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Types and Brands of Diapers to Use for Bed-wetting and Companies That Sell Them,part 1
In cases where there have been numerous attempts to cure the bed-wetting without success or if the options available to the individual are not feasible(or desirable for whatever reason) then I think it would be prudent at this point to consider various forms of protection.This is a four part article which discusses the various types and brands of diapers available to manage bed-wetting with older children,adolescents,teenagers,and adults and companies that sell them. I encourage you to read all four parts as there is helpful information in all of them. Many parents find that it can be quite a battle convincing their youngster of the merits of wearing diapers to bed.If you're child or teenager is resistant to the idea of wearing diapers to bed you can read my article "Ways Parents Can Encourage Older Children,Adolescents,and Teenagers to Wear Diapers to Bed and Other Topics." This article discusses different methods parents can use to encourage an older child,adolescent, or teenager who is reluctant to wear diapers to bed.
The current choice of most parents to manage their child,adolescent or teenager's bed-wetting are pull-ups and “Goodnites” Both the idea for introducing pull-ups and “Goodnites” into the marketplace and the use of these products is that they are a more underwear like product and therefore it is believed they are less stigmatizing to the youngster,but for all intents and purposes they're still diapers-the only difference being they don't have tapes. No amount of cosmetic changes is going to change the fact that they're still diapers. However most people seem to feel that wearing the product will make the user feel more “dignified” which by default implies that the people who decide to use diapers instead for their bed-wetting should feel undignified,and unfortunately many people using diapers to manage their bed-wetting do feel this way.
While it is good to have different choices to manage one's incontinence we must not forget that these products are designed for the same purpose-keeping the person dry at night-and therefore no matter what you call them or how they look they're all basically diapers. Like the saying goes- “a rose by any other name is still a rose.” While the pull-ups and “Goodnites” work for a large number of people I've read and heard about cases where these garments proved ineffective at keeping the youngster dry at night. Many youngsters are very heavy wetters particularly at night and wet right through the pull-ups or “Goodnites.” If the pull-ups or “Goodnites” don't work then the parents should have the child or teenager wear diapers instead.
There are many different diapering options available for older children,adolescents,teenagers,and adults that wet the bed including pin-on cloth diapers covered with plastic pants and disposable tape-tab diapers(known as disposable briefs).We must remember that with most problems in life there is no one size fits all solution. Bed-wetting and choosing an appropriate garment to manage it is no exception.
Disposable briefs are the term for adult diapers. They come in youth and adult sizes and look and fit just like Pampers-they have tape tabs,elastic leg gathers(in addition some have elastic waist bands for added protection) and either a non woven cloth like outer cover or a plastic outer covering. It seems like within the past several years the adult diaper manufacturers are following the lead of the baby diaper manufacturers and are using a non woven cloth like outer covering with their diapers. I think the reason for this is twofold. The first reason is that perhaps it makes the diapers more breathable which means they might be more comfortable with some users,and second it makes the diapers more discreet-i.e. there is none of the telltale crinkling or rustling sound that diapers with a plastic outer covering make when the user moves around. However some people claim that the non woven cloth outer covering makes the diapers feel clammy when wet,they cause abrasion between the legs,and they're not as effective at protecting the individual. As for purchasing diapers that have a plastic outer covering and make a rustling noise,if the person is only wearing them at night this shouldn't be a concern.
If parents decide to purchase plastic pants and cloth diapers to manage their youngster's bed-wetting there is one thing to keep in mind and that is the terminology used in referring to waterproof pants. Before plastic pants came out parents used rubber pants for their babies. Then plastic pants came out and even though people used both styles of pants for awhile,eventually the rubber pants were phased out. I don't know of any companies that make rubber pants for babies but there are a couple companies that make rubber pants for older children and adults.
Many people use the term “rubber pants” as a generic term for waterproof pants particularly plastic pants. Nowadays when people use the term “rubber pants” they actually mean plastic pants. I guess after rubber pants were phased out and plastic pants became the dominant pant used for both babies and incontinent adults the term “rubber pants” just kind of stuck and many people continued to use the term “rubber pants” as a catch all term for waterproof pants. Also “plastic pants” are the same as “vinyl pants”-vinyl is a type of plastic so people use the term interchangeably. Finally if you decide to buy waterproof pants from another country such as Canada or England it's important to beware of the following. Some companies manufacture and sell “PVC(which stands for polyvinyl chloride) pants. This is also a plastic material and these pants are the same as the “vinyl” and “plastic pants.” I just wanted to bring this up so people aren't confused when buying waterproof pants. I've also heard some people use the term “rubber sheet” as a generic term for waterproof sheets-particularly plastic or vinyl sheets.
Regarding choosing a product to manage the youngster's bed-wetting this can be a tough choice for many parents. There are a couple of reasons for this. First,there are a number of different styles of garments out there. Second there are many brands of diapers to choose from. This can be very overwhelming. To make things more complicated there are styles within styles. For example if parents use cloth diapers there are many different ways to fasten the diapers and as a result different styles. These include pin-ons,diapers with Velcro, snap-on diapers,and pull-ons. The pin-on diapers come in different styles-prefold, flat,and contour. Contour diapers are hourglass shaped diapers without elastic in the legs or back. Flat diapers are rectangular diapers made with one layer. Prefold diapers are also rectangular shaped but have layers built in with more absorbency sewn into the middle part.
Cloth diapers are also made of different fabrics such as gauze, birdseye ,flannel,and diapers lined with terry cloth. Some of these fabrics are more breathable(and as a result more comfortable) than others and some are more suitable for bed-wetting. For instance some companies have cloth diapers specifically designed for night use-i.e. they have extra absorbent layers sewn into the diapers for added protection at night. Cloth diapers like disposable diapers come in both youth and adult sizes. Also if the parents choose to use cloth diapers they must use waterproof pants to cover the diapers.
The most popular form of waterproof pants are plastic pants. The current crop of adult and youth size plastic pants seem to be better made then the plastic pants made years ago. Comco, Suprima, and the Leakmaster Deluxe pants (made by Gary and sold by Adultclothdiaper.com) are just three brands of plastic pants that have a reputation for being made of a real thick durable plastic and thus well made. I've also heard that with some waterproof pants if the person uses various protective creams before putting on their diapers these have a tendency to break down the material of the waterproof pants. This seems to happen primarily with rubber pants(although this might just be the case with certain brands).
Waterproof pants come in two styles-pull-on and snap-on. From what I understand the snap-on styles are used primarily with bedridden and non-ambulatory patients because with these types of patients the pants are easier to get on and off. In addition it's to my understanding that snap-on plastic pants are used by parents for their babies because presumably these are easier to put on and take off(although personally I would think it would be just as easy using pull-on plastic pants since we're dealing with a small child. I would also think in a situation like that it would be relatively easy to put the pants on as opposed to putting them on an incontinent adult which would probably be harder for various reasons).I've also heard that snap-on plastic pants might be more breathable due to the fact that there's a slight opening because of the snaps. This in turn allows air to circulate more freely. That being said from what I understand the snap-on plastic pants are prone to leaks with some users at night especially if the user moves around a lot or sleeps on his or her side. Also I've heard that there's a tendency for the snaps to break in some cases. Finally snap-on plastic pants are more expensive than pull-ons.
Disposable diapers for heavy urinary incontinence such as bed-wetting come in two styles-pull-on and tape-on briefs. Disposable briefs as mentioned previously have the same design and fit as baby diapers. You can also get diaper doublers known as booster pads, liners,and diaper inserts to put in disposable diapers to increase the level of absorbency in the diaper. Some companies also have inserts for cloth diapers. I've heard of some people lining their cloth diapers with baby cloth diapers which can be purchased in places such as Walmart and Target.
People have different opinions as far as what type and brand of diapers to use for bed-wetting-some people swear by a certain brand or style of diapers whereas others try the same brand or style and don't like it. Many companies have samples of disposable briefs for various incontinence needs which they will send you either for free or for a nominal fee. In addition to using diapers the parents should cover the bed with a waterproof sheet in case the diapers leak. Waterproof sheets generally come in two styles, flannel with a rubber backing and plastic(also known as vinyl).The vinyl sheets in turn come in two styles-zippered or fitted. Although there are other styles of waterproof sheets the vinyl and rubber sheets seem to be the most popular ones.
I've heard about people using all types of covers to protect their youngster's bed. One woman on a parenting forum said she used a plastic tarp to cover her child's bed. In addition I've read that vinyl shower curtains are a good way to protect the bed. One woman I knew covered her daughter's bed with a regular plastic sheet. For example if you have a roll of plastic sheeting (like the kind you get in a hardware or contractor supplies store) or are considering buying one you could cut off a piece and place it under the fitted sheet or mattress pad. Many people have a roll of plastic sheeting to use for stuff such as yard work,painting,remodeling,concrete work,covering materials stored outside,covering mulch,etc. In addition some people probably have a roll of plastic sheeting from back when Homeland Security was encouraging everyone to buy plastic sheeting to protect against terrorist attacks.
If you do have a roll of plastic sheeting you might consider using some of it to cover your child or teenager's bed. There are several reasons for this. One,since you already have the plastic on hand it saves you money because you don't have to purchase waterproof sheets(not that waterproof sheets are all that expensive but in today's day and age every penny counts).Two,the hardware store plastic is pretty durable and will last for a long time. Three,you can customize how much plastic you cut to lay over the child's bed. Fourth,you can cut multiple sheets which means you don't have to use the same sheet over and over which cuts down on wear and tear. Plastic sheeting comes in several thicknesses including 3,4,and 6 mil. My feeling is the thicker the better because if the youngster rolls around a lot at night there's less wear and tear on the plastic which means it will last longer. Besides the woman I just mentioned I'm not sure if anyone else uses this type of plastic to protect the bed from bed-wetting but sometimes it's good to be a trend setter. Like with any other situation in life it's good to think outside the box and experiment with new ideas. This might be a cost effective and practical way to deal with bed-wetting.
If parents decide to use either the plastic sheeting from a hardware store or a plastic tarp to cover their child or teenager's bed it's important to keep in mind that this type of plastic makes a rustling sound which some people might find unpleasant. The crinkling noise of the plastic might make some children,adolescents,or teenagers feel self-conscious. On the other hand some individuals aren't bothered by this. Some children might be bothered by it at first but eventually get used to it. Since most bed-wetters are deep sleepers they might not have any problem adjusting to the crinkling of the plastic. One way to deal with this is to put the plastic under the fitted sheet or mattress pad and to place several layers of sheets or towels over the plastic. This will muffle the crinkling sound of the plastic. If however the youngster does have difficulty sleeping in a bed covered with this kind of plastic the parents should consider covering the bed with another type of waterproof sheet.
If you decide to go the cloth diaper route and if your budget permits you might want to consider purchasing the various styles of diapers such as pin-ons and pull-ons in addition to choosing diapers made of the different fabrics previously mentioned in order to determine what works best in your particular case. Pin-ons might be the best choice in many circumstances particularly for bed-wetting. There are several advantages to using pin-on diapers for bed-wetting: a.)these tend to be the most absorbent of all the styles of cloth diapers b.) with Velcro diapers the Velcro can wear out after a number of washings and c.)with snap-on diapers sometimes the snaps come off. d.)you can layer more material in a pin-on diaper(i.e. you can put more inserts in a pin-on diaper) than a pull-on diaper in order to make it more absorbent which is especially good for night use as people tend to wet more at night..Adding more material to a pull-on cloth diaper isn't as feasible because it tends to bunch up and one woman I spoke to at a company that sells both kinds of diapers says the pin-ons are more secure and the pull-ons tend to sag if the user is a heavy wetter. In addition it's hard to keep the inserts in place in a pull on cloth diaper. A couple other people I spoke with also said that in general you have more flexibility with the pin-on diapers as opposed to the pull-ons. For instance you have a lot of latitude with how and wear you fold them in order to prevent leaks-you can make them thicker on the sides,in the front,or in the back. I read about an individual who is a side sleeper and he overlapped more material in that area in order for the diapers to offer better protection with this particular situation.
I suspect that the pull-on cloth diapers are better suited for daytime use and people who have light incontinence-the pin-ons on the other hand are generally better for people suffering from heavy incontinence such as bed-wetting. In fact many people consider pin-on diapers to be the best diapers to manage bed-wetting.
There is one more thing I'd like to bring up regarding cloth diapers and plastic pants. Some people find that the cloth diapers and plastic pants are too hot and as a result too uncomfortable to wear in the summer months and during this time they switch to disposable diapers. Also some people alternate between disposable tape-on diapers and cloth diapers-on some nights they wear the cloth diapers and plastic pants and others they wear the disposable diapers so they don't have to wash the cloth diapers as much. The thinking behind this is that it saves some wear on the cloth diapers. Parents might want to consider experimenting with both kinds of diapers to determine what works best in their particular situation.
Choosing an incontinence product is like everything else in life-there's no one size fits all solution. It requires a lot of experimentation and trial and error. This entails getting other people's opinions(there are incontinence forums where you can pose questions about various brands and styles of garments) and then trying the brand or particular style of diaper. Keep in mind that a person's recommendation of a particular brand or style of diaper is just an opinion and while it's good to get other peoples opinions you have to try the brand or style of diapers out yourself and come to your own conclusion.
Also before buying a whole case or pack of a particular brand of diaper it's advisable to contact the company to see if they have samples available-after all you wouldn't want to spend a lot of money for a product that might not work for you. A person shouldn't get discouraged if they have difficulty finding the right product to manage their bed-wetting. With a little persistence and patience they'll eventually find a garment to suit their needs.
About the Author
I am a psychology major who writes about the stigma surrounding using diapers to manage nocturnal enuresis(the clinical term for bed-wetting) in older children,adolescents,and teenagers.The purpose of writing my articles is twofold-1.) to help people become more aware of the different diapering options out there for bed-wetters and 2.) to help older children and teens feel less embarrassed about wearing diapers to bed.
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