I believe there are pockets for the head, waist, and feet, allowing you to insert ice packs. I have never used it, and it is in very clean condition with no stains. Thank you. Below is AI-generated content: Soft fabric gray and white striped child seat cover, easily attachable with strings. - Color: Gray and white stripes - Type: Child seat cover - Material: Soft fabric - Attachment method: String tie - Design: Striped design Thank you for viewing.