Features a USDA Certified 100% Organic Cotton inside layer for better support.Deluxe Jacquard fabric cover is 100% waterproof, anti-microbial, phthalate free, non-toxic, non-allergenic, stain resistant and Easy to keep clean with mild soap and water. Non-skid bottom prevents pad from sliding while changing baby. Safety harness for baby with a quick release buckle.Includes security strap for holding changing pad to changing table or dresser top.Made in the U.S.A.