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I have one. I used it in the bassinet, length wise the first 2 months and then horizontal under the baby's head after that. Much easier than sheets to take off and wash frequently.
I have survived with just one, but 2 might be nice to have.
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My daughter just turned 2 and we recently stopped using them.
We had waterproof mattress cover, then the sheets and then the crib pad. So much easier to just change the pad than to change sheets and matress cover in the middle of the night.
I would recommend 3 big ones. Take one and cut it in half to use for the first few months. Then use the other 2 when the baby is bigger.
When I was a nanny, these were a life saver for me. I asked the mother to buy some after changing the crib sheets one too many times. The baby had really bad reflux and her sheets would be gross from two naps by mid-day. She had never heard of such a thing but was in love when she got them, too. Yeah there was a waterproof mattress pad but the sheets are not waterproof, and changing a crib sheet is a PITA. The kind we used had ties on the corners so they tied to the sides of the crib (not the full length, just big enough to be under/around baby).