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SleepFoundation.org editors test & choose the products we write about. When you buy through links on our site, we may earn a commission. Learn More.

SleepFoundation.org editors test & choose the products we write about. When you buy through links on our site, we may earn a commission. Learn More.

Back sleeping is the second most common sleeping position behind side sleeping. When searching for the best mattresses for back sleepers, proper spine alignment is probably the most crucial factor. In order to achieve this, a mattress must provide support to the hips and shoulders without putting too much pressure on them. Thus, an even sleep surface with some conforming but no sagging is usually the best bed for back sleepers.

To provide ideal support for back sleepers, a mattress must have the right firmness — and sleepers of different body types tend to have different requirements. Average-weight back sleepers often favor a medium to medium-firm feel. Lightweight individuals may prefer a softer option, while heavyweight sleepers often appreciate a firmer model.

With so many mattresses to choose from, selecting the best mattress for your sleep needs and preferences can seem complicated. In this guide, we’ll try to simplify the shopping process by sharing our top picks for the best mattresses for back sleepers and explaining criteria that can affect a back sleeper’s comfort.

Summary

Mattress Mattress Type Firmness Price
Saatva Innerspring Soft (2-3), Medium Firm (6), Firm (7-8) $1,199
Leesa Hybrid Hybrid Medium Firm (6) $1,699
WinkBed Innerspring Soft (4), Medium (6), Medium Firm (7-8), Plus (7-8) $1,599
Avocado Hybrid Medium Firm (6), Firm (7-8) $1,399
Cocoon Chill Foam Medium Soft (4), Medium Firm (6) $930
Plank Foam Side 1: Firm (7) Side 2: Extra Firm (9) $999
Yaasa Hybrid Medium Soft (4), Medium Firm (6) $1,299
Scroll L - R for more details

Our Top Picks

Saatva

Mattress Type: Innerspring

Firmness: Soft (2-3), Medium Firm (6), Firm (7-8)

Why We Recommend It:

The Saatva’s foam lumbar enhancement and dual-coil system support spinal alignment while relieving pressure.

$1,199 See Discount Price
Saatva

Mattress Type: Innerspring

Firmness: Soft (2-3), Medium Firm (6), Firm (7-8)

Leesa Hybrid

Mattress Type: Hybrid

Firmness: Medium Firm (6)

Why We Recommend It:

The Leesa Hybrid conforms to the sleeper’s body without much sinkage, creating an even surface appropriate for back sleeping.

$1,699 See Discount Price
Leesa Hybrid

Mattress Type: Hybrid

Firmness: Medium Firm (6)

WinkBed

Mattress Type: Innerspring

Firmness: Soft (4), Medium (6), Medium Firm (7-8), Plus (7-8)

Why We Recommend It:

Four firmness options can provide support and contouring for back sleepers from different weight groups.

$1,599 See Discount Price
WinkBed

Mattress Type: Innerspring

Firmness: Soft (4), Medium (6), Medium Firm (7-8), Plus (7-8)

Avocado

Mattress Type: Hybrid

Firmness: Medium Firm (6), Firm (7-8)

Why We Recommend It:

The Avocado’s durable Dunlop latex comfort layer and zoned coil support core give the mattress exceptional resilience and support.

$1,399 See Discount Price
Avocado

Mattress Type: Hybrid

Firmness: Medium Firm (6), Firm (7-8)

Cocoon Chill

Mattress Type: Foam

Firmness: Medium Soft (4), Medium Firm (6)

Why We Recommend It:

The Cocoon by Sealy Chill cradles the natural curves of back sleepers, while the phase change material cover dissipates heat.

$930 See Discount Price
Cocoon Chill

Mattress Type: Foam

Firmness: Medium Soft (4), Medium Firm (6)

Plank

Mattress Type: Foam

Firmness: Side 1: Firm (7) Side 2: Extra Firm (9)

Why We Recommend It:

The flippable Plank Mattress is exceptionally firm, creating a stable and supportive surface for heavyweight back sleepers.

$999 See Discount Price
Plank

Mattress Type: Foam

Firmness: Side 1: Firm (7) Side 2: Extra Firm (9)

Yaasa

Mattress Type: Hybrid

Firmness: Medium Soft (4), Medium Firm (6)

Why We Recommend It:

The Yaasa’s light contouring and substantial pocketed coil core balance support and pressure relief.

$1,299 See Discount Price
Yaasa

Mattress Type: Hybrid

Firmness: Medium Soft (4), Medium Firm (6)

Product Details

Saatva

Who it's best for:
  • Back sleepers who weigh over 130 pounds
  • People who tend to sleep hot
  • Individuals who want to select the firmness and thickness of their mattress
Saatva

The Saatva is a hybrid mattress with a dual coil system, foam comfort layers and a plush-pillow top. The bed comes in three firmness options, which can accommodate back sleepers of different weights.While back sleepers usually favor a medium or medium-firm feel, this varies between weight groups.

The Saatva’s hybrid design balances support and pressure relief. A Euro pillow top with an organic cotton cover uses polyfoam to cushion the surface of the bed. A thin layer of memory foam near the midsection of the bed cradles and supports the sleeper’s hips.

A layer of pocketed coils within the comfort system contours to the sleeper’s body without restricting airflow. Since the coils are individually pocketed, very little motion is transferred between them, minimizing disruptions to co-sleepers. Finally, a layer of Bonnell coils acts as the mattress’s support core. These coils give the mattress bounce and stable support.

The Saatva comes in three firmness options: soft (2-3), medium-firm (6), and firm (7-8). It also comes in two thickness options: 11.5 inches and 14.5 inches. Since back sleepers often favor firmer mattresses, Saatva’s firm option may be a particularly good match for back sleepers who weigh over 130 pounds. Sleepers under 130 pounds may prefer the soft or medium-firm model for extra conforming.

The Saatva Mattress comes with free White Glove delivery, in which a team comes to unpackage and setup the mattress. Saatva also provides a 120-night trial period and a 15-year warranty for the Saatva Mattress.

Leesa Hybrid

Who it's best for:
  • Back sleepers who weigh under 230 pounds
  • Those who tend to sleep hot
  • Couples looking for a balance of bounce and motion isolation
Leesa Hybrid

The Leesa Hybrid pairs a dual-layer comfort system with a pocketed coil support core to create a balanced feel with bounce, pressure relief, and contouring that can help promote proper alignment for back sleepers.

The two-part comfort system starts with a layer of polyfoam. This foam conforms to the sleeper’s body, while holes throughout the surface allow body heat to dissipate. Next, a layer of memory foam contours more deeply to relieve pressure in the shoulders and hips.

A polyfoam transition layer prevents the sleepers from sinking into the mattress’s core. The support layer is constructed of pocketed coils. Since these coils can move independently, they provide more targeted support and transfer minimal motion between coils, minimizing sleep disruptions. The coil layer also gives the Leesa Hybrid a bouncier, more responsive feel. Finally, another layer of polyfoam acts as the base of the mattress.

The Leesa Hybrid has a medium-firm feel, rating at a 6 on the firmness scale. This firmness can provide most back sleepers with a balance of support and conforming, but it is especially appropriate for sleepers who weigh under 230 pounds.

A 100-night trial and a 10-year limited warranty come with the Leesa Hybrid.

WinkBed

Who it's best for:
  • Back sleepers from any weight group
  • Those who suffer from back pain
  • Couples who want a springy surface without a lot of motion transfer
WinkBed

With four firmness options, the WinkBed can closely match the needs and preferences of most back sleepers, regardless of their weight group. Back sleepers who weigh under 130 pounds might gravitate towards the medium-soft or medium-firm options. Back sleepers who weigh between 130 and 230 pounds may prefer the firm version. Back sleepers who weigh over 230 pounds may find the firm or the Plus most comfortable.

The firmness options are medium-soft (4), medium-firm (6), firm (7-8), and Plus (7-8). While the medium-soft, medium-firm, and firm mattresses share similar constructions, the Plus varies in several key areas.

All the firmness options share a few features. A Tencel cover wicks away heat to help the sleeper stay cool and comfortable. A reinforced midsection promotes better spinal alignment by preventing excessive sagging around the midsection. To accomplish this, a foam enhancement adds support to the lumbar region, and the coil support core is zoned to be sturdier around the hips.

The coils are also pocketed to limit motion transfer while allowing air circulation. This coil support layer also creates an exceptionally stable edge, which may allow sleepers to use more of the mattress surface.

The three softest models of the WinkBed use a comfort system constructed of three main layers: a layer of polyfoam, a layer of gel polyfoam, and a layer of pocketed microcoils. This system balances conforming and breathability.

The Plus option uses a comfort system of a layer of high-density polyfoam and a layer of latex to contour to the sleeper’s body without excessive sinkage. This design lends to the mattress’s durability, resisting impressions more than many sleep surfaces. Additionally, the individually-pocketed coils are banded together in groups of four to bolster the mattress’s support.

The WinkBeds provides a lifetime warranty and a 120-night sleep trial with the WinkBed Mattress.

Avocado

Who it's best for:
  • People who prefer the feeling of sleeping “on” a mattress to sleeping “in” a mattress
  • Shoppers who want a durable build
  • Individuals prone to overheating
Avocado

The Avocado Mattress is a hybrid model that pairs latex and pocketed coils to create a bouncy, resilient surface that cradles back sleepers while preventing them from sinking in too deeply.

The mattress cover contains organic cotton and wool, which help regulate temperature by wicking heat and moisture away from the sleeper’s body. A vegan version of the mattress replaces the wool with additional cotton. The Avocado’s comfort layer uses natural Dunlop latex, which conforms moderately. A pillow-top version of the mattress adds an extra layer of Dunlop latex to soften the surface and add extra cushioning and pressure relief.

A support layer of pocketed coils gives the mattress more bounce while permitting air circulation making for a cool and responsive mattress. This layer is zoned with extra support under the midsection to promote better spinal alignment for back sleepers. The edge is also reinforced, which may enable sleepers to use the full surface of the mattress without feeling like they might roll off. A final base layer of latex supports the coil system.

The Avocado Mattress is firm, rating between 7 and 8 on the firmness scale. The pillow-top version has a medium-firm feel, rating around 6. The Avocado Mattress can provide exceptional support for back sleepers who weigh over 130 pounds. Back sleepers who weigh less than 130 pounds may prefer the added cushioning of the pillow-top version.

A 25-year limited warranty and a one-year trial period come with the Avocado Mattress.

Cocoon Chill

Who it's best for:
  • Back sleepers under 230 pounds
  • People who are easily awoken by noise or motion transfer when their sleep partner changes position
  • Those who enjoy a pressure-relieving hug
Cocoon Chill

The all-foam Cocoon Chill conforms closely to the sleeper’s body, relieving pressure while supporting a back sleeper’s natural spinal alignment. The mattress’s construction also gives it exceptional motion isolation, temperature regulation, and noise control.

The Cocoon Chill’s mattress cover uses phase change material, which is engineered to dissipate heat while remaining cool to the touch. While all-foam mattresses frequently trap heat against the sleeper’s body, this innovative cover helps the Cocoon Chill sleep cooler than most all-foam mattresses on the market.

A memory foam comfort layer adjusts to the sleeper’s body shape and position. This can help relieve pressure while providing a comfortable hugging feeling that many sleepers enjoy. Next, a layer of polyfoam prevents the sleeper from sinking in against the support core. The support layer uses firm polyfoam crafted to provide a durable base for the mattress.

The Cocoon Chill comes in two firmness options: medium-soft (4) and medium-firm (6). The medium-firm version has a particularly good balance of support and conforming for back sleepers, especially those who weigh under 230 pounds.

Sealy provides a 100-night trial and 10-year limited warranty for the Cocoon Chill.

Plank

Who it's best for:
  • Back sleepers who weigh under 130 pounds
  • Couples who prefer a mattress with both motion isolation and bounce
  • Sleepers with sharp pressure points
Plank

The all-foam Plank Mattress by Brooklyn Bedding was built for sleepers who prefer a firm feel. It uses a flippable design that allows sleepers to select between a firm and an extra-firm side. This may appeal to back sleepers looking for an even, stable sleep surface.

Both sides of the mattress use a quilted top for cushioning. While the firm side uses a thicker quilted layer, the extra-firm side pairs a thin quilted layer with a layer of polyfoam for deeper support and less cushioning. A high-density support core reinforces the mattress and stabilizes both the firm and the extra-firm sleep surfaces.

Because of the mattress’s firmness and lack of conforming, it does not retain as much heat as most all-foam models. However, people who tend to sleep hot may benefit from an optional cooling top panel that’s available for an extra charge. This cooling panel uses phase change material engineered to cool on contact to further dissipate heat and promote a cool night’s sleep.

The Plank’s firm side rates between 7 and 8 on the 10-point firmness scale, while the extra-firm side rates between 9 and 10. This rating makes the Plank one of the firmest mattresses on the market. Because the Plank is exceptionally firm, it may be best suited to back sleepers who weigh over 130 pounds. Most sleepers will likely favor the firm side of the mattress, though some sleepers who weigh over 230 pounds may prefer the added support of the extra-firm side.

Brooklyn Bedding offers a 10-year warranty and a 120-night trial period for the Plank Mattress.

Yaasa

Who it's best for:
  • Back sleepers who weigh under 130 pounds
  • Couples who prefer a mattress with both motion isolation and bounce
  • Sleepers with sharp pressure points
Yaasa

The Yaasa is a hybrid model with a foam comfort layer and coil support core that combine to support back sleepers while providing light contouring.

A quilted cover contains phase change material, making it cool to the touch and also wick away moisture. The comfort layer uses titanium-infused memory foam, which cradles the sleeper’s body to provide pressure relief while transferring heat away to promote a cooler night’s sleep.

A layer of transition polyfoam gives deep compression support and prevents sleepers from sinking through to the support layer. The coil core uses pocketed coils, giving the mattress bounce without significant motion transfer. This layer also has edge support to expand the usable surface of the mattress. Airflow through the coil layer allows heat to dissipate. A final base layer of high-density polyfoam serves as reinforcement for the coil layer.

The Yaasa Mattress comes in two firmness options. The medium-soft version rates around 4, making it softer than most back sleepers prefer. However, those who weigh under 130 pounds may find it balances support and conforming. The medium-firm option, which rates around 6, will likely satisfy more back sleepers. Sleepers under 230 pounds may enjoy cradling without excessive sinkage.

The Yaasa Mattress has a 100-night sleep trial and a 10-year limited warranty.

How Sleeping on Your Back Affects Sleep

A person’s sleep position not only plays a role in whether or not you wake up with aches and pains, but can influence your health and likelihood of medical conditions.

Back sleeping isn’t the most common sleep position in the United States, but it has some distinct benefits. When sleeping on your back, your body is naturally centered over your spine, which makes it easier to maintain proper spinal alignment. Johns Hopkins Medicine reports that back sleeping may also reduce the risk of developing wrinkles or breakouts on your skin and can alleviate lower back pain for some sleepers.

While back sleeping has some clear benefits, it isn’t ideal for all sleepers. Those who suffer from sleep apnea or are prone to snoring may find their conditions aggravated by sleeping on their backs. People who suffer from acid reflux or gastroesophageal reflux disease (GERD) may also notice increased symptoms when sleeping on their back, especially for sleepers with stomach fat that puts extra pressure on their stomachs. Additionally, pregnant women often find that sleeping on their backs can contribute to back pain due to the extra weight in their midsections.

Spine Alignment

Spinal alignment refers to how well the spine lines up to its natural shape. When you’re standing, proper spinal alignment is synonymous to good posture. In sleepers, a well-aligned spine is harder to spot, but it’s just as important. Maintaining good spinal alignment overnight can help reduce aches and pains, contributing to a better night’s sleep. Because of this, the University of Rochester Medical Center suggests that regardless of sleep position, sleepers should try to line up their ears, shoulders, and hips to maintain proper spinal alignment.

Back sleepers have an advantage when it comes to spinal alignment. A back sleeper’s body is already centered over their spine. So long as a mattress provides enough support to the shoulders and mid-section, preventing them from sinking to deepy, back sleepers should be able to maintain this healthy alignment.

Back Sleepers With Back, Neck, and Shoulder Pain

Improper alignment can contribute to aches and pains. If a mattress does not balance contouring and support to help the sleeper maintain proper alignment through the night, their muscles may work overtime to try to improve the body’s alignment. Since these muscles can’t fully relax, the sleeper may awaken with more aches and pains.

If you’re not sure whether your mattress is giving you the right combination of contouring and support to promote good alignment, consider whether you are waking up with aches and pains. If you wake up with aches and pains that get better over the course of the day, your mattress may not be giving you the support and contouring you need. The right mattress can help you maintain proper spinal alignment effortlessly and awaken with fewer aches and pains.

Which Mattress Firmness is Best for Back Sleepers?

A mattress’s firmness can affect how comfortable the mattress feels to an individual, how much contouring it provides, and how supportive it is. A 10-point firmness scale is commonly used to rate mattress firmness. In this scale, 1 is the softest mattress and 10 is the firmest. Mattresses on either end of the spectrum are uncommon, with most models falling between 3 and 8. When you’re shopping for a mattress, paying attention to its firmness rating can give you a better idea of how it will feel to you.

Most individuals between 130 and 200 pounds prefer a medium or medium-firm mattress. Average-weight back sleepers usually gravitate towards the firmer end of this range since they do not require as much conforming as side sleepers.

Sleepers who weigh under 130 pounds do not apply as much force on a mattress, so any mattress is likely to feel firmer to them. Because of this, back sleepers in this range often prefer a medium-soft model.

Individuals who weigh over 200 pounds need more support than other weight groups. Too soft of a mattress may cause their hips to sink in excessively, misaligning the spine. These sleepers frequently favor a medium-firm or firm mattress to give them extra support.

Comfort preference is subjective, and it’s impossible to guess how a mattress will feel to an individual. However, understanding firmness ratings and which rating tends to work best for your weight group and sleep position can give you an excellent starting point to finding the ideal firmness for you.

Which Type of Mattress is Best for Back Sleepers?

Below, we’ll describe the major types of mattresses on the market and explain what they have to offer back sleepers. While individual models may have notable differences based on their materials, quality, and construction, there tend to be some similarities between models of the same type of mattress. Understanding the key benefits and features that are common for each type of mattress may clarify which type is best for you.

Hybrid

Definition: Hybrid models fuse components of two or more other mattress types. The comfort layer most often consists of memory foam, polyfoam, or latex, though it may also contain wool, microcoils, or other materials. A hybrid mattress’s support core uses coils, like a traditional innerspring mattress.
Highlight: A hybrid mattress’s comfort layer is generally engineered to conform to the sleeper’s body for pressure relief. The coil support core usually gives even support, which can help promote proper spinal alignment for back sleepers.

Innerspring

Definition: A substantial support core of coils serves as the main component of an innerspring mattress. Innerspring models may also have thin comfort layers. While these comfort layers may provide some cushioning, they usually are not substantial enough for contouring and pressure relief.
Highlight: High-quality innerspring mattresses usually have even support that can help keep a back sleeper’s spine straight. Thin comfort layers may cushion the sleeper’s pressure points, but they generally are not thick enough to allow a back sleeper’s midsection to sink in too deeply.

Latex

Definition: Latex mattresses are traditionally constructed of multiple layers of latex foam, which may be natural, synthetic, or a blend. Talalay latex is usually lighter and springier. It is commonly used in comfort layers. Dunlop latex is generally denser and more durable, making it a popular choice for both comfort and support layers.
Highlight: While memory foam compresses directly beneath the sleeper’s body, latex spreads the compression over a wider area. This cradles the sleeper without excessive sinkage, creating a balance between cradling and support that may make back sleepers feel like they are floating on the bed.

Airbed

Definition: Airbeds get their name from the air chambers they use to support the sleeper. Depending on the model, these air chambers can be emptied or filled using a pump, remote control, or app. Airbeds may also include comfort layers, though these are usually relatively thin. Comfort layer materials may include memory foam, polyfoam, latex, wool, and/or cotton.
Highlight: Since the air chambers can be filled or emptied to change the feel of the mattress, back sleepers can adjust an airbed to get as close as possible to their ideal firmness. Some models also allow sleepers to adjust each side of the bed independently, which may make them a good choice for partners who have different firmness preferences.

Foam

Definition: Most foam mattresses are constructed of multiple foam layers, which usually include memory foam, polyfoam, or a combination of the two. Some foam mattresses may also include other materials, including latex, wool, and/or cotton. Softer foams are traditionally used in the comfort layers to contour to the sleeper, while firmer support foams prevent them from sinking in too deeply.
Highlight: All-foam models tend to shape to the sleeper’s body, providing a close hug that relieves pressure points. Firmer models give less hug, but they still usually contour enough for pressure relief. Back sleepers who like to sink into their mattress more may appreciate this close conforming.

Accessories Important For Sleeping on Your Back

Accessories can be the finishing touch to make your sleep surface more comfortable. The right accessories can help reduce discomfort and promote quality sleep. While you might upgrade your accessories when you purchase a new mattress, sleepers on a budget may replace them as a lower-cost alternative to replacing their mattress.

Pillows

While the right mattress can keep most of the spine aligned, the sleeper’s pillow is responsible for continuing that alignment into the neck and head. Because sleepers rely on their pillow to support their necks and heads, the wrong pillow can contribute to back and neck pain.

Pillow loft refers to how thick a pillow is. A pillow with too much loft may force a back sleeper’s head towards their chest. A pillow with too little loft may hyperextend the neck. Back sleepers frequently benefit from a medium-loft pillow that supports the head, neck, and shoulders without lifting them up too far. Back sleepers often prefer memory foam or latex pillows that cradle the head to help them maintain proper alignment.

While many back sleepers favor a medium-loft pillow, those with medical conditions aggravated by lying flat may prefer a wedge pillow to elevate the upper body. Sleepers who suffer from sleep apnea, acid reflux, or frequent snoring may benefit from this extra lift.

Sleeping Position Pillow Loft Recommended
Back Medium
Side Medium or High
Stomach Low

 

Many back sleepers also place a small pillow beneath their knees. The University of Rochester Medical Center suggests that this may help relieve back pain by supporting the natural curvature of the back and reducing stress on the spine.

Mattress Toppers

A mattress topper is an extra layer that rests on top of the mattress to adjust the feel of the surface. While a mattress topper won’t completely overhaul your existing mattress, it may make it more comfortable.

Because mattress toppers are usually less expensive than purchasing a new mattress, they can be a convenient and affordable way to modify the sleep surface and try out different materials. Memory foam, polyfoam, and latex toppers can give you an idea of how a mattress that uses these materials might feel without the commitment of replacing your existing mattress.

Thickness varies between toppers. Thinner toppers can offer some cushioning, slightly adjusting the feel of the mattress. Thicker toppers modify the feel more significantly and can relieve pressure to a greater extent.

While mattress toppers can add some cushioning and contouring, they do not provide all the benefits of a new mattress. Most notably, they do not usually provide significant support. If a back sleeper’s hips are sinking in too deeply in their existing mattress, a mattress topper is unlikely to resolve the issue. A mattress topper also will not make up for a mattress that is in bad condition or is sagging. However, a mattress topper may be a good choice for back sleepers who feel their mattress is a little too firm or who are experiencing pressure points.

What Mattress Features Are Important For Back Sleepers?

While many mattress companies claim their models are comfortable for all sleep positions, back sleepers have unique needs. Focusing on the most important mattress features can help you find a mattress that supports your spine while cushioning your pressure points. Below, we’ll detail key factors to consider when selecting the best mattress for back sleepers.

  • Mattress Type: The build of the mattress can influence how it feels, how much it contours to the body, and how well it supports spinal alignment. Each type of mattress has different potential benefits and drawbacks. Understanding how these constructions influence the feel of a mattress may make it easier to find a model that provides enough support and contouring for your body type.
  • Contouring: Many mattresses contour to the body, adjusting to each sleeper’s unique shape. This can help support a back sleeper’s spinal alignment while relieving pressure points. Mattresses vary in how much contouring they provide, and sleepers differ in the level of contouring they prefer.
  • Quality Materials: Quality materials may impact how comfortable a mattress feels and how well it holds up over time. Mattress sagging is often a problem for back sleepers, and high-quality materials frequently resist sagging better than lower-quality alternatives.
  • Firmness Level: A mattress’s firmness influences how much the sleeper sinks in. Back sleepers often favor slightly firmer mattresses than their side-sleeping counterparts. This is because back sleepers require enough support to maintain the natural alignment of their spines. Too soft of a mattress may cause a back sleeper’s hips to sink in too far, while too firm of a mattress may not allow their hips to sink in far enough.
  • Pressure Relief: Pressure relief is closely linked to contouring. When a mattress contours to a sleeper’s body, it distributes their weight more evenly. This can take the pressure off heavier body parts, like the hips and shoulders. While back sleepers do not usually suffer from as sharp of pressure points as side sleepers, they may still appreciate a mattress that cradles their hips.