I used this as a support cushion for a child seat when my child was 0 years old. The headrest is detachable with Velcro, so it can be adjusted as your child grows. I used it to support newborns when I received a child seat without cushions. Although the usage period was short, there are some signs of use and wrinkles due to it being a used item. It has been home-cleaned according to the washing instructions. The washing instructions are in English. Hand wash recommended, do not bleach or tumble dry, and hang to dry in the shade. ※This is not a genuine product and does not meet safety standards. ※Please refrain from purchasing if you are concerned about safety. When shipping, it may be folded compactly and slightly compressed. Thank you for your understanding.