The only items I machine quilt are those for small children or my step children. My step daughter is a Neo Natal Nurse practioner and her one claim to fame as a housekeeper is washing all of her bedding from sheets to quilts and blankets every week. I made her a quilt when she was sharing a house with other students when she was in nursing school. It had fused and machine applied appliques on it but was hand quilted. She managed to wash the appliques loose. I made each of her two daughters "quilos" by machine as they spent all of thier pre school days in day care.