This warm gender neutral knotted gown ties at the bottom, allowing for easy diaper changes in the middle of the evening. The gown is made from a blend of 95% cotton and 5% spandex. Our ribbed knotted gowns are made of a thick material, making them perfect for cool weather. They also include turn back cuffs on the sleeves to allow hands to be enclosed to stop scratching so you don't need separate mittens. Our knotted gowns are also a little over sized to provide extra comfort and allow for an extra baby grow underneath for warmth. The knot at the bottom can be adjusted according to your preference.