A: Hello, No this item does not come with a changing pad. Thank you
A: Hello, I am not sure the size of the Spectra Breat Pump to tell you for sure. But the T seperator in the caddy is removable to offer you more space if needed. The over all dims 8"D x 11.5"W x6"H
A: Hello, this storage caddy is a spot clean only. Thank you