I suppose if one were "really" into "made from scratch" quilting -
- one should grow one's own cotton
- spin the thread
-weave the threads into cloth
- maybe build a spinning wheel and loom in here someplace
- forge a needle
- create a scissors
- spin some thread for sewing
- totally avoid any man-made fibers for batting/wadding
Guess one could go on and on from here.
Maybe the term should/could be "custom made" or "one of a kind made" ???