The Naturepedic Organic Contoured Changing Pad features an easy-to-clean organic cotton cover with a 100% polyethylene waterproof coating so pure that it meets food contact standards. It features U.S. grown certified organic cotton filling plus Air-Core, a non-toxic and environmentally friendly support layer made from food-grade polyethylene. Contoured design and safety buckle help keep child in place while snap screws secure the pad to any dresser. Dimensions (16.5 x 33 x 4). Made in U.S.A.