This was the best maternity pillow I could find to support my back. However, he had problems. Maybe someone under 200lbs doesn't have this problem, but for me the velcro was too loose and could slip off or come loose at night if I tossed and turned. It scratched me too, so I turned it upside down to keep it from scratching again, but that seemed to make it easier to dislodge. However, the Velcro for Separation 2 came in very handy later in the pregnancy for getting out of bed to go to the bathroom several times a night. The extra small pillow is a good extra wedge and I still use it postpartum to support my back. maybe a manhole cover. And as I said, the small wedge, like larger parts, needs an inner lid to be washed.
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