I am currently 29 weeks pregnant with twins and have been using this pillow since my first trimester. I also have two herniated discs and I couldn't sleep at night without this pillow! At first I used it as is (included) but personally I find it more comfortable since I separated the two pillows because I can place each one exactly where I want! I have excellent back and abdominal support. I honestly can't imagine sleeping with a huge body pillow. I also use it when sitting in bed behind my lower back or when sitting on the couch. The best purchase I made during my pregnancy. Yes, they lose their shape a bit in a pillowcase, but they still do the job. I just take them out of the case every once in a while, shake them up and put them back the way they used to be. It's nothing important!
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