Read the directions and line dry this item. I dried it on low heat and the neck line was too short for me to tie and make a halter. I ended up throwing it out and wearing a baby doll dress i got on sale at old navy instead for my labor. I didn't have an epidural so i didn't need the opening in the back.  I recommend not wearing the hospital gown because it is really hot. Get his or wear an overwized t shirt and cut out spot in the back for the epirdural and fetal monitoring.