From SNOO, this swaddle features: Double-zipper opens from top or bottom for easy midnight diaper changes Extra-quiet Velcro, so light sleepers don't startle awake with diaper changes Breathable mesh at shoulders and legs to reduce risky overheating Arm openings that are easy to unsnap for babies who prefer their arms out SNOO Sleep Sack is the ultra-soft, ultra-easy swaddle sack that helps babies be happier and sleep longer! SNOO wings that keep babies safely on the back for all naps/all nights Special inner flaps keep even little Houdini's bundled all night Perfect for healthy, growing hips (International Hip Dysplasia Institute seal of approval) Made with organic cotton Small: 5-12 lbs. Medium: 12-18 lbs. Large: 18-25 lbs. Imported. This award-winning swaddle sack was created by Dr. Harvey Karp, America's most celebrated pediatrician. Dr. Karp is the doctor whose 5 S's started the Swaddle Revolution and he designed every detail of SNOO Sleep Sack with baby safety and parent sanity in mind.