There are gazillions of ideas! More info would have been nice. Is she a first-time Mommy? Is she a single Mommy? Does the baby have brothers or sisters? Does the Mommy have baby "needs" that would be nice to fill. One of our favorites for first-time moms is a nice rectangular basket that could sit on changing table or be moved to a shelf, one with a handle is good as it allows mom to carry basket and baby safely if necessary. In it we place everyday baby items that new moms need but seldom think of ahead of time: cotton balls, baby oil, baby shampoo, baby lotion, baby powder, infant/baby Tylenol, Aspirin, gas drops. A baby thermometer (rectal to digital there is a wide range), a bulb syringe for aspirating stuffy runny noses, infant nail clippers, baby combs/brushes, gift cards for diapers, safety items also are nice addition for as baby gets older - door knob covers, corner protectors, electrical outlet plugs, latches for refrigerator and/or toilet seat, a cover for tub spout, etc... it saves them time, provides necessary items that you don't always think of until you need them, and has the advantage that you can spend as little or as much as you wish. Add a rattle, teething item, or small stuffed animal and TAH-DAH, a gift that has always been well-received as well as one that is usually unique.