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No to Pacifiers

To enhance breastfeeding practices, the World Health Organization discourages pacifiers and bottle-feeding. However the causal effect of artificial nipples on breastfeeding has never been proven. In the study, "Randomized Clinical Trial of Pacifier Use and Bottle or Cupfeeding and Their Effect on Breastfeeding" the authors showed that pacifier use in the neonatal period was detrimental to exclusive and overall breastfeeding. They also showed that there was no advantage to cupfeeding for providing supplements to the general population of healthy breastfed infants, but it may have benefitted infants who required multiple supplements or were delivered by cesarean.

EDITOR'S NOTE: More information on this topic can be found at, "Thumbsucking and Pacifiers" at http://www.medem.com/search/article_display.cfm?path=n:&mstr=/ZZZQ4JXWQ7C.html&soc=AAP&srch_typ=NAV_SERCH

From The American Academy Of Pediatrics

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