If your baby wakes up at night do you automatically change them? If my daughter gets up I don't unless she smells but she has never soaked through a diaper and doesn't get a rash. The family I nanny for doesn't change their son at night either and he soaks through his diaper, clothes, and bedding on a daily basis. I'm usually the one that has to take care of it since I am there for his wake ups. How would you handle this situation? Suggest night time diapers? I don't want to come off rude but it's a lot of extra work that can be avoided.