Before I bought this pillow, I tried to use a standard pillow. I'd put it between my knees, move it under my belly, and put it behind my back...which wished ok until I was 30 weeks pregnant. By that point, I'd wake up with achy joints, a sore belly, and pain in my lower back. So I gave in, did some research, and bought this pillow. I'm so glad I did! I wake up more rested, stay asleep longer, and have few aches and pains in the morning! I highly recommend it to taller women (I'm 5'10"), because it's long enough to offer full body support. And it's great for women with back problems too (I threw out my back twice a few years ago)! I didn't give it 5 stars only because 1) there is little neck support, though I have used it for a few weeks without neck problems, and 2) its as symmetrical design makes it tricky to roll from one side to the other. I've also had to resign to sleeping alone, because our full sized bed doesn't have enough room for my husband, me, AND the pillow...though I'll admit we just need a bigger bed. :-)
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