Premature Baby

Preemie Cloth Diapers

Yes, cloth diapers do exist that actually fit a small baby, they are just not widely available. You have found the internet's largest cloth diaper source for premature and small babies.

Why cloth? It is easier to monitor your baby's output when using cloth diapers.  When mama does kangaroo care or koala care for your baby in cloth diapers, you can monitor your baby's output.  

A proper fit really does make a difference. If you have a tiny one, don't waste your precious energy struggling to stuff diapers that are too big into a cover that doesn't fit correctly. Purchasing preemie (premie) size diapering items for any baby under about 6 pounds 10 ounces is a worthwhile investment you will be glad to have made.

Using cloth diapers that fit correctly is easy, but figuring out what diapering items to buy is the hard part! The preemie diapers will be your doublers later on, so you never need to buy a doubler. The wipes will be used like crazy all the way to potty learning also. The only thing you won't keep using are the covers, which will get outgrown, but the rest of the items you need to get started you will keep using for then next 2.5 years. Thus, if you have a little one, it's actually a very economical purchase the suggested amounts.

3 or 4 dozen preemie prefold diapers (the diapers are little so you can fit a lot in the washer. 4 dozen recommended.)

4 or 5 covers

3 or 4 packs of birdseye wipes (birdseye are thinner than two-sided wipes which is nice for a tiny one) or one-layer muslin wipes. Using two muslin wipes as once makes a very nice tiny preemie diaper, so you get two kinds of uses from the muslin wipes.

premature baby in preemie prefold clothdiaper  Preemie purple edge prefold with front folded down.

premature baby diapers Size Preemie purple edge Cloth-eez prefold diaper with a Snappi Fastener.

preemie baby in a prefold cloth diapers 4 and a half pounds Four and a half pounds in size preemie purple edge Cloth-eez prefold diaper

 premature baby cloth diapers  cloth diapers for a premature baby 4 pounds 13 ounces in Cloth-eez organic prefold size preemie purple edge.  Thirsties Duo Wrap Size One in Iris over it.


premature baby in preemie diaper cover   cloth diaper wrap on premature baby 7 pounds 2 ounces, 12 weeks old, in Cloth-eez Wrap Size Zero. She's been using this wrap since she was 4 pounds in NICU.  Shown over a Cloth-eez Birdseye Flat diaper size Half.



preemie purple edge prefold on baby Term 2.5 weeks old, 6 pounds 11 ounces in size preemie purple edge Cloth-eez prefold diaper, fastened with a blue Snappi Fastener.

boingo 5 pounds 4 ounces, 1 month old born 6 weeks early in preemie purple edge prefold fastened with a Boingo

snappi 37 days old 5 pounds 7 ounces, 37 days old, born at 34 weeks

preemie cloth diaper on a baby 6 pounds.

half flat half flat shown Snappi fastened, but for little ones we recommend pinning it instead. The Birdseye Flat diapers in size half, called "Half Flats" are nice preemie or newborn diapers, but the Cloth-eez Prefold Diapers in size Preemie are easier to use and more popular.

Bummis Super Whisper print size newborn. This is a much bigger cover. Notice the big gap at the leg. The velcro tab should have been pulled in to overlap each other to snug that up on this little one. Snugging it in would make it workable on her.

Mama says her little koala baby is adorable and snuggly in her tiny cloth diapers.  Kangaroo care / koala care in cloth diapers.

Twins in Workhorse  36 week twins pictured here at 8 days old, weighing about 4 pounds 9 ounces each in Workhorse no closure.

Below is Charlie in Thirsties Duo size 1 Storm Cloud at about 5.5 pounds and 3 weeks old with a preemie size prefold diaper underneath. The trick to making this cover work is using the preemie size diaper underneath. It's really not a preemie size cover and it is much larger than the Bummis Super Brite size newborn cover. This storm cloud color cover is the old-style hook and loop closure. The new style is larger thus choose the snap version for a little one.

preemie in Thirsties Duoleg on preemie baby in duoCharlie preemie in Duo

preemie Preemie baby, 5 pounds 8 ounces in a Thirsties Duo size 1. The trick to making this work on such a little one is using a preemie prefold underneath it.



twins in school of fish Preemie twins just home at about 4.5 to 5 pounds in Thirsties Duo size 1 over a size small/one-size birdseye flat diaper. A half size flat would be trimmer, but with all that cotton of the small/one-size flat in there to absorb, there are no leaks even though the cover is still so roomy. They are comfortable and leak-free.

preemie in white

preemie prefold on a baby Size preemie is thinner than size newborn. It has fewer layers. Preemie has 2 layers on each side and 6 layers in the center, called 2-6-2 ply. Preemie are just a little bit longer and narrower than newborn. The length is folded down on the baby in this picture.

preemie baby in cloth diapers 


36 weeks size zero diaper wrap 6 pounds 36 weeks cord dip diaper cover One week old born at 36 weeks plus 1 day, 6 pounds in Cloth-eez Wrap size Zero.  This is not the smallest setting of this little cover.   See the lower row of snaps that are not used in this picture?   If you fold over the top of the cover, you can use the lower row of snaps to set it to fit a smaller baby.   

newborn baby  Thre are many ways to use the snaps on the Cloth-eez Wrap size Zero.   5 days old, 6 pounds 1 ounce.

5 pound newborn baby in Thirsties Cover 5 pounds 12 ounces, size Newbie grey edge prefold under a Thirsties Cover size Preemie/Newborn.


We need more pictures of preemies in cloth!  Send yours to

Newbie grey edge is a large preemie size.  2-6-2 layering.  

newbie and newborn prefolds newbie and newborn comparison of thickness Newbie is preemie layering but it is about the same size as the newborn orange edge. It is wider than the typical preemie diapers are.

compare preemie to newborn prefold Preemie purple edge is preemie layering 2-6-2 ply, the same layering as the Newbie grey edge prefolds. But the Preemie purple edge is smaller, at 9.5 wide x 10 inches long. This is a new size, which is a little wider and shorter than our old white edge preemie size which we no longer carry. Moms of babies in NICU have requested this size - many moms told us this over the years, so we finally made this custom preemie size. We don't have pictures on a tiny baby yet, but we do need some. Send pictures to

 newbie folded down 5 pounds 7 ounces, 9 days old. Newbie grey edge "large preemie" size. It is a very lightweight 2-6-2 ply diaper suitable for preemies or for just the first week or two for a full term baby. They are the same size as newborn orange edge prefolds but much thinner. These are nice if you don't want bulk on your newborn. Change often. You can always add a doubler to it. They newbie grey edge are make wonderful doublers all the way to potty learning so if you have some, you will use them and keep on using them. Newborn orange edge are 4-8-4 ply and Newbie grey edge are just 2-6-2 ply. 2-6-2 ply means 2 layers of cotton on the outside ends and 6 layers in the center panel. 4-8-4 ply means 4 layers in both outside panels and 8 layers in the center panel. More cotton=more absorbency, but it also means thicker of course. Newbie grey is a lot wider than regular preemie diapers, but still preemie layering. Full term babies will out-wet this diaper before it is outgrown so plan on adding a small doubler to it.

newbie Newbie grey edge on an 8 pound baby. By the time baby is 8 pounds, the diapers will fit fine but they are only 2-6-2 ply, so baby will out-wet the diaper quickly. Just add a small yellow edge doubler to this to increase absorbency as needed.


preemie newborndiaper cover on 6 lb baby Size preemie/newborn Thirsties Cover on a 2 week old baby in the 6 pound range. This can work on a preemie from about 4 pounds. Thirsties (Original) Diaper Cover in hook and loop closure. The Thirsties COVER is not the same as the Thirsties DUO. They are different items. I don't have a picture on a tiny preemie baby in the Thirsties Cover yet though. If you have one, or any preemie pictures that you'd like to share for this page please email

Prefold Diapers: go to item ordering page button