BRAND NEW, NEVER USED ** Designed with a concave center to support your baby’s head, neck and spine which helps prevent flat head syndrome while your baby sleeps in a safe position. Recommended to be used daily from as soon as their first day of birth. ** Made with 5D memory cotton while the covering is made of 100% cotton giving enough ventilation to keep your baby cool and comfortable in all seasons while helping your baby sleep comfortably for possibly a longer period of time. ** The hand stitched baby head pillow includes a BONUS same design WASHABLE REMOVABLE cotton pillow case. With the included 100% cotton pillow casing which is washable, you have the choice to use it ON or OFF the pillow. The pillow core itself which is made of 5D memory cotton is not washable but can be wiped down if you choose to use it without the cover.