Entering the world is no small thing. And as babies get acquainted with their new surroundings, so too does their delicate skin. Spending all day and night in a diaper can be a challenge for overall skin health, which only underscores the importance of choosing hypoallergenic, super-soft materials (that’s where we come in).

So we’re thrilled to have Dr. Mona of @pedsdoctalk, mother of two, and Coterie Council Member here—in this insightful Q+A—to discuss the top baby skin concerns she sees as a pediatrician.

How do I know if my baby has sensitive skin?

Sensitive skin in babies often shows up as redness, dryness, or irritation. This can happen more so when coming into contact with oils from other’s skin, fragrances, or skincare products. Look out for frequent rashes, rough patches, or if your baby seems uncomfortable or itchy. If you notice these signs, using fragrance-free, hypoallergenic products and soft, breathable fabrics can help. It's also a good idea to check with your pediatrician, especially if the skin issues persist or worsen, as they can guide you on managing it and ruling out other conditions like eczema or allergies.

What are some common skin sensitivities or conditions in babies?

Babies have delicate skin that is often prone to sensitivities and common conditions. Diaper rash is one of the most frequent issues, appearing as red, irritated skin in the diaper area due to moisture, friction, or sensitivity to materials.

Eczema, or atopic dermatitis, is another common condition characterized by dry, red, and itchy patches, often triggered by irritants, allergens, or temperature changes.

Cradle cap, or seborrheic dermatitis, manifests as greasy, yellowish scales on the scalp and occasionally in other areas, though it’s harmless and usually resolves on its own.

Baby acne, caused by maternal hormones, presents as small red or white pimples on the face and typically clears up without intervention. Contact dermatitis occurs when a baby’s skin reacts to irritants like soaps, detergents, or fabrics, resulting in redness and swelling.

Other conditions include milia, tiny white bumps caused by blocked skin pores, and heat rash, which appears as red bumps or blisters when sweat becomes trapped in folds such as the neck or groin.

Hives, or urticaria, are raised, itchy welts that can develop from allergic reactions to food, medications, or environmental factors.

Dry skin is also common, especially in colder weather or with frequent bathing, and may lead to flaky or rough patches. Allergic reactions can present as redness, swelling, or itchiness, often from certain product ingredients or environmental triggers.

When should I see a pediatrician or dermatologist for my baby’s skin?

Seek medical attention if your baby’s skin issues persist or worsen despite basic skincare or over-the-counter treatments. If you notice signs of infection, such as skin that is warm to the touch, red streaks, or oozing, especially when accompanied by fever, immediate medical care is crucial. Allergic reactions, such as hives, swelling, or difficulty breathing after exposure to a certain food, product, or environmental factor, should also be addressed right away.

Birthmarks or skin growths are usually harmless, but larger or unusual ones, or those that change in size, color, or texture, should be evaluated by a specialist. Additionally, any rash that is accompanied by symptoms like lethargy, poor feeding, or a high fever should prompt immediate medical evaluation to rule out more serious conditions.

Your baby’s skin is an important indicator of their overall health, so if you’re ever unsure about a skin concern, it’s always better to consult your pediatrician or dermatologist for guidance.

What are the best practices for preventing and treating eczema in babies?

Eczema, or atopic dermatitis, is a common condition in babies that results from an overreactive immune response and a compromised skin barrier. The key to managing eczema is a combination of prevention and prompt treatment. By maintaining your baby’s skin barrier, avoiding triggers, and working closely with your pediatrician, you can keep flare-ups under control and ensure your baby stays as comfortable as possible.

To prevent eczema flare-ups, the focus should be on maintaining a strong and healthy skin barrier. Use fragrance-free, hypoallergenic products, as fragrances and harsh chemicals can irritate sensitive skin. Keep your baby’s skin hydrated by moisturizing daily, even when no symptoms are present, using cream designed for eczema-prone skin. Avoid overbathing, as frequent baths can strip the skin of natural oils.

Environmental triggers like dry air, extreme temperatures, and certain fabrics can worsen eczema. Use a humidifier during colder months to prevent the skin from drying out, and dress your baby in soft, breathable fabrics like cotton. Avoid wool or synthetic materials that can cause irritation. For families with a history of allergies, reducing exposure to common allergens such as dust mites or pet dander may also help.

When treating eczema during flare-ups, controlling the inflammation is key. Continue moisturizing frequently, ideally within three minutes of bathing, to lock in moisture. Your pediatrician may recommend using a low-potency steroid cream to reduce redness and itching during acute flare-ups. Non-steroidal creams are also available for mild to moderate eczema and may be a suitable alternative for long-term management. To prevent the need for these, regular moisturization is crucial as those with eczema have a disordered barrier that causes them to lose moisture more.

This article does not provide medical advice. The information on site is for informational purposes only. No material on this site is intended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your physician, your child’s pediatrician, or other qualified healthcare providers with any questions you may have regarding your or your child’s health.