The orphanages are horrible--the babies are cold, wrapped in rags, with terrible diaper rash.
I still have those handmade quilted rags my daughter wore when we became her parents. Her "nanny" made sure she was warm by crafting what she could for clothing.
Chinese babies wear split pants, no diapers.
Our daughter came from the orphanage in so many layers of clothes that my wife photographed them for posterity. This was on a seventy-degree day. The other babies in our travel group came similarly attired.