I made a bunch this spring and was able to find prequilted fabric with vinyl on the back that was 44" wide. I cut them 20" wide and made two pads from each strip. I didn't like the pre-quilted print(too much white) so I quilted a more suitable fabric on top following the existing stitching lines. Then I rounded the corners (used a saucer for the curve) and bound them in wide bias binding (the 2 1/2" stuff I cut for my quilts). It worked really well and the change pads look great and the moms were happy.