plant-based foam wedge pillow; accessories poly cotton and removable for easy cleaning * AR Pillow is a Durable Medical Equipment Company (DME) which means your pillow may be reimbursable by your insurance. * head support adheres with velcro beneath the pillowsheet * look for our video on YouTUBE on "how to position your baby in the Baby AR Pillow" * This company also offers the same product in 30 degrees - see other listings