I bought this cover to put on the Summer Infant Contoured changing mat which I originally planned to use to sleep with my baby. Although it appears to be much smaller than the mat itself, it stretches slightly to cover it and has small slits to allow for the use of straps on the mat, which is also very useful. A changing pad is ideal if you are sharing a bed (and you have a large bed) but I highly recommend using a cover in case you have a leaking diaper issue as the cover will also absorb moisture and hold the bed before the mess. your bed. As for solely using it as a changing pad I would say it does the job but you can use a swaddle blanket or towel between the baby and the bedspread if the changing can get messy and you don't want to be constantly changing and washing. pillows too.
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