Lemon-patterned swaddle. Can be used with arms out (see image 3). I used a size smaller than this for a long time, so I didn't use this M size for very long. My baby slept well when wearing the swaddle, so it was very helpful! I'm selling it now because my baby has become active and doesn't wear it anymore. - Design: Lemon pattern - Size: M - Material: 100% cotton - Features: Zipper, arms-out option Please comment if you have any questions. Thank you for considering purchasing this item.