How to: Change a nappy

Is it weird that I was terrified the first time I changed my daughter’s nappy. To make matters worse, she was in Neo Natal ICU and I felt like all eyes were on me and I had no idea what I was doing! 

Changing a nappy might seem like one of the simplest parts of parenting — until you’re faced with your first real one. It can feel awkward, messy, and even stressful at first. But with a little know-how (and the right supplies), it quickly becomes second nature. Trust and believe me….you will get PLENTY of practice !! 

Whether you’re getting ready to change your very first nappy or just need a confidence boost, I’ve put together a handy little guide to break it down step by step.

What You’ll Need

Before you start, have everything within arm’s reach. At home I use the Iropro Baby Changing Table Infant Changing Table which has handy pockets at the side to store everything I need for the “procedure!”. Whilst I’m out I use a Portable Nappy Changing Mat. I find this really useful for just creating a clean surface on a public changing table or protecting my car seats! 

Then you will need 

  • A clean nappy (disposable or reusable- there was just no way I was going to use re-usable im afraid! I try every which way to do right by the planet and recycle every last little thing, but let’s put it this way – the other day my daughter went through four nappies before I’d even got her dressed and ain’t nobody got time to be washing that much! )
  • Baby wipes or warm, damp cotton wool – at home I fill a tupperware of warm water and use that with cotton wool.
  • A changing mat or clean towel
  • A nappy bag or bin
  • Barrier cream (if needed)
  • A change of clothes (There has been times that I’ve needed one as well as baby!!!!) 

How Often Should I Change My Baby’s Nappy?

Most advice sites would say that Newborns typically need a nappy change every 2 to 3 hours, but I’m here to tell you that SOMETIMES it feels more like every 2 to 3 minutes!! Just be prepared that at first you will need a lot of nappies as baby gets used to feeding. 

Wet nappies are slightly less urgent than dirty ones, but it’s still best to change frequently to prevent nappy rash.

Step-by-Step: How to Change a Nappy

  1. Wash your hands (or use hand sanitiser if you’re out and about).
  2. Lay your baby on their back on a clean, secure surface.
  3. Unfasten the dirty nappy and gently lift your baby’s legs by the ankles. I sort of fold the dirty nappy in on itself so the mess is covered and leave it under baby whilst I clean – just in case of any further explosions! 
  4. Wipe front to back using baby wipes or damp cotton wool — especially important for girls to avoid infection. Make sure all creases and folds are clean.
  5. Slide out the dirty nappy and place it out of reach, folded inward.
  6. Apply barrier cream if needed (especially if your baby is prone to irritation).
  7. Slide a clean nappy underneath, making sure the tabs are at the back and the top lines up with your baby’s waist.
  8. Fasten the nappy securely, but not too tightly. You should be able to slip two fingers under the waistband.
  9. Dress your baby, dispose of the dirty nappy, and wash your hands again. 

Tips for Success

  • Be prepared for surprises. Sometimes a fresh nappy triggers another wee. Keep a clean one nearby to swap quickly.
  • I don’t have a boy myself, but I’ve been told that when changing a nappy, it helps to open it without taking it off completely at first. Just gently wipe the belly with a baby wipe — apparently, this can trigger any “extra” wee to go into the nappy instead of spraying you in the face!
  • Distract older babies with a toy, song, or ceiling mobile during changes.
  • Use a waterproof mat or towel to protect your changing surface.
  • Expect leaks now and then. If they’re frequent, check the size or fit of the nappy- you may need to move up a size. 

Common Questions

What if my baby hates nappy changes?

Try keeping them warm, chatting to them, or offering a small toy. Some babies just don’t enjoy it, but try to relax and know you’re not doing anything wrong.

How can I prevent nappy rash?

Change nappies often, allow the skin to air-dry before putting on a new one, and use a barrier cream like Sudocrem when needed.

Do I need to wipe every time?

Yes – you wipe everytime you go to the toilet! Keeping the area clean helps to prevent nappy rash. 

Changing nappies is far, far from glamorous, but it’s actually a moment of bonding, and the changing table was where I got my first few baby giggles. It’s okay to fumble at first. Every parent learns on the job and your baby won’t judge you if get it wrong a couple of times.