Is witch hazel (Hamamelis virginiana) peroneal spray safe for use in 1-year-old children?

From the Research

I strongly advise against using witch hazel perineal spray for 1-year-old children due to the potential risk of skin irritation and allergic reactions. The use of witch hazel products, especially on sensitive skin such as that of a 1-year-old, is not recommended as they contain tannins and natural compounds that may be too harsh for young children's skin 1. For diaper area care in a 1-year-old, it's safer to use gentle, fragrance-free wipes or simply warm water for cleaning, followed by a zinc oxide-based diaper cream if there's irritation or rash. Some studies suggest that gentle skin care practices, such as those outlined in the European round table meeting on infant cleansing, are best for maintaining the health and integrity of an infant's skin 2. If your child has diaper rash or perineal irritation, consult with your pediatrician who might recommend specific infant-appropriate products. Most pediatricians suggest simple approaches like frequent diaper changes, allowing air-drying time, and using protective barrier creams specifically formulated for babies rather than astringent products like witch hazel. Key considerations for infant skin care include:

• Using mild, fragrance-free cleansers that do not alter the skin's natural pH or cause irritation 2
• Avoiding products with harsh ingredients, such as those found in some witch hazel formulations 1
• Prioritizing gentle, evidence-based skin care practices to promote healthy skin development in infants 3.