It's a pretty average size stretchy 'soft cheese cloth' wrap. You would have to be more specific about what you think is small (or what you are comparing it to) to better answer your question.

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Sunmig Newborn Baby Stretch Wrap Photo Props Wrap-Baby Photography Props (Blue-Grey)

Q: Can you wash the material or are their directions for cleaning?

Yes, and I recommend washing every time it is used so you don't spread germs from one baby to the next. My husband does the laundry...which means no special directions needed. I do use gentle detergent though.

Q: Does it need to be washed before using for the baby?

I washed mine first, just to be on the safe side. The studio I used to work at washed theirs regularly. Easy to wash. I did gentle cycle, used baby laundry detergent, and drip dried. Didn't take long. Very happy with these wraps.