They are almost the same as in the hospital, if not better, because they are made of 100% cotton. Medical pads were made from a cotton-polyester blend. At first glance they don't seem to be of that high quality because the weave feels more open and looser than the hospital weaves I'm used to. I quickly noticed that after a few washes they fluffed up and got softer. I just LOVE these blankets. They are great for swaddling, easy to wash and store, soft, lightweight and easy to layer. I live in Southern California with fairly warm weather and they are the perfect light to cover a baby without getting too hot. When it cools down, simply apply another layer! I use them EVERY DAY for swaddling, tucking, laying the baby down, etc. I highly recommend these blankets! I have already bought two sets and will probably buy at least one more set.
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