Once your pillow is inflated and the valve is closed, your pillow is ready to be used. We recommend you commence feeding your baby first. Once your baby is in position and drinking comfortably, use your free hand to place the pillow under your loading arm, hand or wrist to take the pressure off. Feeding Friend is designed to reduce Carpal Tunnel Syndrome by providing a surface for your arms and hands to rest on while you cradle your baby. Feeding Friend is not designed to replace your arms. Your baby must always be held while using your Feeding Friend.