Quiltertotheend Avery doesn’t roll over unassisted. However, my daughter gets up some nights when Avery fusses in her sleep, to reposition her. Also they are large. We haven’t had that problem. I don’t like the hospital pads, throw away or quilted either. I quilt a 30x40 piece, then sew it right sides together, to the Baby Dry , leaving an opening for turning. I then top stitch around the outer edge catching the opening with my top stitch. The last picture is one I keep here for changing her or when she used to sleep here. We can’t lift her anymore so miss her sleepovers. It’s several years old.