Why Cloth Diapers Might Be Causing Your Baby’s Diaper Rash!

June 23, 2024

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As a parent, you’ve likely spent countless hours researching the best options for your baby, from cribs and strollers to feeding and diapering. If you’ve chosen to use cloth diapers, you may have been drawn to their eco-friendliness, cost-effectiveness, and potential health benefits. However, despite your best efforts, you may find yourself dealing with a frustrating and painful problem: diaper rash from cloth diapers. In this comprehensive guide, we’ll explore the common causes of cloth diaper rash, provide practical tips for preventing diaper rash with cloth diapers, and offer guidance on treating diaper rash when it does occur.

Understanding Cloth Diaper Rash

Diaper rash is a common skin irritation that affects the diaper area, causing redness, inflammation, and discomfort for your baby. While diaper rash can occur with any type of diaper, cloth diapers may present unique challenges that can contribute to the development of rash.

Common Cloth Diaper Rash Causes

Several factors can lead to diaper rash from cloth diapers:

  1. Moisture: Cloth diapers, while absorbent, may not wick moisture away from your baby’s skin as effectively as disposable diapers. This prolonged exposure to wetness can irritate the skin and lead to rash [1].
  2. Infrequent changes: Because cloth diapers are less absorbent than disposables, they require more frequent changes to prevent moisture buildup. Failing to change your baby’s diaper often enough can result in diaper rash [2].
  3. Detergent sensitivity: Some babies may be sensitive to the detergents used to wash cloth diapers. Harsh chemicals, fragrances, and detergent buildup can irritate the skin and cause diaper rash [3].
  4. Ammonia buildup: If cloth diapers are not washed properly or frequently enough, ammonia from urine can accumulate in the fibers, leading to skin irritation and diaper rash [4].
  5. Yeast or bacterial infections: The warm, moist environment created by cloth diapers can be a breeding ground for yeast and bacteria, which can cause or exacerbate diaper rash [5].

Identifying Cloth Diaper Rash

To determine if your baby’s diaper rash is caused by cloth diapers, look for the following signs:

  • Redness, inflammation, or irritation in the diaper area
  • Rash that appears or worsens after switching to cloth diapers
  • Rash that improves when using disposable diapers
  • Rash that persists despite proper diaper changing and skincare routines

If you suspect that your baby’s diaper rash is caused by cloth diapers, it’s essential to take action to prevent further irritation and promote healing.

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Preventing Diaper Rash with Cloth Diapers

Preventing diaper rash is always preferable to treating it. By implementing the following strategies, you can minimize the risk of cloth diaper rash and keep your baby’s skin healthy:

Choose the Right Cloth Diapers

Selecting the best cloth diapers to prevent rash is crucial. Look for diapers made from natural, breathable fibers like cotton, bamboo, or hemp. These materials allow air to circulate and reduce moisture buildup. Avoid synthetic fabrics or waterproof covers that can trap heat and moisture against your baby’s skin [6].

Change Diapers Frequently

To prevent diaper rash, change your baby’s cloth diapers every 2-3 hours, or as soon as they become wet or soiled. This helps minimize exposure to moisture and irritants. During the newborn stage, you may need to change diapers even more frequently, as babies tend to produce more waste [7].

Use the Right Absorbency

Choosing cloth diapers with the appropriate absorbency for your baby’s age and needs can help prevent diaper rash. Newborns and younger babies may require more absorbent diapers or additional inserts to keep their skin dry. As your baby grows and produces more urine, you may need to adjust the absorbency accordingly [8].

Establish a Proper Washing Routine

Cloth diaper care is essential for preventing diaper rash. Develop a consistent washing routine that effectively removes waste, bacteria, and detergent residue. Follow these tips:

  • Rinse soiled diapers immediately to prevent staining and odors
  • Wash diapers every 2-3 days to prevent ammonia buildup
  • Use a detergent specifically designed for cloth diapers, or choose a fragrance-free, hypoallergenic option
  • Avoid fabric softeners and dryer sheets, which can leave residue and irritate the skin
  • Rinse diapers thoroughly to ensure all detergent is removed
  • Dry diapers completely before use, either in the dryer or by line drying in the sun for a natural disinfectant effect [9]

Allow Diaper-Free Time

Giving your baby some diaper-free time each day can help prevent diaper rash by allowing the skin to breathe and stay dry. Place your baby on a waterproof mat or towel and let them enjoy some naked playtime. This is especially beneficial if your baby is prone to diaper rash or has sensitive skin [10].

Use Barrier Creams

Applying a barrier cream or ointment to your baby’s diaper area can help protect the skin from moisture and irritants. Look for products containing zinc oxide or petroleum jelly, which create a protective layer on the skin. Be sure to choose a cream that is compatible with cloth diapers to avoid damaging the fibers or affecting absorbency [11].

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Treating Diaper Rash with Cloth Diapers

Despite your best prevention efforts, diaper rash may still occur. If your baby develops a rash while using cloth diapers, try these treatment strategies:

Natural Cloth Diaper Rash Remedies

Several natural cloth diaper rash remedies can help soothe your baby’s skin and promote healing:

  • Breast milk: Apply a few drops of breast milk to the affected area. Breast milk contains antibodies and anti-inflammatory properties that can help heal the rash [12].
  • Coconut oil: Use a small amount of pure, organic coconut oil as a barrier cream. Coconut oil has antimicrobial and anti-inflammatory properties that can help fight infection and soothe the skin [13].
  • Aloe vera: Apply pure aloe vera gel to the rash. Aloe vera has cooling, soothing, and anti-inflammatory properties that can help reduce redness and discomfort [14].

Remember to always consult your pediatrician before using any new products or remedies on your baby’s skin.

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Over-the-Counter Treatments

If natural remedies don’t provide relief, or if the rash is severe, you may need to use over-the-counter treatments. Look for diaper rash creams containing zinc oxide or petroleum jelly, which create a barrier on the skin to protect it from moisture and irritants. Apply a thick layer of cream to the affected area at each diaper change [15].

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Switching to Disposable Diapers

In some cases, temporarily switching to disposable diapers can help clear up a persistent cloth diaper rash. Disposable diapers are more absorbent and can help keep your baby’s skin drier, allowing the rash to heal. Once the rash has resolved, you can gradually reintroduce cloth diapers, taking care to follow proper washing and changing routines [16].

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Seeking Medical Advice

If your baby’s diaper rash persists or worsens despite home treatment, or if you suspect a yeast or bacterial infection, it’s essential to consult your pediatrician. They can assess the rash and recommend appropriate treatment, which may include prescription creams or oral medications [17].

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Cloth Diaper Rash Prevention Tips

To minimize the risk of diaper rash when using cloth diapers, keep these prevention tips in mind:

  • Change diapers frequently, every 2-3 hours or as needed
  • Use diapers made from natural, breathable fibers
  • Choose the appropriate absorbency for your baby’s needs
  • Establish a consistent, thorough washing routine
  • Avoid harsh detergents, fabric softeners, and dryer sheets
  • Allow diaper-free time to let your baby’s skin breathe
  • Apply a barrier cream or ointment at each diaper change
  • Consult your pediatrician if the rash persists or worsens

By following these cloth diaper rash prevention tips and implementing a healthy skin care routine, you can help keep your baby’s delicate skin healthy and rash-free.


  • Cloth diapers can contribute to diaper rash due to moisture buildup, infrequent changes, detergent sensitivity, ammonia buildup, and yeast or bacterial growth.
  • To prevent cloth diaper rash, choose breathable diapers, change them frequently, use the appropriate absorbency, establish a proper washing routine, allow diaper-free time, and apply barrier creams.
  • Treat cloth diaper rash with natural remedies like breast milk, coconut oil, or aloe vera, or use over-the-counter zinc oxide or petroleum jelly creams.
  • If the rash persists or worsens, consult your pediatrician for guidance and treatment.
  • Implement a consistent cloth diaper rash prevention routine to keep your baby’s skin healthy and comfortable.


Are cloth diapers more likely to cause diaper rash than disposables?

Cloth diapers can be more prone to causing diaper rash if they are not changed frequently enough, washed properly, or if the baby has sensitive skin. However, with proper care and prevention strategies, cloth diapers can be used successfully without causing rash.

How often should I change my baby’s cloth diaper to prevent rash?

Change your baby’s cloth diaper every 2-3 hours, or as soon as it becomes wet or soiled. Newborns may need more frequent changes, as they produce more waste.

Can I use regular detergent to wash my baby’s cloth diapers?

It’s best to use a detergent specifically designed for cloth diapers, or choose a fragrance-free, hypoallergenic option. Regular detergents may contain harsh chemicals or fragrances that can irritate your baby’s skin.

Is it normal for my baby to get diaper rash when using cloth diapers?

While diaper rash can occur with any type of diaper, it’s not necessarily normal or inevitable. If your baby frequently develops rash with cloth diapers, it may be a sign that you need to adjust your diapering or washing routine.

When should I seek medical advice for my baby’s cloth diaper rash?

Consult your pediatrician if your baby’s rash persists or worsens despite home treatment, if the rash is severe or painful, or if you suspect a yeast or bacterial infection. Your doctor can provide guidance and prescribe appropriate treatment if needed.


  1. Merrill, L. (2015). Prevention, Treatment and Parent Education for Diaper Dermatitis. Nursing for Women’s Health, 19(4), 324-337. https://doi.org/10.1111/1751-486X.12218
  2. Stamatas, G. N., & Tierney, N. K. (2014). Diaper dermatitis: etiology, manifestations, prevention, and management. Pediatric Dermatology, 31(1), 1-7. https://doi.org/10.1111/pde.12245
  3. Atherton, D. J. (2004). A review of the pathophysiology, prevention and treatment of irritant diaper dermatitis. Current Medical Research and Opinion, 20(5), 645-649. https://doi.org/10.1185/030079904125003575
  4. Klunk, C., Domingues, E., & Wiss, K. (2014). An update on diaper dermatitis. Clinics in Dermatology, 32(4), 477-487. https://doi.org/10.1016/j.clindermatol.2014.02.003
  5. Ravanfar, P., Wallace, J. S., & Pace, N. C. (2012). Diaper dermatitis: a review and update. Current Opinion in Pediatrics, 24(4), 472-479. https://doi.org/10.1097/MOP.0b013e32835585f2
  6. Akin, F., Spraker, M., Aly, R., Leyden, J., Raynor, W., & Landin, W. (2001). Effects of breathable disposable diapers: reduced prevalence of Candida and common diaper dermatitis. Pediatric Dermatology, 18(4), 282-290. https://doi.org/10.1046/j.1525-1470.2001.01929.x
  7. American Academy of Pediatrics. (2021). Diaper Rash. https://www.healthychildren.org/English/ages-stages/baby/diapers-clothing/Pages/Diaper-Rash.aspx
  8. Thaman, L. A., & Eichenfield, L. F. (2014). Diapering habits: a global perspective. Pediatric Dermatology, 31 Suppl 1, 15-18. https://doi.org/10.1111/pde.12468
  9. Cloth Diaper Association. (2021). Washing Cloth Diapers. https://clothdiaperorganization.com/washing-cloth-diapers/
  10. Adalat, S., Wall, D., & Goodyear, H. (2007). Diaper dermatitis-frequency and contributory factors in hospital attending children. Pediatric Dermatology, 24(5), 483-488. https://doi.org/10.1111/j.1525-1470.2007.00499.x
  11. Humphrey, S., Bergman, J. N., & Au, S. (2006). Practical management strategies for diaper dermatitis. Skin Therapy Letter, 11(7), 1-6. https://pubmed.ncbi.nlm.nih.gov/17075653/
  12. Farahani, L. A., Ghobadzadeh, M., & Yousefi, P. (2013). Comparison of the effect of human milk and topical hydrocortisone 1% on diaper dermatitis. Pediatric Dermatology, 30(6), 725-729. https://doi.org/10.1111/pde.12118
  13. Verallo-Rowell, V. M., Dillague, K. M., & Syah-Tjundawan, B. S. (2008). Novel antibacterial and emollient effects of coconut and virgin olive oils in adult atopic dermatitis. Dermatitis, 19(6), 308-315. https://doi.org/10.2310/6620.2008.08052
  14. Reuter, J., Jocher, A., Stump, J., Grossjohann, B., Franke, G., & Schempp, C. M. (2008). Investigation of the anti-inflammatory potential of Aloe vera gel (97.5%) in the ultraviolet erythema test. Skin Pharmacology and Physiology, 21(2), 106-110. https://doi.org/10.1159/000114871
  15. Horii, K. A., & Prossick, T. A. (2020). Diaper Dermatitis in Children. American Family Physician, 101(7), 416-422. https://www.aafp.org/afp/2020/0401/p416.html
  16. Blume-Peytavi, U., Hauser, M., Lünnemann, L., Stamatas, G. N., Kottner, J., & Garcia Bartels, N. (2014). Prevention of diaper dermatitis in infants–a literature review. Pediatric Dermatology, 31(4), 413-429. https://doi.org/10.1111/pde.12348
  17. Merrill, L. (2015). Prevention, Treatment and Parent Education for Diaper Dermatitis. Nursing for Women’s Health, 19(4), 324-337. https://doi.org/10.1111/1751-486X.12218
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