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If you buy through links on this page, we may earn a small commission. Here’s our process. The right mattress can play an essential role in getting enough quality sleep. Pillow top mattresses have an extra padded layer sewn on top of the mattress to improve comfort. Share on PinterestThis article describes what to look for in a pillow top mattress, some top options on the market, and some alternatives that a person might consider. Quick linksBest range of firmnesses Saatva Classic HybridBest for heat regulation: Tuft & Needle HybridBest organic: NaturePedics EOS Pillowtop OrganicBest hybrid: Serta Serene SkyBest environmentally friendly: Avocado Green with PillowtopBest for body alignment: Sealy PosturePedic Summer Rose Plush Euro Pillow TopBest for side sleepers Helix Midnight Luxe What to look for As the National Institutes of Health (NIH) note, a lack of sleep can increase the risks of short- and long-term health problems. Choosing a comfortable, durable mattress that is the right size and has the right level of firmness may help a person have quality sleep. People who are sharing a bed may wish to consider getting a larger mattress to reduce disturbance by motion during the night. It is also important to choose a mattress that supports spinal alignment. Some mattresses are orthopedic and have various features designed to support the shoulders, hips, and lower back. It is worth noting that a mattress that is too firm might put too much pressure on the hips and shoulders, especially for people who sleep on their sides. It is also important to consider materials. Some, such as wool and other natural fibers, are more breathable and help prevent a person from getting too hot during sleep. A person might also consider sustainability and the environmental impact. Many products have certifications that a person can check for as they shop. Learn more about sustainable and eco-friendly mattresses here. How to choose A person may wish to consider the following when choosing a mattress: Material: Different materials have different qualities. A person with allergies might look for mattresses made from hypoallergenic material, for example.Firmness: While everyone has their own preferences, a 2015 review observes that medium-firm mattresses are best for comfort, sleep quality, and spinal alignment. Certifications: Many mattress companies have environmental certifications, such as CertiPUR-US and Greenguard Gold. These and others can indicate that the manufacturing process and the product do not harm the environment or have potentially damaging health effects.Sleep position: This may influence the best choice of mattress. For example, a back sleeper may benefit from a medium-firm mattress, whereas side sleepers may need something softer. Mattress type: Some people may benefit from adjustable mattresses and bed bases, for example. How we chose MNT chooses mattresses, sheets, pillows, and other bedding that meet the following criteria: Certifications: The products have CertiPUR-US or other certifications to indicate levels of environmental damage, heavy metals, and volatile organic compounds. Size: The products are available in various sizes. Materials and fill: They contain different materials, such as memory foam and latex, to suit a range of needs and preferences. Budget: The products to suit a range of budgets. Firmness [only applicable to some]: These products have a range of firmness options to suit most people. Sleep trials: The companies offer sleep trials. Shipping: When possible, MNT includes information about the cost and availability of delivery.Warranties and return policies: The products have warranties and clear return policies. Best pillow top mattresses Please note that the writer of this article has not tried these products. All information presented is purely research-based and was correct at the time of publication. Medical News Today follows a strict product selection and vetting process. Learn more here. Best range of firmnesses Saatva Classic HybridPrice range: $781–2,021 This mattress contains organic cotton and a CertiPUR-US-certified pillow top that does not contain toxic chemicals, formaldehyde, or ingredients that deplete ozone. Saatva says that this mattress provides spinal support that may help reduce back and joint pain. It also highlights the product’s sustainable materials, including natural thistle and recycled steel. This mattress comes in three firmness options: plush soft, luxury firm, and firm. It is available in these sizes: twin, twin XL, full, queen, king, split king, California king, or split California king. Pros180-night trialfree set-up and deliverychoice of firmness Cons$99 transportation fee for returnsthe possibility of motion transferSHOP NOW Best for heat regulation Tuft & Needle Hybrid MattressPrice range: $995–1,895 This mattress has five layers of foam and springs and is designed to provide balanced support and bounce. The plush pillow top contains carbon fiber-infused foam, which may enhance durability. Tuft & Needle also highlights the product’s graphite and air channels that make the fabric breathable and wick away moisture to keep sleepers cool. This mattress has CertiPUR-US and Greenguard Gold certifications. It is available in these sizes: twin, twin XL, full, queen, king, and California king. Prosedge supportCertiPUR-US and Greenguard Gold certifications Consmay have some off-gassingheavy weightSHOP NOW Best organic Naturepedics EOS Pillowtop Organic MattressPrice range: $2,599–4,999 This mattress has several layers of organic cotton fabric and fill. The cotton comes from farms in the United States, and the company says its materials have been certified by the Department of Agriculture. The mattress also contains organic latex, which helps keep people cool and dry while they sleep. All of the company’s mattresses have MADE SAFE and Greenguard certifications to show that no components derive from harmful materials. It is available in these sizes: twin, twin XL, full, queen, king, and California king. Proscan choose the firmness of each side separatelyfree shipping and returns Conscostlyshorter trial period, compared with competitorsSHOP NOW Best hybrid Serta Serene Sky Mattress This mattress contains layers of memory foam, coils, and the brand’s Cool Twist Gel Foam, which adapts to the contours of the body. The company adds that the product’s plush topper provides extra comfort and support. The coil system and deep foam rail are designed to prevent sleepers from rolling off the mattress. It is available in these sizes: twin, twin XL, full, queen, king, and California king. Prosrelatively more affordablegel foam may give extra supportfree shipping and returns Consplush firmness may be unsuitable for back or stomach sleepersSHOP NOW Best environmentally friendly Avocado Green Mattress with Pillow TopPrice range: $1,099–2,099 A person can add a pillow top to this mattress. It provides 2 inches of organic latex for extra comfort and pressure point relief, and it costs an extra $400–700. This mattress has certifications from the Global Organic Textile Standard, for its organic wool and cotton, and the Global Organic Latex Standard, for its organic latex. Avocado also says that the mattress contains no polyester, polyurethane foams, or toxic fire retardants. Its vegan model contains no wool. This mattress is available in these sizes: twin, twin XL, full, queen, king, and California king. Prosmany environmental certifications1-year trial period Consextra cost of the pillow topnot suitable for those with latex allergiesSHOP NOW Best for body alignment Sealy Posturepedic Summer Rose Plush Euro Pillow TopPrice range: $769.99–1,999.99 This plush mattress contains patented Cool Air Gel Foam and Cool Gel Foam, which contour to the body. Targeted areas provide core and back support, and 660 coils move independently to reduce motion transfer. The company says that the layers of quilting help kill bacteria and wick away moisture, keeping the top of the mattress clean and cool. This model is available in these sizes: twin, twin XL, full, queen, king, and California king. Prostargeted support for the back and coreantibacterial quilting10-year warranty Consmattress removal and installation costs an extra $79.99–119.99SHOP NOW Best for side sleepers Helix Midnight LuxePrice range: $1,199–2,499 This mattress is designed to provide pressure point relief for side sleepers. It is medium firm and has memory foam and zoned coils to support the lower back. A person might choose a breathable Tencel cover for the pillow top or a GlacioTex cooling cover, both of which are hypoallergenic, the company says. The mattress is available in these sizes: twin, twin XL, full, queen, king, and California king. Prosfree shippingchoice of hypoallergenic covers Conscostlyprofessional installation not includedSHOP NOW Comparison tableSaatva Classic HybridTuft & Needle HybridNaturePedics EOSSerta Serene SkyAvocado GreenSealy PosturePedic Summer Rose Plush EuroHelix Midnight LuxePrice range$781–2,021 $995–1,895 $2,599–4,999 $499–849 $1,099–2,099 varies between retailers$1,099–2,299 Trial period180-night100-night 90-night120-night365-night 120-night100-nightWarranty length15 years10 years 20 years10 years25 years 10 years 10–15 yearsFree shipping? yes yes yes yes yes yes yesFree returns? $99 yes yes yes yes$99 yes Alternatives Rather than buying a new mattress, a person might consider buying a pad called a mattress topper. This attaches on top of a mattress. When choosing a mattress topper, a person should consider the materials, level of support, and cost, as well as any environmental credentials that the company holds. Learn about the best mattress toppers for 2022. It is also important to note that there are many other ways to improve sleep quality. The Centers for Disease Control and Prevention (CDC) recommend:sticking to a regular sleep scheduleensuring that the bedroom is quiet, relaxing, and at a comfortable temperatureremoving all electronic devices from the room before bedavoiding large meals, caffeine, and alcohol before bedtimeexercising regularly Summary Pillow top mattresses have an extra layer sewn on top that provides added comfort and support. Many different pillow top mattresses are available. When researching the options, a person should think about their desired materials and level of firmness, and any health and environmental considerations. Last medically reviewed on March 7, 2022Sleep / Sleep Disorders / Insomnia 3 sourcescollapsedMedical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.How does inadequate sleep affect health? (2019).https://www.nichd.nih.gov/health/topics/sleep/conditioninfo/inadequate-sleepRadwan, A., et al. (2015). Effect of different mattress designs on promoting sleep quality, pain reduction, and spinal alignment in adults with or without back pain; a systematic review of controlled trials.https://pubmed.ncbi.nlm.nih.gov/29073401/Sleep and sleep disorders. (2016).https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.htmlFEEDBACK:Medically reviewed by Deborah Weatherspoon, Ph.D., MSN — By Veronica Zambon — Updated on April 20, 2022 Latest newsWhat sets 'SuperAgers' apart? 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