Hi S.B. – helping children to achieve nighttime continence works a little differently to daytime training. Nighttime wetting typically happens when children are asleep and are not in conscious control over their bladder, making it more difficult to train a child to become dry at night. The most common cause of nighttime wetting is a neurological-developmental delay. Young children whose nervous systems are still forming may not be able to know when their bladder is full. Consequently, they do not wake up in time to go to the toilet. You can encourage healthy bladder development by ensuring she drinks water regularly throughout the day and fully empties her bladder just before bedtime. Time and lots of patience are the best ways to manage bedwetting among young children, remembering that most children stop wetting the bed by the time they turn 6 years of age. Until then I would continue using the Pull-Ups, if you find these become too small or do not offer sufficient absorbency then you could try DryNites.

Regards,
Dr Cathrine

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