How to Tell if Baby Wants Breast or Pacifier

When tin I brainstorm using a pacifier?

It is recommended that pacifiers and other types of artificial nipples be avoided for at least the first 3-4 weeks. I'd personally advise that most breastfed babies – if they get a pacifier at all – would be meliorate off without a pacifier until mom's milk supply is well established (six-8 weeks, commonly) and the half dozen calendar week growth spurt is over. That mode y'all've established a proficient milk supply and don't lose any much-needed breast stimulation to a pacifier.

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What should I consider before using a pacifier?

Later the early weeks, pacifier use is less likely to cause problems every bit long as you are aware of the following:

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• Never substitute a pacifier for a feeding at the breast or endeavor to concord the baby off longer betwixt feedings with one. (See Should babe exist on a schedule?)
• There are studies that indicate that babies who accept a pacifier tend to wean before than those who practice not. This is most likely because as a babe gets older – once he's established on solid food – it is often his want to suck that ensures he continues to seek out the breast frequently. Babies who apply pacifiers are getting that need to suck met with something other than the breast, and therefore may decide to give up breastfeeding sooner than if they did not take a pacifier.
• Some babies who take pacifiers are more prone to oral yeast (thrush) which tin be transferred to mom's nipples.
• A number of studies accept shown a link between pacifier use and an increased incidence of ear infections.
• Pacifiers tin result in choking or strangulation if the pacifier breaks or if it is tied around the cervix (which it never should exist). Follow all condom guidelines and keep an eye out for the many pacifier safety recalls. Also, continue in mind that latex allergy is becoming an increasing problem – consider using a silicone pacifier rather than latex.
• Prolonged pacifier utilise tin can event in teeth misalignment, and can likewise occasionally lead to shaping of the soft palate or spoken communication problems.
• Giving baby a pacifier will increase mom'south chances of ovulating and getting pregnant. Exclusive breastfeeding, depending upon your breastfeeding frequency and other factors, is a method of nativity command that tin exist more than 98% effective during the first 6 months and 94% effective during the 2nd vi months. Ensuring that all of babe's sucking needs are met at the breast increases the effectiveness of this method of contraception.

 When to avoid the pacifier

If you lot detect any of the post-obit problems, it would be a proficient idea to discontinue pacifier use, at least until the problem is resolved:

• Pacifier employ reduces your babe'south frequency or duration of feeds (newborns should be nursing at to the lowest degree eight to 12 times a day).
• Infant is having difficulties nursing well (this may be due to nipple confusion).
• Infant is having problems with weight gain (in which instance baby needs to nurse equally ofttimes as possible).
• Mom is having issues with sore nipples (baby may exist causing this due to nipple confusion)
• Mom is having milk supply problems (in which instance she needs to put baby to breast, not pacifier, at every opportunity in order to increment milk supply).
• Mom and/or babe have thrush, particularly if it's hard to get rid of or repeated.
• Baby is having repeated ear infections (an increased incidence of ear infections has been linked to pacifier use).

 Tin pacifiers aid forbid SIDS?

Accept you heard that pacifier apply might assist to forestall SIDS? Here's what the American Academy of Pediatrics Department on Breastfeeding says virtually this in their Feb 2012 Policy Statement:

Given the documentation that early utilize of pacifiers may be associated with less successful breastfeeding, pacifier use in the neonatal period should exist limited to specific medical situations. These include uses for pain relief, equally a calming agent, or as part of structured program for enhancing oral motor function. Because pacifier use has been associated with a reduction in SIDS incidence, mothers of healthy term infants should be instructed to employ pacifiers at baby nap or sleep time after breastfeeding is well established, at approximately iii to 4 weeks of historic period.

 In conclusion…

As long as you go on the above in mind and just employ a pacifier sparingly, it is up to you whether and when you wish to comfort baby yourself or with a pacifier. Nonetheless, keep in mind that there is no scientific prove that suggests that babies take a need to suck independant of the demand for food. When a baby is indicating a sucking demand, information technology's generally best that baby be encouraged to breastfeed, especially if there is a weight proceeds business organisation. The breast was the first pacifier and in virtually cases remains the best.

 More information

Is your baby nursing all the fourth dimension? @

Pacifiers by Diane Wiessinger, MS, IBCLC

Pacifiers: In or Out? and Giving a pacifier to a breastfed baby past Dr. William and Martha Sears

Acme Ten Reasons for Non Using a Pacifier past Linda J. Smith, IBCLC

Perils of the Pacifier past Bruce A. Epstein, Doc

AAP Guide to Thumb Sucking and Pacifiers (including safety guidelines)

Nipple Confusion from AskDrSears.com

The Truth About "Nipple Confusion" by Paula Yount

Introducing Bottles and Pacifiers to a Breastfed Babe by Anne Smith

Dealing with Nipple Confusion from Breastfeeding and the Working Female parent past Cecilia Mitchell Miller

The Pitfalls of Supplementing a Breastfed Baby by Cheryl Taylor White

Late Nipple Confusion past Carrie Ganz, from NEW BEGINNINGS, Vol. sixteen No. 2, March-April 1999, p. 43.

Nursing Through Defoliation by Olga April (a mom'southward story)

 Some Journal Articles on Pacifier Use and Breastfeeding

Kair LR,Kenron D,Etheredge K,Jaffe Ac,Phillipi CA. Pacifier Brake and Sectional Breastfeeding. Pediatrics. 2013 Apr; 131(four).

Howard CR, Howard FM, Lanphear B, Eberly S, deBlieck EA, Oakes D, Lawrence RA. Randomized clinical trial of pacifier utilise and canteen-feeding or cupfeeding and their event on breastfeeding. Pediatrics. 2003 Mar;111(3):511-8.

AM Vogel, BL Hutchison and EA Mitchell. The impact of pacifier use on breastfeeding: A prospective accomplice written report. J Paediatr Child Health 2001;Feb;37(1):58-63.

Wojdan-Godek Eastward, Mikiel-Kostyra K, Mazur J. Factors associated with exclusive breastfeeding of infants in Poland. Med Wieku Rozwoj 2000;iv(3 Suppl 1):15-24.

Aarts, C., Hörnell, A., Kylberg, E., Hofvander, Y., Gebre-Medhin, Thou. Breastfeeding Patterns in Relation to Pollex Sucking and Pacifier Use. Pediatrics 1999;104: 50e.

Cynthia R. Howard, Fred K. Howard, Bruce Lanphear, Elisabeth A. deBlieck, Shirley Eberly, and Ruth A. Lawrence. The Furnishings of Early Pacifier Utilize on Breastfeeding Duration. Pediatrics 1999;103: e33.

Riva E, Banderali G, Agostoni C, Silano K, Radaelli G, Giovannini G. Factors associated with initiation and elapsing of breastfeeding in Italia. Acta Paediatr. 1999 Apr;88(four):411-v.

Hornell A, Aarts C, Kylberg Eastward, Hofvander Y, Gebre-Medhin One thousand. Breastfeeding patterns in exclusively breastfed infants: a longitudinal prospective study in Uppsala, Sweden. Acta Paediatr 1999 Feb;88(2):203-11.

Righard L. Are breastfeeding problems related to incorrect breastfeeding technique and the use of pacifiers and bottles? Nascence 1998 Mar;25(i):twoscore-four.

Righard L, Alade MO. Breastfeeding and the use of pacifiers. Birth 1997 Jun;24(2):116-20.

Cesar Gomes Victora, Dominique Pareja Behague, Fernando Celso Barros, Maria Teresa Anselmo Olinto, and Elizabeth Weiderpass. Pacifier Employ and Short Breastfeeding Elapsing: Cause, Upshot, or Coincidence? Pediatrics 1997;99: 445-453.

FC Barros, CG Victora, TC Semer, S Tonioli Filho, E Tomasi, and Due east Weiderpass.
Use of pacifiers is associated with decreased chest-feeding duration. Pediatrics 1995;95: 497-499.

 Some Journal Articles on Pacifier Use in General

Warren JJ, Levy SM, Kirchner HL, Nowak AJ, Bergus GR. Pacifier apply and the occurrence of otitis media in the first year of life. Pediatr Paring. 2001 Mar-Apr;23(2):103-7.

Larsson E. Sucking, chewing, and feeding habits and the development of crossbite: a longitudinal study of girls from nativity to 3 years of historic period. Angle Orthod. 2001 Apr;71(two):116-9.

Martinez Sanchez L, Diaz Gonzalez E, GarciaTornel Florensa S, Gaspa Marti J. Pacifier use. risks and benefits. An Esp Pediatr. 2000;53(6):580-5.

Marjo Niemelä, Outi Pihakari, Tytti Pokka, Marja Uhari, and Matti Uhari. Pacifier as a Take a chance Factor for Acute Otitis Media: A Randomized, Controlled Trial of Parental Counseling. Pediatrics 2000;106: 483-488. A Finnish written report on pacifiers has establish that reduced pacifier apply in children can decrease the incidence of acute otitis media, or ear infections. The study, published in the September issue of Pediatrics, the journal of the American Academy of Pediatrics, followed ii groups of children under 18 months. In one group, pacifier utilise was decreased past 21 percent, while children in the second group used pacifiers continuously. The outset grouping had a 29 percentage lower incidence of acute otitis media than the second. Researchers concluded that restricting pacifier utilise to when a kid is falling asleep could prevent such infections.

Fleming, P. J, Blair, P. South, Pollard, K., Platt, M. Due west., Leach, C., Smith, I., Berry, P J, Golding, J., the CESDI SUDI Research Team. Pacifier use and sudden infant expiry syndrome: results from the CESDI/SUDI case control study. Arch. Dis. Child. 1999;81: 112-116.

Kate North, Peter Fleming, Jean Golding, and the ALSPAC Written report Team. Pacifier Employ and Morbidity in the Kickoff Half-dozen Months of Life. Pediatrics 1999;103: e34.

Ollila P, Niemela M, Uhari M, Larmas M. Prolonged pacifier-sucking and apply of a nursing bottle at night: possible run a risk factors for dental caries in children. Acta Odontol Scand 1998 Aug;56(4):233-7.

Jackson JM, Mourino AP. Pacifier use and otitis media in infants twelve months of age or younger. Pediatr Paring. 1999 Jul-Aug;21(4):255-sixty.

Uhari M, Mantysaari K, Niemela M. A meta-analytic review of the risk factors for acute otitis media. Clin Infect Dis 1996 Jun;22(half dozen):1079-83.

M Niemela, Thou Uhari, and M Mottonen. A pacifier increases the adventure of recurrent astute otitis media in children in solar day care centers. Pediatrics 1995;96: 884-888.

Darwazeh AM, al-Bashir A. Oral candidal flora in healthy infants. J Oral Pathol Med 1995 Sep;24(8):361-4.

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Source: https://kellymom.com/ages/newborn/newborn-concerns/pacifier/

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