Children's spines need to be in neutral position so it is important to use a pillow that is designed specifically for kids that is not too high. Herington, Tontine and Sensus all make pillows that have been designed with your child's spine in mind.
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Kids' pillows need to provide the correct amount of support for growing spines and bodies. A soft, low profile pillow is best for a child's first pillow. Choose one that's hypoallergenic and washable for ease of use.