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Look for a pregnancy pillow that supports your: Neck. The pillow should keep the natural curve of your spine so that you don’t wake up with a strained neck. Shoulders. This is especially important while side-sleeping, because you don’t want extra pressure on your shoulders. Belly. Supporting your belly helps prevent the weight of your uterus from tugging on your abdomen and back, or causing one side of your torso to bend unnaturally. Lower back. Support for your spine is crucial, which is why many pregnancy pillows are long and designed in a U shape to support both the front and back of your body. Knees and ankles. Keeping your knees and ankles at about the same height — which a pillow can do — can help reduce swelling. The pillow should also keep your legs aligned without your hips tilting or your spine twisting.