Finished off the repairs on the baby quilt last night. The quilt as it was initially presented to me is below and below that is a photo of the repaired quilt. I added a new binding (over the old – nothing was removed), stiched down the sashing, repaired a couple of major tears in the fabric and reinforced a couple of worn spots with a cotton backing from inside before darning them closed.

Everything was done by hand because the original was entirely hand stitched and I wanted the seam integrity an feel to be similar. Also, hand-stitched antique quilts are very irregular and sewing irregular seams through fragile fabric is a lot easier by hand than by machine. It's easier to compensate for waves and bends when hand sewing. So the binding is appliquéd over the original. The corners are butted rather than mitred, to reflect the sashing seams in the quilt, which were butted.
Here you can see the edge before….

… and after.

My basic premise was to remove nothing, change little and preserve the original quilt.  Where that required adding fabric, I stuck with the idea of preserving a feel for the original. 

It was definitely an interesting project. Rather spooky, truth to tell.