Lots of things to consider, I'm glad I asked. I was thinking of very large loops but when paper drawing it all looks not right. Good point about turning vs not turning the quilt. It prob won't be too bad being a changing pad but it's so cute I don't want to mess it up. I could grid it but I think the roundness would be more visually appealing, so maybe I'll try the FMQ foot, I already have a few practice hot pads waiting. Thank you!