Baby Eczema 101: Identifying and Treating Sensitive Infant Skin

 

It starts as a little red patch on the cheek. Then it spreads to the elbows. Suddenly, your smooth baby feels like sandpaper.

Eczema (Atopic Dermatitis) is incredibly common, affecting up to 20% of infants. While it isn't dangerous, it is itchy and uncomfortable. If your baby is scratching or rubbing their face against the sheets, eczema might be the culprit.

Here is how to manage it.

1. Identify the Triggers

Eczema is often an immune system reaction. Common triggers include:

  • Fragrances: Detergents, fabric softeners, or scented lotions.

  • Fabrics: Wool or synthetic blends can irritate sensitive skin. Stick to 100% cotton.

  • Heat: Sweating makes eczema flare up immediately.

2. The "Soak and Seal" Method

The most effective treatment is a specific bathing routine.

  • Soak: Give the baby a short, lukewarm bath (not hot!). Do not use bubble bath.

  • Seal: Within 3 minutes of taking them out of the tub—while their skin is still damp—apply a thick moisturizer.

  • The Product: Lotions (pumps) are too watery. You need a cream (tub) or ointment (greasy, like Vaseline). The thicker, the better.

3. Detergents Matter

Switch your entire family’s laundry detergent to a "Free & Clear" brand (no dyes, no perfumes). Even if you wash the baby's clothes separately, your baby rests their face on your shirt when you hold them.

Disclaimer: I am not a doctor. If the rash is weeping, oozing, or looks infected, see your pediatrician immediately. 

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