I give Pip things to hold for me. Like his pants (put them on his face, takes a while for him to pull them off) and the cream and stuff. Otherwise if I blow a raspberry on his tummy, he giggles for a while and that lets me change the nappy. On really bad days, I use the safety strap on the change table.

Ummmm and I also put a small hook up on the wall next to the change table, *just* in reach if he stretches for it. I put a different thing on there each time - a sock, a toy, a pen, anything that gets his fancy.

Good luck - isn't it a pain?