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SIZING
The Attends Premier Diaper comes in three sizes:
•Medium 32” to 44” waist or hip
•Large 44” to 58” waist or hip
•XLarge 58” to 63” waist or hip
The fit of theAttends Premier Brief gets a “good” rating due to the fact that they are RIGHT at what the manufacturer says without any additional room, unless the cloth side wings stretch out. We’ll cover the that later. If you fasten the combination hook and loop/adhesive tabs on the medium, for example, at the largest waist size of 44”, the tabs will be RIGHT AT the edge of the front wing of the product, with a very snug fit. They do fit well though and the tabs hold quite well, even with a snug fit.
CONSTRUCTION
The Attends Premier has an ALL WHITE cloth-like outer covering that has two yellow wetness indicator lines in the middle. They turn blue when the diaper is wet. There are two hook and loop/adhesive tabs on each side that will fasten anywhere you want to put them on the brief. The hook and loop tabs have the word ATTENDS printed all over them. If you need to refasten the brief, you pull up the tape tab and place it wherever you want it on the brief to adjust the fit. These briefs have very tall standing inner leak barriers that are THE MOST EFFECTIVE at containing urine wetness that I have ever seen! I will cover that more later. There is NO elastic waistband in front or back. The side wings of this diaper are totally breathable, which means that they will let wetness through to your clothes, IF it runs around to the side of the diaper.
The cloth backing on these briefs is very strong in the areas where the moisture barrier is. This is over the complete padded area of the diaper but not in the side wings.. It does not stretch like other brands leading to diaper sag. Unfortunately though, the side wings are very thin cloth material that does stretch a bit over time, leading to a loose diaper fit, so you'll have to readjust the hook and loop tabs over time. This is why the Cloth Backing Strength gets an "Average" rating above. The good thing though, is that the cloth backing does not tear when you fasten the hook and loop tabs very tight. The plastic under the cloth backing that all “cloth-like” diapers have (see our Paper or Plastic? article) makes NO noise under everyday clothing AT ALL. The other great thing about these is they DO NOT suffer from the damp or clammy feeling on the outside when they are saturated like many other cloth like backed products do! The only downside to this cloth like backing is that it IS breathable and allows odor to pass. If your urine is not very dilute, or you have eaten something that makes your urine smell, such as asparagus, you will notice an odor when you urinate. Otherwise, it does not seem to be an issue.
As noted above, this diaper does not have an elastic waist band in the front OR back. This diaper absorbs SO quickly and wicks SO well, that the elastic waistband would be just an extra cost waste of a feature. The elastic at the leg openings is VERY effective at giving a comfortable and snug fit around the legs and in the leg creases without binding or cutting into the skin. If the lower tape is fastened comfortably snug, the elastic will flex as you move, keeping the diaper snug against your skin without allowing leakage.
The standing inner leak barriers in this diaper are THE MOST effective against urine leakage of any diaper I have seen yet! I was very surprised when I found that between the standing inner leak barrier and the leg elastic that there was not wetness at all, even when the padding was extremely wet I am not sure how Attends managed this, because they are not as tall as some other brands on the market and they don't feel like they should be moisture proof. I don't care HOW they do it, they just do it! For bowel containment, these standing inner leak barriers will be incredibly effective even against watery stools.
Padding Size, Shape and Thickness
The padding shape on this diaper is a lot bigger than the the “figure 8” shape we’re all used to with padding out toward the wings a lot farther in the back and front than many other diapers with the “figure 8” padding shape. The padding also comes up much higher in the front and back than most diapers on the market which is great for those who sit all the time (such as wheelchair users) for wetness protection at the waist in front, and bowel protection at the waist in the back. While the padding does not wrap all the way around the sides, the standing inner leak barriers and crazy fast absorbency of the padding should catch any wetness that may try to run around to the side when sitting or sleeping on your side. The padding that extends out toward the wings in the front is about 2” narrower than it is in the back. This allows a good fit but still gives enough padding to make this a very effective product.
The padding on this product is not all that bulky for it's absorbency. The padding is just a little thicker than that in the Seni Quatro Brief. The padding tends to “fluff up” the longer the diaper is out of the bag, as Attends uses a “compressed packaging” which compresses the padding while in the bag. Under everyday clothing, this product would not be obvious at all, even though it looks bulky when you put it on. The padding absorbs VERY quickly and wicks VERY well, which is probably what leads to the dryness of the skin when it is wet. The padding does NOT bunch up or come apart when wet! This diaper is a fantastic pick for heavy incontinence during the daytime and may work well for overnight use for those who prefer cloth like products don’t wet excessively heavily at night or need just bowel protection. For extremely heavy night wetters, it’s probably a better bet to stick with a product such as the Abena Premium AirPlus X-Plus or Northshore Care AirSupreme Brief.
The Attends Premier Brief has single layer refastenable tape/hook and loop tabs. If you need to unfasten the diaper, you pull up on the tape tab to unfasten it and then place it back anywhere on the diaper. The tape tabs do not stretch at all, so they maintain their hold. This leads to a comfortable fit that won’t bind or pinch the skin. Grasping the tabs is a bit tricky once they are fastened on the brief, as they do not have ANY grip area at the end, so they may be an issue for those with arthritis or poor fine motor ability. This is why they get an "Average" rating for ease of removal. You have to take your fingernail to pry up the end of the tape from the diaper backing, then grasp the tab and pull it off.
Overall, the quality of the Attends Premier diaper is very good, with no stray padding pieces outside of the padded area, tabs that hold very well and incredible absorbency! The product seems VERY consistent case to case I have found that the quality consistency is EXCELLENT. You never feel clumps of padding or polymer, no polymer granules poking the backing, etc.. I have been really amazed at the consistency of this product. If it works well for you once, it will work well for you again and again! This is, in my opinion, the BEST diaper that Attends has put out in years!
The padding of these diapers does NOT break up or clump, no matter how active you are! I’m not sure how they do it, but I have never had a problem, whether in my wheelchair, walking in my braces, crawling under my truck to do an oil change or anything! This gives a very secure feeling.
For those who prefer an ALL WHITE backing, this product is for you! Other than the faint yellow wetness indicator lines in the crotch and the printed word ATTENDS on the tabs, this is an ALL WHITE diaper that makes NO noise under clothing. Under a pair of very thin white pants or shorts, the diaper would just look like a pair of white underwear and make no noise at all.
These diapers fit well. Not perfect per their indicated sizing, but overall well. If you are right on the edge of the next size up, go with the next size up. They have VERY generous padding size which leaves plenty of area for absorbency and bowel protection and a light feel to their fit. The interior AND exterior of the diaper is VERY soft to the touch, and the exterior is very smooth. I have had no problems with chafing of the thighs when walking in my braces. You can fasten them as snug as you like and they will hold, but the side wings cloth tends to stretch a bit over time. This can be alleviated though by making sure your pants waist band holds the diaper waist band so that it does not stretch. I give these VERY high marks in the comfort department, even when wet!
VALUE FOR THE PRICE
Considering the average cost of these diapers can vary from $1.60 to $2.25 per diaper depending on where you buy them and the size you buy, I find the cost to be reasonably low for the amount of protection they provide and the incredibly high quality! You are DEFINITELY getting your money’s worth even if you are just using this diaper for daytime use. If you have complete incontinence with large volumes, you should be able to feel secure in your protection while out and about in this diaper!
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