This is a baby pillow made in Japan from organic cotton. The newborn didn't sleep in the bed much, so it was only used a few times... It's designed so you can put your hand in the back, making it a convenient item as you can hold the baby as is♩ There is no fluffing or stains (﹡ˆᴗˆ﹡) Since it is a used item, please consider purchasing if you understand this (•ᵕᴗᵕ•)