The 4-Sided Changing Table Pad is made with our Bundle Fiber Core wrapped with an organic cotton changing surface. It's 100% breathable with no harmful emissions and is water repellant to protect pad from accidents. 4 rectangular raised sides with 2-inch full perimeter protection keeps your little one comfy during diaper changes. Quick release buckles with infant safety belt and safety screws for the changing tray ensures that your baby stays safe at all times. Anti-bacterial, anti-fungal, and anti-microbial treated material with no foam or polyurethane.