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They Say: Early Pacifier Use Can Undermine Breastfeeding

Posted by Kate Tuttle

Some parents swear by them, some swear at them, but pacifiers are a nearly universal symbol of babyhood. Now a new study by Danish researchers suggests what many have warned, that early use of pacifiers can be associated with shorter duration of breastfeeding. The study looked at data from visiting nurses who assess and assist all new mothers in Denmark, typically in the family's home around eight days after birth. The health visitors, specially trained in breastfeeding issues, specifically noted whether the baby was being offered a pacifier; two-thirds were. 

Published reports about the study are notably light on details. But apparently the Danish study authors noted that early pacifier use correlated with shorter breastfeeding duration, and have advised that mothers wishing to nurse their babies should hold off on offering the pacifier in the first few weeks after birth. 

At most U.S. hospitals, nurses still use pacifiers -- without parental notification or consent -- in the earliest hours and days of a baby's life. I'm fairly certain this was the case where my children were born (although nobody ever mentioned it to me one way or the other, the tiny green newborn Soothie was always right there in the bassinet). My kids were both massive nursers and refused the pacifier at home (they also refused bottles), so I don't believe their early introduction interrupted our nursing relationship; that said, it would be interesting to see a study of this sort in the U.S. Some lactation consultants here warn against their use, citing nipple confusion issues, but others hail them as a way for a baby to get its suck on while your nipples rest. 

What do you say? Do pacifiers help or hinder the nursing cause? 

 

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Comments

 

Alice said:

I say baloney.  My kids all used pacifiers from day one and all nursed just fine.  I heard that the sucking refelx is strong and it not only soothes the baby but helps develop muscles needed to nurse better.  

March 20, 2009 3:03 PM
 

Suzer said:

My baby is 1 week and 1 day old.  This is not my first child, but he is the first I have breast fed.  My hospital was VERY pro-breast, so he was not offered a pacifier at all.  Once we came home, due to sore nipples, I decided to introduce a pacifier on day 4.  He has been nursing extremly well, and I have not lost my mind over sore nipples.  It has been a life saver for me.  I can't speak about long term effects, but I am hoping I haven't doomed us from the start!

March 20, 2009 4:16 PM
 

Manjari said:

My twins used pacifiers for about 7 mos., and they nursed fine. They also stopped using them on their own at 7 months old. In those first few weeks, the pacifiers helped us all out a lot.

March 20, 2009 4:27 PM
 

Treespeed said:

I have no opinion on this topic, just have to say that is a cute freaking picture.

March 20, 2009 5:21 PM
 

tiffer said:

This study shows nothing more than a correlation, and an unremarkable one at that. I wouldn't be surprised to learn that the same kinds of parents that refuse to offer a pacifier are the same that wean their children later. Or that kids that refuse pacifiers on their own also wean themselves later. Either of these things could lead to the observed correlation without a causal relationship between pacifier use and nursing duration. My oldest son nursed for over two years and has been a passionate binky user since he was 5 days old. Using the pacifier gave me a break in the early weeks when all he wanted to do was suckle or cry. I am willing to believe that nipple confusion is a real issue for some children, but it would be hard to come up with a study that could show this definitively.

March 20, 2009 5:32 PM
 

mar said:

I have no idea if pacifiers screw things up for some babies but I can tell you that I'm absolutely thrilled that baby #3 actually accepts one when the 1st two would have nothing to do with it. And she's still managed to gain 8 ounces a week this first month of her life on just boob milk.

March 20, 2009 5:44 PM
 

mar said:

I also read about a study that indicated lower SIDS rates for pacifier babies.

March 20, 2009 5:46 PM
 

Kate Tuttle said:

Yeah, I think the data are not very clear at all -- the study the article I linked to didn't seem like it provided anything very meaty (though it could just be that the articles didn't examine the study in depth). And there are definitely tons of babies I've known who nursed and used a pacifier with no problem at all. That said, a lot of lactation consultants urge that they not be used a ton very early on -- I think the idea is that not only is nipple confusion a problem, but new moms need to let their babies suckle a lot, to get supply off to a good start.

March 20, 2009 8:47 PM

About Kate Tuttle

I'm raising a toddler and a teenager in a leafy suburb just outside Boston. In between having kids I've been an editor and writer, most recently with the African American National Biography and the late great Africana.com.

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