If nappy changing becomes just a mechanical task, says Dr Maria Robinson, both baby and carer lose out.

Some of my colleagues have been saying that I take too long when changing nappies, which is worrying me. We have a key person system in place where one of us takes charge of planning, observations and liaising with the parents of our small group. The daily routine includes nappy changing times in the morning when they arrive, and before lunch. We don't always "do" our key children. There seems to be a pressure to get through feeding, snack and meal times quickly, and now it seems as if changing nappies is more rushed - almost like a competition at times.'

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