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First time mums

Nappy rash

First time mum to a 4 week old little boy. He was premature currently 39 weeks corrected age. He has terrible nappy rash. He’s on expressed breast milk and eats lots. He had nappy rash in the hospital and they advised using metanium which cleared it super fast. We have also tried bepanthen and Aveeno nappy creams. We were using water wipes and Huggies wipes but we have changed to just water and cotton wool. We are doing daily baths with breast milk also as advised on lots of forums and by the health visitor. We are using pampers nappies and not sure if we should maybe change if they aren’t absorbing enough. He poops really often and we change his nappy as soon as we see it’s soiled usually 1-2 hourly. He doesn’t cry when he’s soiled so it does require us keeping a very close eye so if we are out it could be up to 3 hours but never more than this and that’s the odd occasion.

Any ideas on changing nappies or anything else we can do?