I purchased this last year. I only used it a few times for breastfeeding, and I used it for taking photos of my child. I think it's relatively clean. There are no noticeable stains or tears, but when I removed the cover to wash it, I seem to have snagged it, and some threads have come loose. *There may be some changes in thickness compared to a new one. I plan to ship it as compactly as possible. It's also recommended for preventing falls when a baby starts to sit up. Keywords: Nursing pillow Prenatal Postpartum Photography Monthly photo Photos Commemorative photos First meal ceremony Fall prevention