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I tend to buy the bath stuff off the registry so I can make a little basket.

I usually buy feeding or bath stuff.

I try to pick the practical stuff that other people might not want to buy off the registry, like bottle nipples and nursing pads, and then a cute/frivolous thing that's fun to pick out.

For an acquaintance that I wouldn't get invited to a shower: a Sophie the giraffe or Oshkosh overalls and a cute shirt in 12 months size.

For a shower gift: someone I'm really close to I would make a fun basket with a bunch of smaller things off the registry, things I notice they are missing (Tylenol,etc.), and some homemade burb rags or bibs. If I'm not so close to them, I'd stick to one more substantial gift off the registry(activity mat, bouncer, etc.)

Since having a baby my goes to will be
Baby tylenol
Nose Frieda
Boogie wipes
Teething gel

All things we didn't have and had to rush out to get! And then probably a cute outfit

I stick to the registry. I usually scoop up the baby monitor.

The times where I have gifted off the registry have been so stressful, but the moms seemed to really like it. My fav off-road stay item I ever gave was a monogrammed piggy bank from Things Remembered.

If we're close friends or close family I'll give something practical off the registry, a cute outfit sized up, and a bottle of stain remover.

Not so close, a Sophie, or fun socks.

AA blankets or whatever I think is useful on the registry. I never go off-registry.

I usually try to find things on the registry I can put together in a cute basket or something crafty like a diaper tricycle or onesie cupcakes. For someone I am really close to, I will sew items like carseat covers, burp clothes, taggie toys.

I usually buy the practical stuff of the registry or I get A&A blankets.

I usually do bath stuff. I try to buy asap to beat everyone because I like to do the baby tub + cute towels, and then add in whichever soap set they prefer, and a cute bath toy.

Sick baby kit - nose frieda, saline, tylenol, rectal thermometer, lighted nail clippers, A&A swaddle blankets, easy on and off sleepers for the Dr office, pedialyte, vicks vapo plug in, and humidifier if its on the registry.
-OR-
Hospital bag for mom - comfy robe and socks, magazine, notepad and pen, travel tolietries, headband and hair ties, lip gloss, outfit for baby, recieving blankets, snacks and water bottles, I even found a cute little poem and boppy if its on the registry.