When my twins were newborns, we bought this changing table from Ikea to keep on our first floor for diaper changes. It was so much easier than changing them on the floor, or worse yet, running up and down stairs every time someone needed a diaper change (which, with twins, is quite frequent). It was the greatest purchase for us. It doesn't take up much room, it keeps all the changing necessities organized, and it folds up easily when company is coming. It would also work great in a nursery! It's easy to clean, and amazingly durable, and at a wonderful height so that you are not hurting your back bending over to change the pants. It retails for $79.99.
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