This item can use alone,If baby urine is a lot, you can use with inserts together, put a thin Inserts over the inside, but the diapers can not fix inserts.Once the diaper is wet, need to change it in time, and do not use it at night.Color: Multicolor optionalGender: UnisexFabric1: 100% cotton gauzeFabric2: 100% TPU composite membraneSize: Reference WeightS 3-9KGM 8-12KGL 9-18KGPackage includes: 1 Cotton Baby Training Pants