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This adjustable maternity support belt is deisgned to support the lumbar and abdominal regions during pregnancy. This pregnancy belt is meant to support the lower back by redistributing pressure more evenly on the surface area the back support covers. It has 4 elastic side panels adding support and compression while allowing aeration. The abdominal pad is made of cotton for better comfort. Sizes: For this maternity girdle we recommend you to measure the circumference of your belly around the lower back and under your belly (see product pictures) and choose a belt according to the belt sizes in the description in the lower range of your measurement in order to plan for belly growth. S: 33-37.5" / 85-95cm belly sizes; M: 36.5-41.5" / 93-105cm belly sizes; L: 40.5-45.5" / 103-115cm belly sizes; XL: 45"-55" / 115-140cm belly sizes.