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The purpose of a pillow is to fill the space between the mattress and the head/neck in such a way that the cervical spine does not bend and the head is neither tilted up nor down when lying down. Depending on the sleeping position, both the shape of the cavity to be filled between the mattress and the head/neck area and the height of the required support vary. A pillow should therefore be selected so that it supports you perfectly in the sleeping position in which you lie most of the time.
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If the bulging force decreases, if hollows are visible in the core or if the foam becomes brittle, it is time to buy a new cushion. For hygienic reasons, a non-washable pillow should be replaced after two years at the latest. Pillows with a foam core last on average about five years. Since loose fillings suffer from material fatigue a little faster (material is "compressed") and thus lose their bulk and support strength, it can be useful to replace the pillow after about three years or at least have it refilled.
Practically all mattresses now have a removable cover that can be washed in the machine. You should make sure that it can be removed easily when you buy it. It makes sense to have split covers, because then each half can be washed separately.
Babies - and not only that - should sleep in a not too warm environment. Latex mattresses with wool or cotton covers help to maintain the right microclimate. On the one hand they provide good thermal insulation, on the other hand they promote perspiration: ideal for infants, slightly older children and very grown-up children.
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Without a pillow a bed is not a bed - at least for most people it is as much a part of the bedding as the air we breathe. Apart from the "comfort factor", the most important requirement of a pillow is that it optimally supports the neck area during sleep. There is a large selection of pillows made of different materials with different fillings in various variations available on the market. For the layperson, it is often too large to reliably find the pillow that allows the most comfortable and ergonomically optimal lying position.
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Side sleepers: The distance between the mattress and the head area is greatest in the side position. In order for the shoulder to sink into the mattress, the pillow must not reach under the shoulder, but only support the head and neck. The recommended pillow size is therefore a supporting pillow of 40×80 cm or 40×60 cm. Depending on the contours of your body (wide or narrow shoulders), the height required may vary - in this case you should try lying on the pillow and have a second person check whether the spine forms a straight line and its shoulder axis is at right angles to the mattress. If your neck area is considerably narrower in relation to the width of your head, you will lie most comfortably on an ergonomically shaped neck support pillow, otherwise soap-shaped pillows are also recommended. Back sleepers: If you are lying on your back most of the time, you should make sure that you do not choose your pillow too high. A relatively flat pillow is usually sufficient to keep your head horizontal - it should never be tilted upwards. In this sleeping position, the pillow's main task is to provide correct support for the lordosis in the cervical spine area, so it is best to lie on a flat neck support pillow, which supports the cervical spine by means of an ergonomic elevation in the lower pillow area and does not reach under the shoulder area. If you have a pronounced hunchback, you may need a slightly higher pillow to lie comfortably. Abdominal sleepers: In the not recommended prone position, no pillow is actually needed, since raising the head area inevitably leads to overstretching the neck and bending the spine in the direction of the hollow back. Also, the neck vertebrae are strongly twisted when using a pillow. If you cannot sleep at all without a pillow, you should only use a very flat pillow, in which you should not sink in if possible - only in this way is it possible to breathe without having to turn your head even more. Some manufacturers offer specially shaped pillows for this purpose, which have a hollow in the nose and mouth area.
