This nursing pillow cover is handmade using black cotton fabric featuring colorful sugar skulls and flowers on the top side with piping along the edge. Shown here with blue piping but color of piping can be customized. The back of the cover is made from solid black fabric with a zipper for easy removal. The cover is machine washable in cold wash and air drying is recommended. The nursing pillow cover is shown pictured on a Nursing pillow which is not included. The nursing pillow cover you will receive might be slightly different to one cover pictured due to the fabric repeat.