What are the smallest diapers available?

[HealthShepherd]

Hello all. My unit (level III medical, mostly dealing in premies) uses Pampers diapers in sizes P-S and N (and occasionally 1 for the chronic kids). The P-S diapers look fine on the feeder-grower crowd, but I hate to see them on the very little babies. We have to roll up the fronts so that the diaper doesn't reach the armpits, creating a lump that the babies have to lie on if they're prone. Worse, there's nothing to do about the width of the diaper at the crotch, so the tiny babies' legs are forced apart. It looks very uncomfortable to me, and I doubt it's very good developmental care either.

What I'd like to see are diapers about half the size of Pampers P-S, that would fit comfortably and look sharp and dignified. Do these exist?

Thanks, Rhymeswithlibrarian

[traumaRUs, MSN, APRN]

Found this:

http://www.babylinq.com/micropreemiediapering.aspx

They start a size

[FA to CRNA2b]

The NICU at my hospital uses tiny diapers. They're about the size of a 2X2.

[RosesrReder, BSN, MSN, RN]

We use preemie XS for up to (P-XS) Swaddlers from Pampers that fit up to 4lbs. They are about the same size of a maxi pad.

[dawngloves, BSN, RN]

We use preemie XS for up to (P-XS) Swaddlers from Pampers that fit up to 4lbs. They are about the same size of a maxi pad.

Yes, Pampers makes a preemie xtra small. You need to tell your supply people to order them. The big diapers are not developmentally appropriate for the less than 1 kg crowd.Can cause hip problems and such later in life.

[prmenrs, RN]

Childrens Medical Ventures makes "WeePee" diapers: http://weepee.respironics.com/

[NeoNurseTX, RN]

One NICU I worked in used WeePees and the other uses P-XS..which stick to EVERYTHING.

[prmenrs, RN]

Which did you prefer?

[RosesrReder, BSN, MSN, RN]

We trialed the weepee's and didn't like them. Mostly because they were plastic unlike the swaddlers which are soft, breathable with velcro-like straps. The weepees would fall apart and became yucky under warmers.

[NeoNurseTX, RN]

i liked the weepees.

[Sweeper933]

We use preemie XS for up to (P-XS) Swaddlers from Pampers that fit up to 4lbs. They are about the same size of a maxi pad.

We use the same ones

[dawngloves, BSN, RN]

I hated Wee Pees. They would leak and the tabs stuck to the babies skin.