Taos Tap: Altitude Air Drying Baby Biome?

By Franklin Everett Shaw

January 6, 2026

The first cry of a newborn is a symphony of life, a signal that a new human has arrived and is ready to breathe, to eat, to grow. But what if we could influence the very foundation of their health, their skin microbiome, right from the start? A growing trend, particularly in places like Taos, New Mexico, suggests a unique approach: air-drying newborns after birth, a practice some believe fosters a healthier skin microbiome. But is this “Taos Tap” method truly beneficial, and does it align with established pediatric guidelines? Let’s delve into the science, the risks, and the realities of newborn care in the high desert.

The skin microbiome is a complex ecosystem of bacteria, fungi, and viruses that live on our skin. It’s not just about hygiene; it’s a crucial part of our immune system, protecting us from harmful pathogens and even influencing our overall health.

The “Taos Tap” method, as I’m calling it, involves allowing newborns to air-dry completely after birth, rather than immediately toweling them off. Proponents believe this allows the amniotic fluid and vernix caseosa (the waxy, cheese-like substance that coats the baby’s skin in utero) to remain on the skin longer, potentially seeding the skin with beneficial microbes.

Vernix, in particular, is rich in antimicrobial peptides and lipids, offering a natural barrier against infection. Leaving it on the skin longer could, theoretically, promote the growth of a diverse and healthy microbiome.

However, the American Academy of Pediatrics (AAP) recommends drying newborns immediately after birth to prevent hypothermia, a significant risk for newborns, especially in colder climates or at high altitudes like Taos (elevation 6,969 feet). Hypothermia can lead to a cascade of problems, including respiratory distress, hypoglycemia, and even death.

So, where does this leave parents in Taos, or anywhere else considering this approach? The key is informed decision-making, balancing the potential benefits of microbiome seeding with the very real risks of hypothermia.

Here’s a breakdown of the potential benefits:

Enhanced Microbiome Diversity: Allowing vernix and amniotic fluid to remain on the skin could introduce a wider range of beneficial microbes.
Improved Skin Hydration: Vernix is a natural moisturizer, and leaving it on longer could help prevent dry skin, a common issue for newborns.
Reduced Risk of Eczema: Some studies suggest that a healthy skin microbiome in infancy can reduce the risk of developing eczema later in life.

And here are the risks:

Hypothermia: This is the most significant risk, especially in high-altitude environments where temperatures can fluctuate dramatically.
Delayed Resuscitation: If a newborn requires immediate resuscitation, delaying drying could hinder the process.
Infection: While vernix has antimicrobial properties, prolonged exposure to amniotic fluid could, in some cases, increase the risk of infection.

Now, let’s get practical. If you’re considering the “Taos Tap” method, here’s a step-by-step approach, keeping safety as the top priority:

Discuss with your healthcare provider: This is crucial. Your doctor or midwife can assess your individual risk factors and provide personalized recommendations.
Ensure a warm environment: The room should be warm and draft-free. Consider using a radiant warmer to maintain the baby’s temperature.
Monitor the baby’s temperature closely: Use a rectal thermometer to monitor the baby’s temperature every 15-30 minutes. Aim for a temperature between 97.7°F (36.5°C) and 99.5°F (37.5°C).
Dry the baby if their temperature drops: If the baby’s temperature falls below 97.7°F (36.5°C), dry them immediately and wrap them in warm blankets.
Consider delayed bathing: Instead of air-drying completely, consider delaying the first bath for at least 24 hours, or even longer. This allows the vernix to remain on the skin for a longer period without the risk of hypothermia.
Avoid harsh soaps and lotions: When you do bathe the baby, use gentle, fragrance-free products to avoid disrupting the skin microbiome.

A common mistake parents make is assuming that because something is “natural,” it’s automatically safe. This is a dangerous assumption. The “Taos Tap” method, while potentially beneficial for the microbiome, requires careful monitoring and a thorough understanding of the risks involved.

Another pitfall is relying solely on anecdotal evidence. Just because it worked for one person doesn’t mean it will work for everyone. Every baby is different, and their individual needs should be considered.

Here’s a real-world scenario: A couple in Taos, expecting their first child, were drawn to the idea of the “Taos Tap” method. They discussed it with their midwife, who, while supportive of their desire to promote a healthy microbiome, emphasized the importance of temperature monitoring. During labor, the room was kept warm, and the baby was allowed to air-dry for about 30 minutes while being closely monitored. When the baby’s temperature started to drop slightly, they were dried and wrapped in warm blankets. This approach allowed them to balance the potential benefits of microbiome seeding with the need to prevent hypothermia.

Ultimately, the decision of whether or not to use the “Taos Tap” method is a personal one. However, it should be based on sound medical advice, a thorough understanding of the risks and benefits, and a commitment to closely monitoring the baby’s temperature. Don’t let a trend overshadow the fundamental principles of newborn care: warmth, safety, and attentive observation.