For particularly small babies, the use is certainly necessary because the head in all directions is well padded and firmly supported during braking. Also, the foot has a thickly padded edge, so that the baby is safe and comfortable. However, our daughter is already far outgrown at 6 weeks over the foot of the insert. The pillow is also slow to close, and I'll probably soon be twisting a towel firmly and use as a cushion. Without gehts not, otherwise, the head during braking too much space. Probably the towel solution for us would have worked from the start, and the use would have been unnecessary.