Abstract: The invention provides a composite bed mattress comprising a first, relatively firm foam layer and a second, relatively soft foam layer said first and second layers being disposed in face to face contiguous relationship to one another, wherein the first foam layer contains at least one recess adjacent the second foam layer and the second foam layer has a respective, relatively soft, foam projection which fits into each recess, and the region of the mattress containing the or each recess and projection corresponds, in use, with the hip region of a person laying on an upper surface of the mattress.