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I started using a pillow before the age of one. I just made the decision to try it during nap and to see how well she did with it. She did really well. She had gotten congestion and she had ALWAYS slept w/ a blankie, as both my kids do, and did well with that. I have never had a problem with the pillow. Ds, is 7 mths. He just recently got "un"elevated and I don't plan on putting a pillow for a little while longer. There hasn't been the need yet and he is still too little. I wouldn't suggest it if you lo buries their head into the animals, floor, mattress, etc. Or, if baby is a tummy sleeper to the core.

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