Hand quilting involves using a needle and thread to sew stitches that bind the top and back layers of a quilt. The process of pushing a needle from the top layer and then pushing it back from the opposite side is called a stab stitch.
Hand quilting and machine quilting are the two most common quilting methods. Both methods entail the use of a top, back and middle layer. Unlike machine quilting, the hand-quilting method requires more time and labor, but it typically produces quilts of higher quality. Machine quilting involves the use of a sewing machine or a longarm machine. The downside of that method is that it produces tighter stitches that can easily break.