If you’re a new parent, you’ve probably found yourself Googling every tiny spot, flake, or rash on your baby’s skin. One of the most common concerns is eczema. And because a baby’s skin barrier is still developing, choosing gentle products (including diapers) can make a meaningful difference.

We teamed up with pediatrician, mom of two, and Coterie Council member Dr. Mona (@pedsdoctalk) to break down what eczema is, what tends to trigger it, and how parents can help keep flare-ups at bay.

What Exactly Is Baby Eczema?

Eczema, or atopic dermatitis, is an inflammatory skin condition that causes dry, red, rough, and itchy patches. It often appears on the cheeks, arms, legs, and behind the knees. But it can show up anywhere, including the diaper area.

Because eczema is tied to a weakened or reactive skin barrier, babies with sensitive skin are especially prone to irritation from heat, moisture, friction, and certain ingredients in everyday products.

The good news? With the right prevention steps and skin-friendly essentials, most families can keep symptoms well-managed.

Common Baby Eczema Triggers

While every baby is different, dermatologists consistently see a few major categories of triggers:

1. Fragrance + Harsh Chemicals

Artificial fragrance is one of the most common irritants for eczema-prone skin. The same goes for dyes, preservatives, and certain surfactants found in baby products.

Because diapers sit against your baby’s skin 24/7, they’re a good place to start in reducing the risk of eczema. Hypoallergenic and fragrance-free diapers (like Coterie’s) can help reduce unnecessary exposure to these triggers.

2. Moisture + Prolonged Wetness

A warm, damp environment weakens the skin barrier, making eczema more likely to flare. Choosing a diaper designed for fast absorption and dryness can help to limit the moisture and friction that irritate sensitive skin.

3. Heat + Sweat

Overheating is a major trigger, especially in skin folds and the diaper area.

Tip: Dress baby in breathable layers (cotton is always a great choice) and use diapers made with soft, non-abrasive materials that don’t trap heat.

4. Irritating Fabrics or Materials

Building on the point above, some babies’ skin reacts negatively to rough textures or materials that hold onto moisture or rub the skin. By choosing Coterie diapers, which use soft, clothing-grade materials and totally chlorine-free (TCF) pulp, you can limit your baby’s contact with irritants.

Spotting Sensitive or Eczema-Prone Skin

It can be hard to tell the difference between eczema and other rashes (especially when they’re infants and can’t tell you exactly what they’re feeling). But usually when it’s eczema, you’ll notice:

• Persistent dry patches
• Rough or bumpy areas
• Redness that worsens with heat or moisture
• Baby scratching or seeming uncomfortable

If symptoms don’t improve with gentle products and basic eczema care, your pediatrician may suggest seeing a pediatric dermatologist. They can help diagnose eczema vs. other concerns (like cradle cap or contact dermatitis) and recommend targeted treatments.

Dermatologist-Recommended Basics for Managing Eczema

These foundational steps can help keep flare-ups minimal:

1. Use fragrance-free, hypoallergenic products

This includes everything from shampoo and lotion to diapers and wipes.

Coterie's diapers and wipes are hypoallergenic, fragrance-free, dermatologist-tested, and designed to minimize irritation. We’re also one of the few baby-care brands with the National Eczema Association Seal of Acceptance™ on its wipes—meaning they’ve been evaluated as safe for eczema-prone skin.

2. Moisturize daily

Keeping the skin barrier hydrated is the most basic, but also most important step of eczema care. Apply moisturizer immediately after bath time while skin is still damp.

3. Avoid overheating

Heat + sweat = near-guaranteed flare for many babies with eczema. Cool layers and breathable fabrics help.

4. Keep baths short and warm, not hot

You might love a long, hot shower, but hot water can strip your baby’s skin barrier. Make sure you test the water temperature before putting your baby into the bath, keep it to 5-10 minutes max, and then follow with a rich moisturizer, like Coterie’s, right afterwards.

When to Talk to Your Pediatrician

It’s always okay to check in with your pediatrician, especially if:

• Eczema seems severe or painful
• Over-the-counter moisturizers aren’t helping
• Symptoms spread or worsen
• You suspect a reaction to a product

They may recommend prescription treatments or refer you to a pediatric dermatologist who can create a long-term eczema management plan.

The Bottom Line

Eczema is incredibly common in babies. And while flare-ups can be frustrating, a few reliable habits and skin-friendly essentials can make a real difference. Choosing gentle, fragrance-free diapers, using simple skincare products, and focusing on moisture control can go a long way in keeping your baby’s skin eczema-free.