The Keekaroo Peanut Changer is unlike any other diaper changing pad! Its strong outer shell makes itimpermeable to ANY fluid, so clean up is easy. That solid shell on the diaper changing pad alsolimits bacteria growthor deterioration.Made in the USAfrom our state-of-the-art, Dura-Soft material, the Keekaroo Peanut Changer makes extra covers and pads unnecessary, saving money and clean up time.