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I do it for rash or when they have antibiotics. My second and third kiddos had a lot of ear infections as babies (and eventually both got tubes) and the antibiotics really messed up their digestive tract. Some babies get diarrhea from teething too-the excess saliva changes things too.
My DD always had a rush.. poor girl.. would be giving her air time all the time and no diapers when at home. Her skin was sooo sensitive.
I learned through trial and error.. Best is to wash the babys bum with water.. I carried her to the sink and rinsed it.. Then I would just place a soft cloth on her bum and let it absorb the remaining water (no rubbing) and air dry for a minute or two..
The more powders and products I used on her the more irritated it would get so water worked best for her.