Nappy rash appears when your baby's skin is irritated by wee and poo contained in the nappy area. The skin appears red and raw due to bacteria and germs penetrating the normally protected layer of skin exposed to the irritants.

Regularly changing your baby's nappy is the best deterrent of nappy rash, however it is most likely that nappy rash will appear at some stage during the time your baby is wearing nappies.

When you change your baby's nappy be sure to clean the area thoroughly with warm water and a soft cloth or cotton wool. After cleaning be sure to dry the area as much as possible as moisture can contribute to the problem.

If you use nappy wipes or "wet wipes" to clean your baby's nappy area be mindful that these products typically contain certain chemicals or perfumes which can sting your baby's skin, especially if the skin has become broken from the rash.

Check for brands of nappy wipes which are perfume and alcohol free for best results and follow the advice given above of ensuring the area is well cleaned and dry after use.

A number of nappy creams and ointments are available for use with nappy rash, ranging from medicated creams to natural organic solutions. Most creams are zinc based which acts as a barrier against the skin and protects from bacteria and germs.

If the nappy rash does not improve when using a cream, perhaps try different products until you find one which provides good relief. There's not much difference between expensive and store bought creams as the important factor is finding a preparation which works for your baby.

If possible try and leave your baby bare, without a nappy, for short periods of time to allow the skin to "breathe". Of course leaving a nappy off comes with the obvious problems so watch out for the toilet signs or if your baby is not yet mobile you can lay them on a changing mat or suitable covered surface.

Should the nappy rash symptoms worsen or not show signs of improvement despite your treatment and care, you should consult your doctor or health care practitioner. If a nappy rash becomes infected then an antibiotic cream may be prescribed.