DD's hasn't come off since she started wearing it at 5 months. Not for sleeping, not for bathing/swimming. The around the ankle for sleeping thing seemed a bit pointless/a PITA to me - and there's no way it would have wrapped around enough times to stay on comfortably.
eta - the only time it has come off was when the string broke. Funny, it was the amberbebe one that broke, but the ebay job we replaced it with is still going strong.





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