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Ds1 had one because I didn't know any better. Ds2 didn't have one and the poor little guy woke up several times because his leg or arm was hanging out of the crib and he couldn't get it back in. Ds3 therefore had a one piece (mattress topper/bumper pad) that has breathable mesh on the sides. It's a pain when he has a messy diaper and I have to get it cleaned and all hooked back on before his next nap (cant just change the sheet) but he's never woke up screaming and I'm not worried for his safety. With this LO I'll probably skip the set bumper pads & get another breathable one.