The gown is very similar in feel and design to what the hospital will give you, but with prettier designs. The snaps in the back are supposed to allow modesty, but the gown keeps coming unsnapped right when my butt is when I sit down. The gown fits loosely everywhere else so I don't think the next size up would be comfortable though it would probably stay snapped. I'll be returning it and wearing a different style gown that is both softer and stays fastened until you purposely unbutton it.