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[Pacifier use and its relationship with early weaning in infants born at a Child-Friendly Hospital]
Maria Emília de Mattos Soares1, Elsa Regina Justo Giugliani, Maria Luiza Braun
1Hospital Fêmina, Grupo Hospitalar Conceição, Porto Alegre, RS, Brazil. memilha@terra.com.br
Insights
Pacifier use is common and linked to earlier breastfeeding cessation. This study found pacifier users were more than twice as likely to wean early compared to non-users.
Area of Science:
- Pediatrics
- Public Health
- Nutrition
Context:
- Pacifier use is prevalent in infants, even in settings promoting breastfeeding.
- Understanding factors influencing breastfeeding duration is crucial for infant health.
- Child-Friendly Hospitals aim to support optimal infant feeding practices.
Purpose:
- To investigate the association between pacifier use and early weaning in breastfed infants.
- To assess the impact of pacifier usage on the duration of exclusive breastfeeding.
- To evaluate breastfeeding and exclusive breastfeeding rates among pacifier and non-pacifier users.
Summary:
- A cohort study followed 237 infants, finding 61.6% used pacifiers, often from the first week.
- Pacifier users showed significantly higher rates of weaning (50.8% vs. 22.4%) and loss of exclusive breastfeeding by two months.
- Pacifier use was associated with male infants and mothers with lower education levels.
Impact:
- Findings confirm a link between pacifier use and reduced breastfeeding duration.
- Highlights the need for targeted interventions to support sustained breastfeeding.
- Informs healthcare providers and parents about potential risks of pacifier use on breastfeeding.
Objective:
To assess the use of pacifiers and its relationship with early weaning among children born at a Child-Friendly Hospital.
Methods:
A cohort study was carried out with 250 healthy singleton babies, with birthweight > or =2,500 g, and with ongoing breastfeeding, born at Hospital de Clínicas de Porto Alegre. All mothers lived in Porto Alegre. Data were collected through interviews with the mothers, both at the maternity ward and at their homes, at the end of the first and sixth month of life; and over the phone, in the second and fourth months. Survival curves were built to compare the prevalence of breastfeeding and exclusive breastfeeding during the first six months of life among pacifier and non-pacifier users.
Results:
Among the 237 newborns contacted in the first month of life, 61.6% had been using pacifiers, most of them since the first week of life. The use of pacifiers was more frequent among male newborns and among those with poorly educated mothers; among babies who were being breastfed, the use of pacifiers was more commonly observed among non-exclusively breastfed ones. Considering the babies who were still being breastfed by the end of the first month of life, the incidence of weaning between months 1 and 6 was 22.4% for non-pacifier users and 50.8% for pacifier users (p<0.001). Almost 2/3 of pacifier users stopped being exclusively breastfed before the end of the second month; among non-pacifier users, this rate was 45% (p<0.001).
Conclusion:
The use of pacifiers is deeply rooted in our culture, even in a population oriented towards avoiding it. The association between pacifier use and shorter duration of breastfeeding and exclusive breastfeeding was confirmed in this population.
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