[Problem] To prevent backflow, improve absorption speed, and reduce the diffusion of urine in a surface sheet in an absorbent article that uses cotton fibers in the surface sheet. [Solution] A medium or higher volume incontinence pad (1) that absorbs at least 20 cc of urine. A surface sheet (3), which is formed by coating a spun-lace non-woven cloth that is 100 weight% cotton fibers with a water repellent, has a plurality of openings (10) that pass from top to bottom formed in at least a region thereof that includes an excretion-orifice-facing section. An absorption body comprises a highly water-absorbent polymer and pulp fibers that do not include synthetic fibers. The basis weight of the highly water-absorbent polymer is 85-185 g/m2, the basis weight of the pulp fibers is 75-300 g/m2, and the ratio of the pulp fibers to the highly water-absorbent polymer is 70-30 weight%:30-70 weight%.
