Pacifiers aren’t bad. Pacifiers may represent an implicit form of weaning when mothers are ambivalent about breastfeeding. Schubiger  GAgostoni RESOURCES: Check out The Woman Centered Health Podcast on iTunes, Stitcher and other podcast platforms.  RA The effects of early pacifier use on breastfeeding duration. For example, in the study by Kramer and colleagues,16 18.3% of infants in the intervention group (educational program for mothers emphasizing avoidance of pacifiers) were weaned by 3 months vs 18.3% in the control group (RR, 1.0; 95% CI, 0.6-1.7). collected data pertaining to study design, population demographics, and results. Ongoing quantitative and qualitative research is needed to better understand the relationship between pacifier use and breastfeeding.  AJones Wright  MSPhilbrick  STTomasi All Rights Reserved. All Rights Reserved, Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, United States Preventive Services Task Force, 2009;163(4):378-382. doi:10.1001/archpediatrics.2008.578. Sucking is an important part of feeding; this skill starts to develop in utero as early as the eighth week of gestation and continues well after birth [13].  DGreenwood  et al. Howard Any study design was eligible for consideration.  CSilano Duval BabyCenter is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. Results from 4 randomized controlled trials revealed no difference in breastfeeding outcomes with different pacifier interventions (pacifier use during tube feeds, pacifier use at any time after delivery, an educational program for mothers emphasizing avoidance of pacifiers, and a UNICEF [United Nations Children’s Fund]/World Health Organization Baby Friendly Hospital environment). Study supervision: Hauck. I want to help put accurate, evidence based info into the hands of families just like yours, so that you can make informed, empowered choices and have the positive birth you deserve!  S Changing hospital practices to increase the duration of breastfeeding. Easy! The quality scores were determined solely by what was reported in each article; authors were not contacted for missing information. The RaZ-Berry silicone teether has “berry bumps” on the nipple to help soothe your baby’s sore gums as it calms her, and can be put in the freezer for extra pain relief. Study inclusion and exclusion flow diagram.  RGDagenais Righard Görbe  CWScott  M Factors adversely associated with breast feeding in New Zealand. Physicians who counsel families about pacifier use must now weigh the potential protective effect against SIDS against the potential deleterious effect on breastfeeding.  EABlair  RStewart  EBanderali  EWeiderpass Just so you know, What to Expect may earn commissions from shopping links. Evidence Based Birth® is an online childbirth resource that informs, empowers and inspires expecting parents and birth-care practitioners globally, to understand the latest, proven, evidence based care practices. Conclusions   MS Do pacifiers reduce the risk of sudden infant death syndrome?  MP Should pacifiers be recommended to prevent sudden infant death syndrome? Yeah, it’s a win.  E Factors affecting exclusive breastfeeding in Poland: cross-sectional survey of population-based samples. In the study by Collins and co-authors,14 infants in the control group were not supposed to receive a pacifier in the hospital, but 31% received a pacifier at some point before discharge. Clements  AMMachado Evidence-based information on use of pacifiers to reduce sudden infant death from hundreds of trustworthy sources for health and social care. Pacifier use, early weaning, and cry/fuss behavior: a randomized controlled trial. None of the studies found a significant difference in breastfeeding outcomes with the pacifier-related intervention. The American Academy of Pediatrics (AAP) says that when used correctly, it's perfectly fine to give your little one a pacifier.  N Meta-analysis in clinical trials. Based on the above evidence, pacifiers can be considered a fomite, but their ability to cause clinically significant infections is questionable. 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