorrow - I showed her his bottom this evening so she knows it is sore. Can you help me phrase it correctly so that I sound firm about it, that she needs to check his nappy regularly and change it every few hours irrespective of whether it is dirty etc. But at the same time, I want to try to cause as little offence as possible......

Thanks
Pops

eeeks, I think you can only be honest, I know exactly what you mean, my DH cannot smell the po like me and if dd is left for any length of time she rashes like mad, the worse it is the longer she has been left in it for...
Just say your son has really bad nappy rash after coming back from her and innocently ask does she use a different wipe type? Take it from there..
Good luck
xx

Good idea kiwisbird - I like the wipes idea - I do suspect that she uses 'cheaper' wipes, even though i do provide her with senstive ones......

Anyone going for the direct approach~?

Difficult one. Good childminders are sooo hard to find but you have to say something. I would have thought that if she was any good then on seeing his bottom she would have felt awful and said something herself to you. If not then you need to ask her exactly how often she changes him and then ask her to change him more as he is getting so sore and to check him every hour at least.

hercules - that is what i originally thougth i would say to her....and to use cotton wool and water for the next few days too.......

I think mum's have a more highly attuned sense of smell when it comes to their kids bottoms - I can smell dd at 20 paces, and it astounds dh sometimes.

You've got no choice but to say something to the childminder have you really.....just steal yourself, take a deep breath and tell her it straight.

You can always try the praise sandwich approach (opening gambit is to say something nice about her as a childminder, in the middle mention the frequency of nappy changing and close with another compliment about her child minding abilities). Its old hat but it works

Thanks - i like the sandwich approach!!!
will do a combination of all that has been suggested!!
Will let you know how it goes...

maybe you could give her some metanium (i love that stuff) to use too?

ooooh - i am a huge fan of metanium - ds has a very yellow bottom this evening - will instruct her to apply at every nappy change

good plan. did you know you can get it on prescription if you smile sweetly enough at your gp?

popsycal - you can mix the metanium with sudocrem - works just as well but makes it a little easier to clean off. This was suggested to me when dd was in hospital and due to constant nappy changing and other things ended up with a raw bleeding bum.

You could mix that up and tell her that you are using a new cream and give her a container and tell her you want her to use this with him....

When I'm in this kind of situation I kind of 'shift the blame' and side with the person I need to criticise. What about if you said that his nappy rash has got so bad (without mentioning that it's only when he's with her) that the GP has advised you to do bottom care in a v. particular way and would she be prepared to do the same. That way you get what you want and you can discuss it openly with her without making her feel like it's her fault.

Hi folks - thanks again for all your advice! Just to update those of you who have helped me out here...

I went this morning and one of the first things she asked was how was his bottom (playing on her mind??). So I said he had spent most of the evening with his nappy off (missed out the bit about the fact that our carpet now wreeks of wee) and we had been using metanium cream and that it was recommneded to us by a paediatrician when ds was really poorly as a baby and how it was amazing stuff. I said that I had put double the amount of nappies in the bag than normal so that she could change him every 2 hours at least and that their were sensitive wipes and cotton wool that she should use and that she should apply metanium every time his nappy was changed. I also said that his poo was very 'strong' atm and would probably irritate his bottom more - and i knew she would be really vigilant for dirty nappies knowing how sore he was. I smiled all the way though!!!

SHe was fine (to my face anyway! LOL!!) and she had used 6 nappies today (in 8 hours) and his bottom seems to be much better. I told her to keep the metanium as we had another tube and she could just keep it in her changing bag for when they are out and about in future.

There! Impressed?!?!

wreeks should obviously be reeks (i think)
being pedantic sorry

is it reeks?!?!

on god - and their shoudl be there!!!!!

been a long day!

and though shoudl be through!!

preview pospy!!!!
)