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

    Cheryl Newman (verified owner)

    I found out about this fantastic pattern from a fellow member of our Moonlight Quilters Guild. Our guild members agreed to assist in making a minimum number of 100 smocks for such a wonderful cause for the precious babies. The pattern is great and so simple to sew.

  2. Debbie (verified owner)

    Thank you for this free pattern. It’s been on my heart to make something like this for our local NICU. I can’t wait to get started.


  3. Rated 5 out of 5


    I love this pattern, it gave me something to do with my idle hands during a hard time. It helped me feel like like I had some control over an incredibly difficult situation. It is a super cute and easy pattern. Thank you so much for making this pattern. Everyone in the NICU loved it!!!

  4. Rated 5 out of 5

    Dana (verified owner)

    Thank you for the free pattern….easy to make…hoping to get in touch with local hospitals so our church sewing group can donate!

  5. Rated 5 out of 5

    Jennie (verified owner)

    Thank you for this pattern. Everyone knows someone that has had a premature baby. They are so fragile in there little isolettes, with tubes and wires attached everywhere. A NICU is a very busy place and when anything needs to be done by nurses and doctors, it needs to be done now. That is what makes this pattern so important. You come into a NICU, the lights are turned down so no damage is done to the infants underdeveloped eyes, it’s warm because these infants have no way to balance their own temperature, since they haven’t developed any fat yet, and there are some families who are relieved that things are going well and others that are praying for miracles. Something as simple as a colorful smock that fits that tiny precious life, can bring pleasure to those around. This is very important for hospital NICUs. But call your local hospitals and make sure they will use them, and what size they need.

  6. Belinda (verified owner)

    This was very easy to make and turned out nice. It was a tad large for our little preemie, but nice all the same.

  7. Rated 5 out of 5


    This is a great pattern for the NICU. The worse thing is having to wake a sleeping baby just yo change out IV tubing, they get so little rest as it is.

  8. Rated 5 out of 5


    My niece had a 1 lb. 10 oz. micro preemie in October and this pattern has been perfect. It has been perfect.

  9. Caryl

    My nurse contact is evaluating it with her colleagues in the NICU. Thank you!!!

  10. LaDona

    Do you have step by step sewing directions?

    • kymy (verified owner)

      They are in the file with the pattern pieces. There are text directions as well as photos. You do have to create a free account (also on craftsy but same thing) and ‘buy’ it for $0. It will not ask for your credit card information.

  11. Carolyn (verified owner)

    Made 2 tops for great granddaughters born at 2.2 and 1.15 # 3 mos early, doing well. Will see what the nurses say, and hopefully will make more.! Very cute and good idea. Thanks, made them reversable, but next ones will be single (I think)

  12. Rated 5 out of 5

    Judith (verified owner)

    Received your website from a hospice nurse who was attending my husband. My group of ladies are now making these smocks for the NICU at Winnie Palmer Women’s and Children’s hospital in Orlando Florida. We make other things for the preemies to take home with them also. Thank you for a wonderful pattern. Plan on doing this for a long time to come.

  13. Rated 5 out of 5

    Gloria (verified owner)

    Perfect little pattern. it is hard to imagine babies this little. Thank you for the free pattern to make for these angel babies.

  14. Iley (verified owner)

    Thank you so much for this pattern. My grandson was born at 2 lb 1 ounce and spent 5 hard long months in the Niswonger NICU unit in Johnson City, Tennessee. We are proud and blessed that he has just turned 2 years old! During his NICU stay I crocheted 100 preemie hats and donated to the unit. Now I want to make these smocks to donate to the unit. Thank you so much for sharing!

  15. Rated 5 out of 5

    Debbie Caron (verified owner)

    Thank you for the FREE pattern. I am in the process now making all 3 sizes and matching hats for 2 hospitals in New Hampshire. Our home is for sale and my husband is originally from there and wants to retire back home and this is an awesome way to start to get involved with my new community. If possible do you know of any bereavement pattern sets? I have heard (sadly) that these sets are also very much needed. Thank you again, Debbie

  16. pamela (verified owner)

    I cannot make enough of these! By the time I found this pattern and made about six of them, my daughter told me her baby had grown. So I made two of the 5-8 lb size. Looking for diaper cover pattern to match, which shouldn’t be too difficult. Thank you so much for making this available!

  17. Sue (verified owner)

    Very easy pattern, made with double layers of cotton flannel, and plastic snaps.

  18. Rated 5 out of 5

    Amanda (verified owner)

    Absolutely wonderful free pattern, perfect for my little nephew due to arrive any day, unless he can stay put a lot longer *fingers crossed*

  19. Rated 5 out of 5

    jess (verified owner)

    made some very cute vests for my nephew, not sure on the fit but seemed to come together nicely on my test dolly lol

  20. Clare Humphries (verified owner)

    I work In a hospital as a Healthcare assistant in maternity services and my son was born at 29 weeks , so I wanted to make something for the babies but found it very difficult to find a pattern that was quick and easy to follow untill I came across this pattern. It is definitely easy to follow and quick to make up. I would definitely recommend this to anyone.

  21. Rated 5 out of 5

    Ann (verified owner)

    Our sewing group is making these gowns (3 to 5 pound size) for our hospital’s NICU unit. They are easy to make, the parents appreciate seeing their little ones in “real” clothes, and the nurses can dress and undress the babies quickly. The gowns also allow for the monitor wires that these tiny babies have as a necessity.

    To Debbie Caron – I believe I have seen several pins on Pinterest offering patterns for the bereavement sets. Use the search field to be taken right to them.

  22. Rated 5 out of 5

    Gabrielle (verified owner)

    Pattern is simple to follow and quick to stitch up. Works well too. Easy to modify the size too by enlarging/reducing the pattern. Thank you!

  23. Cindy (verified owner)

    I made 75 of these for our local hospital NICU they were very happy to have them, then my friend just had her beautiful Leah Rae, on the 11th of May, she wil be having surgery to close a hole in her heart. I will make some for her to use and then donate. Thank You for making all this possible with your pattern.

  24. Rated 5 out of 5

    Marian (verified owner)

    I made four of these for my grandson who was born at 1 lb, 12 oz. in January but now weighs 9 lbs. I made 2 each of sizes 3 and 4. I bought 1/3 yard of flannel, but after pre shrinking and raveling, it was almost impossible to get the size 4 out of this fabric and keep the pattern going in the same direction. Think I’ll buy 1/2 yd. for my next ones to be certain I can get the length. It was an easy pattern to make with very good directions. Thanks for making this available. It surely helps to feel like you are doing something positive for the little one. Hope the hospital can continue to use them after he no longer needs them.

    • kymy (verified owner)

      I am sorry it shrunk so much! Unfortunately there can be a huge variance in flannel in particular with how much it shrinks. I found the designer stuff from the quilt shop only shrinks a tiny bit, but the stuff from walmart shrinks a lot and unevenly.

  25. mary (verified owner)

    Easy to follow….I just am in grief right now my Angel just passed I to Jesus’s arms….

  26. Rated 5 out of 5

    Sew-Creative Sewers (verified owner)

    Thank you for the pattern, we are now making them for chop.

  27. Rated 5 out of 5

    Jackie (verified owner)

    Am awaiting letter from local NICU

  28. Sherry (verified owner)

    Thank you for the free pattern. In the past our congregation has made little burial gowns,blankets for babies who dont make it, this is another way to serve lottle ones who have a chance. Te hospital is very appreciative of all help.

  29. Margriet

    Thanks for this pattern. I’ve been working with those small babies and I am sure making and donating some to our local NICU. Bless your heart. Love from Holland.

  30. Rated 5 out of 5


    33wks 4days in preterm premature rupture of membranes on 6th wk of bed rest 🙂 Thank you for this pattern. Baby has newborn clothes from hand-me-downs but might be too big yet. Will make this pattern, & then just donate if baby doesn’t need it after all.

  31. Rated 5 out of 5

    Jennifer (verified owner)

    Saw this pattern and wanted to make some for my friends son who is in the NICU. I made him some and some extras for the hospital and I am finishing up a dozen more to donate. I think it is very creative and it gives babies with all the tubes and wires, something they can put on and take off quickly. I love it.

  32. Rated 5 out of 5

    Sue (verified owner)

    Great pattern, love the fact that it comes in different sizes.

  33. Rated 4 out of 5

    Alicia (verified owner)

    I haven’t used this pattern yet but will in the coming weeks. My great-grandson weighed 15 oz. at 25wks. He is so so little, only eleven inches. He is thriving but in looking at his long road and not having clothing, finding your pattern was heaven sent. I will try to remember to post as I sew. Thanks again for making this pattern available.

  34. Rated 5 out of 5

    Barbara Bridges (verified owner)

    Lovely pattern. I have made these before, but only in one size. Thank you for the multiple sizes. They are easy to make and the instructions are very clear. Will be making more for the teenies who need them xx

  35. Rated 5 out of 5

    Bieke Malfait (verified owner)

    Thank you for this lovely pattern. I made some sweet shirts for the little boy of my workpartner.

  36. Rated 5 out of 5

    Daniela (verified owner)

    Thank you for this nice pattern. I will sew some like this for childrens Hospital here in Siegen / Germany.

  37. Pamela (verified owner)

    I have not yet made these, but pattern looks simple enough. I will come back and review after I make some later this fall.

  38. Rated 5 out of 5

    Cheryl (verified owner)

    Definitely a 5 star rating. My twin grandbabies were born on September 30th – 1 lb. 11 oz and 1 lb. 6 oz. As I am on the other side of the country, making these smocks helped this grandma feel involved and needed,. I prayed over every stitch as I sewed and touched the fabric for my grandbabies, son and wife and medical team. Thank you for providing this pattern and the excellent instructions. Your generosity is very much appreciated.

  39. Becky (verified owner)

    Have made a couple to show our NICU. However, I am being told there are different requirements for different hospitals. Some willl NOT accept Velcro, some will NOT accept metal snaps. So Please, check with where ever you are donating to insure they can put them to good use. However, a new mom at work was all excited just to have some for her newborn.
    Hope this helps.
    Such a quick/easy pattern to zip up a bunch!

    • kymy (verified owner)

      None will accept metal snaps that I am aware of. I haven’t had any say no velcro, that is interesting. Some have been okay to with plastic snaps but many others have said no because they take more force to get open. I always recommend contacting hospitals first because many want to see a sample before saying yes or no, and some will have specific requests about fasteners or sizes.

  40. Rated 5 out of 5

    Lisa Fields (verified owner)

    Excellent pattern. I’ve cut out my pattern pieces and I am preparing to sew them together. I am making for my preemie grandbaby. Giving to daughter asap for baby Killian. His Nana loves him so!

  41. Manu (verified owner)

    Thank you so much for helping others!!!.. .I cannot find where is the pattern?

    • kymy (verified owner)

      You have to add it to your cart and ‘check out’. You do have to create a free account but will not be asked for paypal/payment info because it is free. After you check out you can download the files.

  42. Rated 5 out of 5

    Kellyn (verified owner)

    great pattern – goes together quickly and is easy to follow – great charity project as well for all those sweet babies and their parents

  43. Andrea (verified owner)

    I can’t find the link for the actual patter, can someone help me? My brothers baby was born at just two pounds and they can’t find anything to put on her tiny body! I was hoping to make them a couple of these shirts. HELP!

    • kymy (verified owner)

      You have to click ‘Add to cart’ and check out like you were buying it. You will not have to pay/enter payment info but you do have to create a free account. After it’s in your cart click ‘check out’

  44. Marlene (verified owner)

    Great pattern. Made it for our up coming baby, the last was early and had a stay in the NICU .

  45. robyn (verified owner)

    thank you for the pattern due to my daughter in law premmie baby the gowns were perfect, and everyone loved them.


  46. Krystal (verified owner)

    Mom of a former 1lb 6oz 27-weeker here. I try to donate items to the NICU where my baby girl stayed every year. In the past, I bought clothes off the rack knowing good and well that many of the babies were far too small to fit the cute preemie clothes. This year, I found your pattern and have made 10 NICU wraps to donate for the micropreemies. There will be many more in the future. Thanks so much for making this a free pattern. I know all too well that the wraps you purchase from vendors online get pretty expensive after shipping. Being able to dress your micropreemie adds a little bit of normalcy and comfort to a stressful situation. The only suggestion I would have is the pattern for the micropreemie seems a bit large, especially when compared to the ones I’ve saved from our time at the NICU. Regardless, though, it’s a wonderful pattern for a wonderful cause. Thanks again!

  47. Rated 5 out of 5

    Ellen (verified owner)

    Thanks for great pattern. The two families really appreciated it.
    One family monogrammed the shirts! I only used one set of Velcro tabs because when you reverse it they are still easily attached.
    Thankful to have found this!! Happy Sewing and Giving!

  48. C.jones (verified owner)

    I was asked from the hospital NICU to make dresses for 2 micro preemie babies and the dresses turned out great.

  49. Trudie (verified owner)

    Looking forward to teaching my granddaughter to make these, too learn a good christian service to others!

  50. Rated 5 out of 5

    Carolyn (verified owner)

    I was looking for a sewing project to donate to a charitable organization when I found this post on Pinterest,it was perfect. The patter was easy to download and simple to construct. Along with that was a link for the hat and booties. I have eleven ready to donate. Thank you so much for the pattern and useful information!

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