I have made two baby quilts - one acknowledged with a photo of the baby on it on the lawn and one which was not. My lovely sister in law did tell me that one was also used. I'm glad they're being used. I'd rather have a baby on my quilt than on a cold, hard floor or prickly grass. These are not hand quilted heirlooms by any means but were made to be durable and used. I'm making another one soon.
If you aren't sure, I'd start small.