I'll probably get lynched for saying this, as I know they should be 1 before you give them a pillow, but Holly has one already. I gave it to her a couple of weeks ago after much thought. She's a terrible sleeper but sleeps fine if she's in bed with me and always wriggles to get on the pillow. It's a normal adults pillow, but very flat. She sleeps better with it, but she's still a bad sleeper. TBH it doesn't stop her moving around, but it's definitely more comfortable for her. x x