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Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
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Related Experiment Video

Updated: Jun 24, 2026

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
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Pacifiers and breastfeeding: a systematic review.

Nina R O'Connor1, Kawai O Tanabe, Mir S Siadaty

  • 1Department of Family Medicine, University of Virginia School of Medicine, Charlottesville, VA 22908-0729, USA.

Archives of Pediatrics & Adolescent Medicine
|April 8, 2009
PubMed
Summary

Pacifier use does not negatively impact breastfeeding duration or exclusivity. Observational studies suggesting a link likely reflect other factors, not pacifier use itself.

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Published on: February 5, 2019

Area of Science:

  • Pediatrics
  • Neonatal Care
  • Lactation Studies

Background:

  • Pacifier use is common in infants.
  • The relationship between pacifier use and breastfeeding success remains a topic of debate.
  • Existing evidence requires synthesis to inform clinical practice and parental guidance.

Purpose of the Study:

  • To systematically review and summarize current scientific evidence on the association between infant pacifier use and breastfeeding outcomes.
  • To evaluate the quality of evidence from randomized controlled trials and observational studies.

Main Methods:

  • Comprehensive literature search of multiple databases (MEDLINE, CINAHL, Cochrane Library, EMBASE, POPLINE) from 1950 to 2006.
  • Inclusion of 29 studies: 4 randomized controlled trials, 20 cohort studies, and 5 cross-sectional studies.
  • Data abstraction and quality assessment by two independent reviewers.

Main Results:

  • Randomized controlled trials found no significant difference in breastfeeding outcomes across various pacifier interventions.
  • Most observational studies indicated an association between pacifier use and shorter breastfeeding duration.
  • The highest level of evidence does not support a direct adverse relationship.

Conclusions:

  • The association observed in observational studies may be confounded by factors like breastfeeding difficulties or maternal intent to wean.
  • Current evidence does not support a negative impact of pacifier use on breastfeeding duration or exclusivity.
  • Further research, both quantitative and qualitative, is recommended to fully elucidate the complex relationship.