Trying to decide when to use pull-ups vs diapers at school for your child? Managing your child’s supplies, schedules, changes, and needs can be challenging and overwhelming. As the school season approaches, this article offers helpful ideas to assist you in choosing the right product or even deciding to alternate between styles, depending on the time of year.
Assess the School Environment
- Independence: If your child can manage bathroom visits on their own, pull-ups might be the best choice. They function like regular underwear, making it easier for your child to independently change themselves.
- Assistance: If your child needs help with changes, diapers with tabs might be more practical. These are often easier for caregivers to change, especially if your child’s school has dedicated staff to assist. Be sure to ask the school staff what they prefer. You may change the products you typically order during the school season to help the school staff change your child more easily.
Communicate with School Staff

- Inform and Educate: Make sure teachers, aides, and school nurses are aware of your child’s needs. Provide clear instructions on changing routines, preferred products, and any additional supplies or accommodations required.
- Build a Team: Work with school staff to create a supportive environment. Regular communication with the school can help address any issues that arise and ensure your child receives the care they need.
Pack Backup Supplies

- Be Prepared: Pack extra pull-ups or diapers, wipes, and a change of clothes in your child’s school bag. Accidents can happen, and being prepared can alleviate stress for you, your child, and the school’.
- Emergency Kit: Consider creating an emergency kit with all the essentials. Share this with school staff so they can assist if needed.
Experiment and Adapt
- Trial and Error: Finding the right solution may take some time. Try out different brands, sizes, and styles of pull-ups and diapers to determine the best fit for each style. Consider setting up a monthly order schedule that fits around the school season and adjust it as you figure out what works best for you, your child, and the school staff.
*Please note with Medicaid, you cannot receive both diapers and pull-ups in the same month. Remember to factor this in when building your monthly schedule.
- Feedback Loop: Regularly check in with your child and school staff to gather feedback and make adjustments as needed.
Consult Healthcare Professionals
- Expert Advice: Seek guidance from pediatricians, urologists, or occupational therapists. They can provide personalized recommendations based on your child’s medical history and specific needs.
Promote Independence
- Skill Building: You know your child best; when appropriate, teach them how to properly use pull-ups or diapers, as well as how to recognize when they need to be changed.
Hopefully, these ideas can help you make an informed decision about whether pull-ups vs diapers are the right choice for your school-aged child with disabilities. We have the special privilege of speaking with many different families, caregivers, and schools, and most often, we see children sent to school with diapers because that is the easiest option for the staff. Additionally, many parents and caregivers choose pull-ups when their child is out of school. Every parent and child have a unique situation and will need to make their own decision and schedule based on what works best for them. We are here to make your decision easier.
A: Start with a positive, open conversation. Share your child’s routine, whether they wear pull-ups or big kid diapers, and provide any care instructions. Most schools appreciate clear communication and may already have a plan for incontinence support.
A: Yes, children with special needs are legally protected under the ADA and IDEA. Schools must provide accommodations, including support with incontinence supplies like big kid diapers or pull-ups when needed.

