I used this once with a sheet on top. Please refrain from purchasing if you are concerned about this. [Diaper Sheet to Soothe with Mini Cherries] [Design/Styling] A diaper sheet printed with lovely and adorable cherries. This diaper sheet features plump, quilted fabric scattered with cherries. It opens and closes easily with Velcro, and the large size provides ample space, making it extremely convenient. It can be folded compactly, making it easy to carry. Matching items such as a mother's bag and diaper pouch are available in the same series. [Fabric] The lining uses fabric with excellent antibacterial and deodorizing functions. It is resistant to friction and also has excellent durability. Length 69cm x Width 45cm