This is a topic we have thankfully not had to deal with with our little precious girl. She hasn't had any diaper rash at all in her cloth diapers. Many people think that baby's in cloth get more rashes since the wet stays against their skin and isn't pulled away and turned into gel. However, it is not the wetness that inherently causes the rash. It can be several different factors but I would say it is usually a combination of the chemicals used in disposables paired with the lack of breath-ability (plastic) and THEN the wetness. Cloth are more breathable and do not contain the chemicals and therefore less rash!
However, rashes, of course, CAN occur with cloth diapers. Some babies just have super sensitive skin. Sometimes detergent build-up in the diapers can cause a rash. Sometimes even the more breathable fabrics aren't breathable enough for some babies. Whatever the reason, some parents might find themselves needing to either change their routine, or use diaper cream.
Not all diaper creams are created equal in the world of cloth diapering. Some will leave a residue on the diapers and cause them to repel liquid. So you want to use a cloth friendly diaper cream. This is a great resource that rates all of the creams and their degree of cloth friendliness. It also tells you how to strip your diapers if you use a "non-cloth-friendly" type.
Other options are
1. Try stripping your diapers to make sure a detergent build up isn't causing the rash.
2. Let baby's bum air out a bit, or try fleece or wool covers for overnights especially, or for a few days and see if getting more air helps. Fleece and wool absorb a lot of their weight in liquid, so while they aren't completely water proof, they are great for around the house. (They really do hold an amazing amount of moisture!)
3. Lay a piece of fleece in your diaper to keep the diaper cream off the diaper. Throw it in the wash with the rest of the diapers and wash as usual.
Happy diapering!
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