This changing pad fits our needs perfectly and has served us well for over a year and a half. It is very well padded and the strap that attaches to the changing table keeps it in place very well. We didn't use it initially but eventually our daughter learned to push her feet off the wall and move the entire changing mat away from the wall so we had to quickly attach the strap to the dresser we had to use as a changing table . She lost interest after she couldn't push anymore. But that strap drilled into the dresser was literally a lifesaver! I love 4 walls too. Our little one also enjoys kicking and running on the mat so keeping her in line on all four sides was also extremely important. As for the possibility of cleaning. Well I'm really sorry they didn't pierce the entire surface of the pad with all those little holes! They're not even stitch holes - not stitches forming a quilt-like pattern - no, they're just holes in a waterproof surface! The stupidest thing in the world is why make a waterproof surface and then drill a million holes in it?!?!? So it's practically not waterproof. You can see the foam underneath through the holes. As soon as liquid penetrates there, cleaning is no longer possible. You can wash the surface, but the foam in the holes will remain stained. Luckily our baby never pooped on a pad, only peed on it 2 times in 20 months and even then she was mostly in an open nappy under her bum or on a bath towel so it wasn't a problem. . So we used it without an insole (the surface is very soft and comfortable, no plastic). If your baby is not prone to accidents in the short time the diaper is open then this pad is great in every way and can be used as is (ours lasted over a year and a half of daily use before it started to fall ). ). However, if your child has frequent accidents, you will need to use a separate waterproof pad over the pad or just buy another changing pad. UPDATE: I feel like I need to add this, although I don't. I don't want it to sound like I'm lecturing people. Some changing pads have a baby belt, some don't. Someone puts the rug on a raised surface, someone on the bed or floor. But due to the popularity of "changing tables" and other furniture this tall, it's likely that a lot of people put these things up high and, let's face it, don't buckle their kids. I didn't do it myself every time. Time. I figured it wouldn't be necessary if I was around. Until one day I stepped back 3 feet for two seconds and my 7 month old jumped out of the changing pad and fell head first onto the hard tile floor. I fell and caught him as soon as his head hit the ground, banging my face against the corner of the wall. I'd rather have a broken face than a broken/dead baby, but if I used the buckle the pillow came with I wouldn't need to have either. I will never think of the buckle as unnecessary or stupid ever again. Guys, buckle up your kids while you're at it! It only takes a second, and that might be a second too long!
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