I used this when my first son was a newborn for about 2 weeks before a lactation consultant said to me "Are you going to take that with you everywhere you go?" After that I figured out how to breastfeed without the pillow and it was no problem. Now onto my second child and I still don't use a nursing pillow.
That said, I found the My Brest Friend nursing pillow to be great quality. The cover washed up nicely and it was easy to use.