FREE NICU Friendly Smocks (Micro Preemie-Newborn)

Rated 4.95 out of 5 based on 123 customer ratings
(171 customer reviews)




***NOTE: Pattern piece C is flipped backwards on this file, we are working on updating it ASAP.  So either cut 2 mirror image for piece B or flip pattern piece C over before tracing/cutting***

One of the most popular draws to EYMM over the last 5 years has been my free NICU Friendly Smock Pattern.  By popular demand I have gotten around to professional digitizing it AND not just in the 1 original ‘one size fits most’ size but in 4 different sizes for 1lb micro preemies up to 11lb newborns.  It also has links to where you can donate if you  don’t have a NICU looking for them near by.

I drafted this pattern 7 years ago after my cousin’s little boy Benjamin was born months early weighing in at 2lbs 8oz I searched everywhere for preemie cloths to fit! Babies less than 3lbs are considered ‘micro-preemie’ & you can actually find some stuff on the internet to buy made, but not many patterns.

So after looking at different things I drafted up a pattern for a NICU friendly preemie smock that fits a good range of sizes. When babies are in the NICU it really helps the parents to see their little ones wearing some sort of clothing. BUT with all the monitors & wires many clothes are difficult to get on, or they get in the way of the wires or the nurses… which is what makes these so great! 7 years later I have revamped it to include not just 1 but 4 different sizes!!!

I do not want to sell this pattern because I did not create it so people could make them to sell, or I could profit off of it, but instead to encourage people to help others out. For that reason this pattern is FREE FOR PERSONAL & CHARITY USE ONLY. This pattern, the pieces along with the instructions & photos, are copyrighted & may not be sold or reproduced without the written consent from the owner of Everything Your Mama Made & More! Feel free to link people back to this site where they can purchase it for FREE…


Before sewing items to donate to the hospital (this or others) PLEASE contact them first & ask what they need… you may need to bring this in to show them before they can give you an answer. Some hospitals are very strict about what they can take. If you would like to help but don’t have a local hospital in need Gracie’s Gowns always has families in need! You can send them there & they will distribute them to NICU’s & families who would love them.

If you have, any questions feel free to send me a quick email or leave a comment Happy Sewing! Kymy Everything Your Mama Made & More!

***NOTE: Pattern piece C is flipped backwards on this file, we are working on updating it ASAP.  So either cut 2 mirror image for piece B or flip pattern piece C over before tracing/cutting***


  • Micro Preemie 1-3lbs & up to 15″
  • Tiny Preemie 3-5lbs & up to 17.5″
  • NB Preemie 5-8lbs & up to 20″
  • Newborn 8-11lbs & up to 22.5″


  • 1/8 yard or more soft cotton fabric PREWASHED
  • Sewing Machine
  • Thread
  • Pins
  • Scissors
  • Tracing tool


  • Printer
  • Letter Sized Paper
  • TapeThis is one of the few patterns I ask you NOT TO SELL.  I do not want to sell this pattern because I did not create it so people could make them to sell, or I could profit off of it, but instead to encourage people to help others out. For that reason this pattern is FREE FOR PERSONAL & CHARITY USE ONLY.*Free EYMM downloads do require you create a free account to log-in and download the files for file security.  This also allows us to send out any updates that are made.  Sorry for the inconvenience.*

171 reviews for FREE NICU Friendly Smocks (Micro Preemie-Newborn)

  1. Rated 5 out of 5

    Sarah (verified owner)

    Thank you so much for this beautiful pattern! I friend of mine is having her third child and discovered he will need multiple operations in the weeks after birth – I can’t begin to understand the worry and heartache but to be able to make something to show the family how loved and cared for he is, has been really special.
    The pattern was very straightforward and I would definitely use it again. I used organic jersey and did the tabs with Velcro. They turned out really great!

  2. Rated 5 out of 5

    Sarah (verified owner)

    Attached image:

    Here’s a photo of the gowns I made for my friends baby. Thank you so much!

  3. Rated 5 out of 5

    Terri (verified owner)

    Thank you so much for providing this free of charge – I use it to sew for a group that donates to NICUs across the UK. I made the two sided version and lined it with soft flannel.

  4. Rated 5 out of 5

    BELINDA (verified owner)

    This pattern was very easy to make. I used flannel to make this reversible. My great nephew was only 5# at birth and had a hard time keeping his body temp up. I used the NB premie size but it was a little big. I believe they will be donated to the hospital after he is finally able to go home. Praying that is soon.

  5. Rated 5 out of 5


    Thank you for creating this pattern. My grandson will be born in September and he has been diagnosed with hypo plastic left heart syndrome. I am going to make some for him to wear in the NICU. My daughter will have to deliver him 4 hours away at Medical University of Charleston in Charleston, SC. My question is has the correction been made to the pattern for the right and left side (piece B & C)? It looks like it has and I didn’t see where there was a notation to flip the pattern piece for the mirror image, but I wanted to make sure before I cut out the fabric so I don’t waste fabric. I will try to remember to upload pictures after he is born.

  6. Rated 5 out of 5

    Barbara Arnold (verified owner)

    Smocks were really cute and super easy to make. I made four for my friend’s grand baby in the smallest size, and then 4 more when she got bigger. She now weighs 4 1/2 pounds and we just know she’ll be coming home soon! Thank you for such a sweet useful pattern.

  7. Rated 5 out of 5


    I made these for a friend’s 23 weeker. The pattern was simple to follow and turned out great! I used leftover fabric to make matching burp cloths.

  8. Rated 5 out of 5

    Debbie Fisher (verified owner)

    Attached image:

    Love this pattern. It was so easy to use and I made 4 of them for my micro preemie granddaughter. She hasn’t been able to wear them yet, do to all the tubes and wires, but hopefully this week or next she will. Thank you for the free pattern.

  9. Rated 5 out of 5

    Candace (verified owner)

    Gowns were super easy to make!! I made three in hopes that my cousins little one will be able to use them in the NICU. Thank you so much for the pattern and instructions:)

  10. Rated 4 out of 5

    Rose Marie Morrell (verified owner)

    I’m excited to get started.

  11. Rated 5 out of 5

    Annette (verified owner)

    Thank you so much for this easy to make pattern. I recently made 50 of them to donate to the hospital in Vanuatu, they were very grateful.

  12. Rated 5 out of 5

    Esther Palmer (verified owner)

    I downloaded this pattern for use by our ladies group at church that makes items to donate anywhere we feel there is a need. It is such an easy pattern to cut out and sew. I cut out 10 and had them completed in a couple of hours time. We will be making these to donate to our local hospitals and some of the normal sizes will go to a local shelter for unwed teens. Thank you so much for sharing and I look forward to trying some of your other patterns in the future.

  13. Rated 5 out of 5


    I think that this pattern is so precious and I make the little nicu shirts and give to the hospitals and parents that have preemies also I make a small loom knit hat too or a small loveie

  14. Rated 5 out of 5

    Emily (verified owner)

    This is a wonderful pattern! It’s so easy and start to finish it took me less than an hour! I promptly when through my fabric stash and cut out 5 more gowns and am working on another size. And the best thing is it was provided for FREE! Thank you for being so selfless and providing this pattern for the sweet little ones who will be receiving them!

  15. Rated 5 out of 5

    Mindy Craig (verified owner)

    So easy to make. Nicu loves them! Our prem is still too teeny for the micro size but as soon as she can wear them there will be heaps!

  16. Rated 5 out of 5

    Nicole Tull (verified owner)

    Attached image:

    The pattern is easy to work with. I made them reversible since I don’t have a serger. I worked with flannel, cotton lycra, and double brushed poly.

  17. Rated 5 out of 5

    Sandra Reed (verified owner)

    I made a few of these tiny vests in woven fabric, lined with cotton jersey, for a friend’s granddaughters. The twin girls weighed only 2lbs at birth and so had very few of their own clothes. Their parents said the little vests were great as they are so practical, easy to put on and take off, and allow for the tubes that were attached to the girls in their earliest days. It was lovely to find this pattern and be able to offer practical help to the new parents. Now that the girls are home and growing fast, the vests have stayed behind at the hospital premature baby unit to continue to clothe other tiny babies that come into its care. Thank you very much!

  18. Rated 5 out of 5

    Suzanne (verified owner)

    Attached image:

    My sister-in-law’s friend’s daughter’s 3rd child by C Section is in the ICU and was floating in the clothes at the hospital. She asked my Mom to make a little hat for him. I chipped in with some vests. Thankful for this pattern as I made a tiny preemie and a NB preemie. They are so grateful. Thank you very much for this pattern. My goal when I retire is to make these and donate to the hospital. Thanks again!

  19. Rated 5 out of 5

    Gretha Kemp (verified owner)

    This is a lovely pattern. My maid’s teenage daughter just had a a premature baby and I made her a few from this pattern. I used Soft denim from old jeans for the outer layer and she loves them. Thanks and Greetings from South Africa

  20. Rated 5 out of 5

    Laura (verified owner)

    I make these for every baby I know who has had to go to the NICU. I love that there is something fun I can provide during an often scary time. My friends have been thankful to have something besides a hospital blanket to put on their babies. A couple of times, we didn’t know the sex of the baby ahead of time, but knew they were coming early. I quickly did a boy and a girl version and gave them both. Each time, they parents donated the unused outfit to another NICU baby.

  21. Rated 4 out of 5


    I’m so excited that I just found these! My son and daughter in law are expecting triplets in April. We are already preparing for a stay in the NICU because most triplets are born so early. In looking for simple projects to make so that I can brush up on my sewing skills, I came across this pattern. I can hardly wait to get started. Thank you so very much!

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