The foam insert will facilitate a normalized head shape by providing structure to the cranium. Border stitching of the cover around the foam will keep the insert in place when the device is moved. Infants can be positioned supine or side lying when using the top layer of the device holding the foam insert. The bottom layer of the device will be used for prone positioning when the foam insert is removed Pocket #2, the bottom layer of the Premie Pouch will contain a bladder of soft squishy pellets that offer a comfortable place for infants to rest when positioned prone (but that also remains in place when using the top layer with the insert in place). To use this layer of the device, the nurse need only remove the foam insert.