I didn't really use this at all. It's in great condition with no stains or tears. Machine washable cover. Adjustable Velcro. https://www.babybub.com/products/pillow?utm_source=google&utm_medium=g&utm_campaign=18251272969&utm_content=620057911372&utm_term=babybub&gclid=CjwKCAjw7c2pBhAZEiwA88pOF8bvlNAT73-ubGKZ_IuRVMfgHiIcJ_QcdksMtbbJg1h4OUJCU3G6jhoCk5gQAvD_BwE