Already a week. We have a European foam mattress that I really like. However I am also 18 weeks pg and my back has started to hurt when things change and although I usually sleep well the physical discomfort has kept me awake a few times during the night. I have used regular king pillows for hip, knee and back support which was better than nothing. I received this pillow and have slept through the night ever since. Beware, it's just huge and makes making the bed and boarding a bit more difficult and annoying. But that's exactly why it works so well, which is why I can't fault it. We have a king bed so it doesn't disturb my husband's sleep, although I think with a queen bed. It's like a mountain lol. No problems with seams in the neck area as mentioned with other models, so despite the price I went for this one (which I think is artificially high because it includes a cover? The cover is also very nice, modern but basic.) I don't use an extra pillow for this, but you might end up draping a regular pillowcase over the horseshoe end since I like t-shirt sheets anyway.
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