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The fit was true to size, the elastic waistband made me itchy, if it was a wider band and the elastic was hidden, it would be better. It is absorbent, with walking, sitting etc. the padded area seems to shift backwards. I think that if the pad was higher up by at least another 3 inches, I would feel comfortable. I am returning these.
I wear these on top of a disposable diaper. It is very helpful in covering the fact that I am wearing a diaper and provides a smooth look under clothes.
Wearing them overnight is a big plus also because it helps to contain any overflow which sometimes occurs. I am very happy with the quality and how well they come out of the wash. I highly recommend them.