A good pillow is essential to long-term health. Poor quality pillows do not provide proper support of the head and neck, and worn pillows lack support entirely. An estimated 4 out of 5 pillows need replacing. The Cotton Plush Pillow is filled with UltimaŠ spiral spun polyester fibers that act in unison to support the head and neck. This pillow features a 185 thread count, 100% cotton cover.