- Preparing the changing area: you have to choose a place that is safe and clean. Then you have to prepare the tools that you will use because it is not safe to leave the baby unattended to go get a tool that you forgot to prepare.
- Unfasten the old diaper but leave it in place because air can make the baby let go one more time.
- Gently lift the baby’s bottom with your hand under the hips (not by the ankles), then wipe all over the bottom and inside of legs with wipes. After you make sure everything is clean remove the old diaper and set it aside and put a new diaper under the baby
- Use anti rash cream between the legs and buttocks and at the genitals.
- Fasten the sides well. For a newborn you can tilt the upper part of the front side down a little bit to give room for the umbilical cord and clamp. Take the old diaper and make it into a small ball and toss it in the garbage pin.
Scientific Update (October 2026)
This chapter was first published in 2018 as part of the Prenatal Care Book, and has been reviewed and updated according to the latest guidelines. Key updates:
- Lift the baby’s bottom with your hand under the hips rather than by pulling the ankles, to protect the hip joints.
- Wipe from front to back, especially for girls, and keep the umbilical cord clean and dry without applying anything to it.
References: NICE postnatal care (NG194).
International Guidelines
In line with global standards, Dr. Sabry follows the latest recommendations from the American Society for Reproductive Medicine (ASRM), European Society of Human Reproduction and Embryology (ESHRE), and Royal College of Obstetricians and Gynaecologists (RCOG). Thus, patients receive care that is safe, ethical, and evidence-based.
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