Echo quilting refers to a pattern of stitching that is used to hold all the quilt layers together. This pattern ‘echoes’ the design in the quilt. Echo quilting is quite common in Hawaiian quilts and is almost always done by hand.
In the above photo, the elephant motif has been outlined and then echoed in the background fabric. The echo design continues all the way to the borders. Unlike most Hawaiian quilts, this quilting was done by machine with a walking foot.