Our Organic Cotton Quilted Mattress Pad is needle punched with an organic cotton sateen outer, which makes ours twice as durable as our competitors'. Our cotton pads are super absorbent to soak up those nighttime accidents and diaper leaks. We highly recommend using these on top of our Natural Rubber Wool Outer Mattresses. The cotton pads can easily be stripped off the mattress during the night after a diaper leak so baby can go right back to sleep. Made in USA.