home
RSS
Research questions impact of pacifiers on disrupting breast-feeding
April 30th, 2012
12:05 PM ET

Research questions impact of pacifiers on disrupting breast-feeding

Pacifiers can soothe agitated infants, but some experts - including those at the World Health Organization (WHO) - discourage pacifier use in the first six months of life because of concerns that it may interfere with breast-feeding, widely seen as the best way to feed a newborn.

New research, however, casts doubt on the notion that pacifier use disrupts breast-feeding. In an analysis of feeding patterns among 2,249 infants in a single maternity ward over a 15-month period, researchers found the proportion of infants who were exclusively breast-fed dropped from 79% to 68% after pacifier use was restricted in the ward.

Meanwhile, the proportion of infants who needed formula in addition to breast-feeding jumped from 18% to 28% after the change in policy, according to the preliminary results of the study, which were presented today at the annual meeting of the Pediatric Academic Societies, in Boston.

"We were surprised - even disappointed - to find that our exclusive breast-feeding rates went down and supplemental formula feedings went up," says Carrie Phillipi, M.D., senior author of the study and an associate professor of pediatrics at Oregon Health & Science University, in Portland.

Health.com: Painless breast-feeding, a motherhood myth

The conventional wisdom is that pacifier use creates "nipple confusion" in newborns, says Pete Richel, M.D., chief of pediatrics at Northern Westchester Hospital, in Mt. Kisco, New York, who was not involved with the study.

The theory is that infants suckle their mother's nipple differently than they do a bottle or pacifier, and may have difficulty latching on to the mother if they're given too much exposure to artificial nipples.

In addition, the body produces breast milk according to demand, so frequently giving infants a pacifier may in some cases compromise the mother's milk supply, Phillipi says.

Health.com: Women who delay returning to work breast-feed longer

Prohibiting the use of pacifiers and artificial nipples is one of the 10 steps for encouraging breast-feeding that hospitals in the United States must take to earn a "baby-friendly" designation from the WHO and the United Nations Children's Fund (UNICEF).

As part of its efforts to qualify for this baby-friendly status, the Doernbecher Children's Hospital at OHSU curtailed the use of pacifiers in its mother-baby unit in December 2010. After that date, the hospital required nurses and doctors to sign pacifiers out and use them only for "medically appropriate reasons," such as when a baby undergoes a painful surgical procedure or is withdrawing from drugs the mother took while pregnant.

The policy change provided Phillipi and her colleagues with a handy way of assessing before-and-after changes in pacifier use and breast-feeding, but their analysis lacks the rigor of a carefully designed and controlled study.

For instance, the hospital allowed visitors to bring their own pacifiers into the mother-baby unit, which is specially designed to accommodate mothers, infants, and family members. The researchers have no way of knowing how many outside pacifiers were brought it, or how often the infants used them.

Health.com: Pregnancy advice examined

Moreover, the analysis didn't take into account the mothers' demographic profiles and the hospital's staffing levels, in particular the availability of doctors and nurses to give breast-feeding advice, Phillipi says.

Despite these weaknesses, the findings add another wrinkle to the already confusing recommendations for pacifier use in newborns. In contrast to the WHO, which discourages all pacifier use in the first six months of life, the American Academy of Pediatrics recommends giving babies pacifiers as they fall asleep beginning at the one-month mark, because this practice has been linked with a lower risk of sudden infant death syndrome (SIDS).

"It's very logical to think that pacifiers might interfere with breastfeeding, but there isn't really strong evidence that pacifiers are the problem, and they do turn out to be beneficial for reducing the risk of SIDS," Phillipi says. "Maybe we could approach mothers and their infants on a more individual basis… We can't make blanket recommendations about complex things."

Copyright Health Magazine 2011


soundoff (683 Responses)
  1. digital marketing

    Great blog information keep up the good work

    April 6, 2021 at 17:24 | Report abuse | Reply
  2. vardenafil- vardenafil tablet, film coated

    how long do the effects of vardenafil last https://vegavardenafil.com/ staxyn (vardenafil)

    April 6, 2021 at 18:59 | Report abuse | Reply
  3. is vardenafil in the va formulary

    vardenafil levitra https://vegavardenafil.com/ where to buy online vardenafil with out prescribed

    April 6, 2021 at 20:02 | Report abuse | Reply
  4. sildenafil online price

    sildenafil 85 https://eunicesildenafilcitrate.com/ cheap sildenafil citrate uk

    April 6, 2021 at 20:40 | Report abuse | Reply
  5. Erich Boldin

    Appreciate it for this grand post, I am glad I discovered this web site on yahoo.

    http://www.4shared.com/web/preview/pdf/_PSWLF3qiq

    April 7, 2021 at 01:51 | Report abuse | Reply
  6. tadalafil 40 mg daily

    tadalafil max dose https://elitadalafill.com/ tadalafil 40 mg daily

    April 7, 2021 at 04:24 | Report abuse | Reply
  7. 강남야구장

    That is a really good tip especially to those new to the blogosphere.
    Brief but very precise info… Thank you for sharing this
    one. A must read post!

    April 7, 2021 at 05:03 | Report abuse | Reply
  8. sildenafil 50

    sildenafil pills https://eunicesildenafilcitrate.com/ sildenafil for women

    April 7, 2021 at 06:36 | Report abuse | Reply
  9. 카지노사이트

    It's a jealous article. It's very remarkable and new. Who can be you to write this kind of special article?

    http://socialnetworkadsinfo.com/story7181851/a-beginners-guide-to-people-from-france-boule

    April 7, 2021 at 07:06 | Report abuse | Reply
  10. 카지노사이트

    Hey, not necessarily you too great? Your own writing widens my know-how. Give thanks to you.

    http://q2a.sydt.com.tw/index.php?qa=user&qa_1=pilotsummer93

    April 7, 2021 at 08:18 | Report abuse | Reply
  11. 우리카지노

    Incredible. You're so good of which you're so good right now. Your help woke everyone up. Thank you quite much.

    https://historyhub.history.gov/external-link.jspa?url=https://desiremuscle4.skyrock.com/3338785690-Huge-Deluxe-Rollators.html

    April 7, 2021 at 17:08 | Report abuse | Reply
  12. 카지노사이트

    At this charge, you can debut as a article writer. I am just so touched. I'm happy to meet you. Appreciate you.

    https://morphomics.science/wiki/Biomarking_Data_The_Importance_of_DBE_Technologies

    April 7, 2021 at 17:59 | Report abuse | Reply
  13. sandvik vsi crusher parts

    Chrome steel is made use of synonymously with stainless steel What are its buildings ? Hardening of chrome steel.

    https://writeablog.net/z3fdlfo201/the-cone-crusher-devices-typically-runs-by-having-actually-the-rock-fed-right

    April 8, 2021 at 07:37 | Report abuse | Reply
  14. Merlyn Minasian

    If you're keen on making Technology something that is worthwhile for you, the techniques we've presented will absolutely aid. It typically is preferable to see fast results, but to do so, you need to have persistence if they don't appear right away. Anytime you require additional help, you'll want to head over to Our Technology Site – bookmark this link so you have it for future reference.

    https://articlescad.com/technology-trends-2021-by-shafaat-utbah-1136445.html

    April 8, 2021 at 15:24 | Report abuse | Reply
  15. Nathaniel Genuario

    http://www.google.de

    April 9, 2021 at 04:55 | Report abuse | Reply
  16. Evan Scroger

    Its like you read my mind! You appear to know so much about this, like you wrote the book in it or something. I think that you could do with some pics to drive the message home a little bit, but other than that, this is wonderful blog. An excellent read. I'll certainly be back.

    http://cse.google.ca/url?q=https://favro.com/organization/9c95001d84d8a042b667b06c/5ce2065fbd5351af17462537

    April 9, 2021 at 06:27 | Report abuse | Reply
  17. 우리카지노

    Regards to you, We realized something new. Give thanks to anyone so much. I actually search forward to working with you.

    https://wikidot.win/wiki/Casin_Di_Campione_Exactly_why_Is_It_Hot

    April 11, 2021 at 01:02 | Report abuse | Reply
  18. 우리카지노

    At that price, you can premiere as a article author. I'm so touched. Now i am happy to meet you. Thank you.

    https://spinalhub.win/wiki/What_Blackjack_Provides_You_Know_the_Home_Edge_Before_You_Purchase

    April 11, 2021 at 03:52 | Report abuse | Reply
  19. 토토사이트

    It's a envious article. It's very awesome and brand-new. Who will be you to write this specific special article?

    http://57xianbao.com/home.php?mod=space&uid=777079

    April 11, 2021 at 09:04 | Report abuse | Reply
  20. 사설토토

    At this specific charge, you can premiere as a article author. I am just so touched. I'm cheerful to meet you. Give thanks to you.

    https://vinpearlsafaricuchi.com/forum/profile.php?section=personality&id=573646

    April 11, 2021 at 15:05 | Report abuse | Reply
  21. canada pharmacy viagra

    viagra/canada https://canadaviagrastore.com/ canada pharmacy viagra

    April 12, 2021 at 06:33 | Report abuse | Reply
  22. sildenafil 20 mg brand name

    buy sildenafil generic india https://eunicesildenafilcitrate.com/ best price generic sildenafil 20 mg

    April 12, 2021 at 12:22 | Report abuse | Reply
  23. 토토사이트

    What a man of potential! You have the ability to create good items that you can't find everywhere. to envy

    http://www.mrleffsclass.com/forum/member.php?action=profile&uid=254122

    April 12, 2021 at 12:25 | Report abuse | Reply
  24. Carri Laforce

    Good post however , I was wanting to know if you could write a litte more on this subject? I'd be very grateful if you could elaborate a little bit more. Many thanks!

    https://www.muzicamp3.org/straina/fashion-tape/72QGRj0DlFo

    April 12, 2021 at 18:22 | Report abuse | Reply
  25. Sj bet

    For latest information you have to go to see internet and on the web I found this website as a most excellent site for most up-to-date updates.

    April 12, 2021 at 18:25 | Report abuse | Reply
  26. 먹튀검증사이트

    You're hence amazing. Oh my God. Our god bless you.

    https://www.blurb.com/user/minenut06

    April 12, 2021 at 22:57 | Report abuse | Reply
  27. is it safe to order cialis from canadian pharmacy

    cialis canadian discounts https://canadacialisstore.com/ cialis through canadian pharmacies

    April 13, 2021 at 00:50 | Report abuse | Reply
  28. buy zithromax without prescription

    zithromax used for https://zithromaxes.com/ citromax antibiotic drug

    April 13, 2021 at 01:56 | Report abuse | Reply
  29. zithromax antibiotic

    zirthomax https://zithromaxes.com/ zenquell medicine

    April 13, 2021 at 02:38 | Report abuse | Reply
  30. 먹튀검증사이트

    Thanks to you, I actually learned something new. Thank you so much. I seem forward to nearby.

    http://www.bsaa.edu.ru/bitrix/rk.php?goto=https://blogfreely.net/casino2heavenviolin10/is-there-such-a-thing-as-a-house-advantage-in-slots

    April 13, 2021 at 02:45 | Report abuse | Reply
  31. 우리카지노

    Thank anyone so much with regard to permitting myself know what I didn't know. I enjoy working with you.

    http://jakarta.sangsanguniv.com/members/baccarat0israelsharon55/activity/423705/

    April 14, 2021 at 00:45 | Report abuse | Reply
  32. 먹튀검증

    Seriously. Genius. You're the wizard. Say thanks to you.

    https://casino5israelicon44.tumblr.com/post/646724292168630272/roulette-strategy

    April 14, 2021 at 06:56 | Report abuse | Reply
  33. vardenafil tablets

    vardenafil 20mg dosage https://vegavardenafil.com/ side effects for vardenafil

    April 14, 2021 at 07:23 | Report abuse | Reply
  34. หวย

    Good blog post. I certainly love this site.
    Stick with it!

    April 14, 2021 at 10:09 | Report abuse | Reply
  35. Corinne Baldrige

    https://www.tryarticles.com/

    April 14, 2021 at 11:58 | Report abuse | Reply
  36. 먹튀검증

    At this rate, you can premiere as a author. I'm so touched. Now i'm content to meet you. Give thanks you.

    http://druzhba5.dacha.me/user/boltnut50/

    April 14, 2021 at 13:21 | Report abuse | Reply
  37. how do you take vardenafil 20 mg?

    vardenafil 20mg dosage https://vegavardenafil.com/ where to buy online vardenafil with out prescribed

    April 15, 2021 at 00:56 | Report abuse | Reply
  38. erection injection medication

    alprostadil suppository injection demonstration https://alprostadildrugs.com/ alprostadil cream

    April 15, 2021 at 00:59 | Report abuse | Reply
  39. Jay Stricker

    There are a few interesting points at some point on this page but I don’t know if them all center to heart. There is certainly some validity but I’m going to take hold opinion until I look into it further. Great write-up , thanks and we want far more! Included with FeedBurner at the same time

    https://blackplanet.com/akridgearden1216/message/20491882

    April 15, 2021 at 03:34 | Report abuse | Reply
  40. alprostadil injection site

    alprostadil use after heart surgery https://alprostadildrugs.com/ alprostadil cost per dose

    April 15, 2021 at 10:30 | Report abuse | Reply
  41. 우리카지노계열

    I love it when individuals come together and share views. Great blog, stick with it!

    https://acrelinux.stream/wiki/What_are_Basics_of_Poker

    April 15, 2021 at 11:58 | Report abuse | Reply
  42. canadian pharmacy no perscription generic cialis

    counterfeit canadian drugs cialis https://canadacialisstore.com/ cialis viagra combination canadian pharmacy

    April 15, 2021 at 12:28 | Report abuse | Reply
  43. 우리카지노

    This is a topic that is near to my heart... Thank you! Where are your contact details though?

    http://letusbookmark.com/story8935057/increase-at-pai-cow-via-plans-that-other-people-never-consider

    April 15, 2021 at 17:28 | Report abuse | Reply
  44. best university in indonesia

    Hey there would you mind stating which blog platform you're working with?
    I'm planning to start my own blog soon but I'm
    having a tough time selecting between BlogEngine/Wordpress/B2evolution and Drupal.
    The reason I ask is because your design and style seems different then most blogs and I'm looking for something unique.
    P.S Sorry for being off-topic but I had to ask!

    April 15, 2021 at 17:41 | Report abuse | Reply
  45. 카지노사이트

    http://www.quickregisterhosting.com/classifieds/user/profile/312554

    April 15, 2021 at 19:43 | Report abuse | Reply
  46. tadalafil daily use

    40 mg tadalafil https://elitadalafill.com/ tadalafil max dose

    April 15, 2021 at 21:03 | Report abuse | Reply
  47. https://magic-mushrooms-online.com/product-category/magic-mushroom-spores/

    Love the way you cover this topic.

    https://magic-mushrooms-online.com/product-category/magic-mushroom-spores/

    April 15, 2021 at 21:06 | Report abuse | Reply
  48. https://playersbobet.xyz/

    It's nearly impossible to find knowledgeable people about this topic, however, you seem like you know what you're talking about!
    Thanks

    April 16, 2021 at 00:21 | Report abuse | Reply
  49. Jeane Urrabazo

    howdy, I am gettin my site ranked “lands end catalog”.

    http://bit.do/fNUdT-

    April 16, 2021 at 01:08 | Report abuse | Reply
  50. https://magic-mushrooms-online.com/

    Specifically the kind of content that enriches the web. Thanks!

    https://magic-mushrooms-online.com/

    April 16, 2021 at 04:13 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.