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Inserts are sometimes needed for more absorbancy, for long naps and for night time for instance. You can place the inserts against the skin or put inside a pocket diaper. Its best to use natural materials against the skin, because basic polyester materials may absorbs the moist from the skin cauzing irritation and dry skin. However, Jutta has also soft inserts made from microfiber that can be used against the skin and that are not irritating the skin.