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Diaper Rash/Diaper Dermatitis/Contact Dermatitis
Published in Charles Theisler, Adjuvant Medical Care, 2023
Air Exposure: Air exposure to the diaper region can be increased by: Letting the baby go without a diaper and ointment for short periods of time, perhaps three times a day for 10 minutes each time, such as during naps.Avoiding airtight plastic pants and diaper covers.Using diapers that are larger than usual until the rash goes away.2
Diseases of Infancy and Childhood
Published in Ayşe Serap Karadağ, Lawrence Charles Parish, Jordan V. Wang, Roxburgh's Common Skin Diseases, 2022
Diaper dermatitis (DD), as the name suggests, occurs in the diaper area. With the advent of disposable diapers, it has not been as intense as when cloth diapers were covered by rubber protectives. The primary contributing factors are occlusion, friction, and maceration, which are augmented by the presence of urine and feces and potential bacterial and/or fungal infections (Figure 30.12, 30.13). Irritant contact dermatitis is most frequently observed directly where the diaper touches the skin and does not extend much beyond this area. The inguinal creases and gluteal cleft are usually spared.
Prognosis of Neurogenic Bladders
Published in Jacques Corcos, Gilles Karsenty, Thomas Kessler, David Ginsberg, Essentials of the Adult Neurogenic Bladder, 2020
The degree of continence is also an important parameter of functional prognosis. One of the aims of functional management is to make the patient as continent as before the neurologic injury. Strategies to reach this high degree of continence are numerous, from oral or intravesical medication to adequate bladder drainage to electrical implants or conventional surgeries. Many of these techniques, including medications, stimulators, and artificial sphincters, are not available in most developing countries. In some of these countries, the consequences of incontinence could be devastating considering the lack of decent protections such as diapers or good-quality pads.14
Experiences and coping strategies of preterm infants’ parents and parental competences after early physiotherapy intervention: qualitative study
Published in Physiotherapy Theory and Practice, 2022
Mirari Ochandorena-Acha, Rosa Noell-Boix, Meltem Yildirim, Maria Cazorla-Sánchez, Martín Iriondo-Sanz, Maria José Troyano-Martos, Joan Carles Casas-Baroy
Concerning the hospital, some mothers explained that they experienced difficulties related to the hospital routines. These mothers found that hospital routines were rigorous and very repetitive so that they felt like they were living the same day repeatedly, which increased their anxiety. In this regard, one mother stated that she felt very occupied with the hospital routine care, such as diaper changing. As a consequence, she felt that it was complicated to enjoy her daughter as much as she wanted and needed. The stay at the hospital was very hard. It was very very intense. It was as we were in a kind of loop, every day was the same, at the same time, the same routines, the nurses (…) with the same schedules … it was as if we had entered into a kind of loop and it was always the same day. Take their weight, breastfeed them, the thermometer, change the diaper … everything every 3 hours. (05 – mother, twins, NO PT program)Sometimes I felt that … I couldn’t enjoy her a lot. Because … I enjoyed feeding her, but, I don’t know, it isn’t the same to holding her, telling her things, isn’t it? So, I felt it was like: “change the diaper”, “cure the navel”, and start it again, you know? And, sometimes I said “I have the feeling that I am having little moments to say: I care for her, I hold her, I pamper her”. (07 – mother, one child, PT program)
Spinal muscular atrophy (SMA) from the urological point of view: Assessment of the urinary function in 38 patients
Published in Cogent Medicine, 2020
Francesca Destro, Federica Marinoni, Tiziana Russo, Giorgio Selvaggio, Giovanna Riccipetitoni
An interesting aspect is that when parents were asked if their child has never experienced “urinary problems”, the answer was no in all except 2 cases (5%). In contrast, when more specific questions were asked, it came out that the problem existed in 42% of patients (e.g., they reported urinary incontinence and retention). A possible explanation for this discrepancy is that wearing a diaper is considered as a means of convenience more than the expression of a problem of incontinence or a normal situation when the child has always used it. In addition, urinary symptoms are just a little expression of the underlying disease. In fact, the wetting is not a major concern considering the severity of concomitant problems. Another element that emerged from our survey is that growing up, children with SMA tend to retain urine, especially when they are at school. They frequently report that they do not want the aid of an “outsider” and they prefer waiting to be at home with their usual caregiver. This may partly explain the mean age at which the diaper was used again (13 years). Our results suggest that patients with SMA might have severe urinary co-morbidities (even if we do record neither urinary infections nor urolithiasis we had two children with urinary retention requiring catheterization). We have enlightened “bad urinary habits” that may persist and predispose to problems into adulthood.
A Qualitative Exploration of Adult Baby/Diaper Lover Behavior From an Online Community Sample
Published in The Journal of Sex Research, 2019
The subgroups seemed to be related to level of reported continence in their ABDL behavior. To communicate their use of bodily functions, participants made a distinction in their responses by saying that they would wear diapers without urinating or defecating or that they would “wear and use diapers.” Some indicated that they used diapers “for their intended purpose.” Several participants indicated a preference for the degree to which they urinated in diapers, defecated in them, or engaged in both functions. In the Using Only DL group, 25 participants made the point that they wet their diapers only and did not “mess” them (i.e., no defecation). In the Using DL Plus AB group, 14 made this same point. Regardless of group, several participants indicated variations in their frequency of urination or defecation (e.g., see Table 2, quotes 11 and 12). Other participants described fabricated methods of “incontinence.” For example, one participant mentioned wetting the diaper with water because of not wanting to urinate in the diaper. Another participant reported simulating defecation with oatmeal or bananas and rarely wetting.