We bought this pillow for our daughter, who unfortunately had the habit to lie on only one side of the head. This her head was quite deformed. All attempts to get them to "voluntarily" to the other side failed. The head was apparently already so "wrong" that it was hard for her to lie on the other side. So we were looking for an alternative and found the Babydorm pillow. After some remorse for infant death studies in matters bedding (duvet and pillows) we still decided that the pillow is really small and (I think at least) would quickly suffocate sure no child in it. Our daughter (at that time about 8 weeks old), the cushion has been well received. The hole in the middle lies the head air to normal form again. That helped her apparently, now try the other side of her head. After about 2-3 weeks the head had nearly returned to its normal shape. We had the pillow so long in use until the child was able to turn itself and so no longer lay on the pillow. A pity that we found it so late. If I remember the second child that it also has a favorite site, I'll bring the pillow faster to use.