This is a beautiful, high quality paper print reproduction. This birth art makes a stunning gift for a midwife, doctor's office, hospital practice, baby shower, or doula thank you. This print is as close to 12 x 18 inches as proportionately possible. All prints are different sizes as they are in proportion to the original painting. The reproductions are printed on acid-free archival quality watercolour paper, and laid on acid free foamcore, protected in a clear bag. Please do not hang in direct sunlight. With professional framing, this reproduction will last a very long time. In a store-bought frame, you will enjoy it for many years!