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In page Diaper:

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Wool pants, or, once available, rubber pants, were sometimes used over the cloth diaper to prevent leakage. Doctors believed that rubber pants were harmful because they thought the rubber acted as a poultice and damaged infants' skin.[citation needed] The constant problem to be overcome was diaper rash, and the infection thereof. The concern was that the lack of air circulation would worsen this condition. While lack of air circulation is a factor, it was later found that poor hygiene, involving ineffectively washed diapers and infrequent diaper changes, along with allowing the baby to lie for prolonged periods with fecal matter in contact with the skin, were the two main causes of these problems.[citation needed]