[Use of pacifiers and breastfeeding].
M J Lozano de la Torre1, C R Pallás Alonso, M T Hernández Aguilar
1Comité de Lactancia Materna de la Asociación Española de Pediatría, Madrid, España. lozanomj@unican.es
Anales De Pediatria (Barcelona, Spain : 2003)
|January 25, 2011
Summary
Pacifier use offers infant soothing benefits but may negatively impact breastfeeding duration and infant health. This review examines evidence to guide recommendations for pacifier use in breastfed infants.
Area of Science:
- Pediatrics
- Infant Care
Context:
- Pacifiers are commonly used for infant comfort and procedural pain relief.
- Concerns exist regarding pacifier use and breastfeeding, otitis media, dental issues, accidents, and Sudden Infant Death Syndrome (SIDS).
Purpose:
- To review current scientific evidence on the risks and benefits of pacifier use in infants.
- To provide evidence-based recommendations for healthcare professionals and parents regarding pacifier use in breastfed infants.
Summary:
- Pacifier use is associated with shorter breastfeeding duration and exclusivity.
- Potential risks include increased otitis media, dental problems, accidents, and SIDS, particularly during sleep.
- Documented benefits include analgesia and non-nutritive sucking stimulation in preterm and term infants.
Impact:
- Informs healthcare providers and parents about the complex relationship between pacifier use and infant well-being.
- Aims to resolve controversy and establish clear guidelines for pacifier use in breastfed infants.
- Contributes to evidence-based practice in infant feeding and care.
Related Concept Videos
Parental Care
Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
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...
Drug Dosing: Infants and Children
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
Attachment
Attachment is vital for infant development, as warm social interactions support growth and well-being. In a classic 1958 study by Harry Harlow, the significance of warmth and comfort in forming attachments was examined. Harlow separated newborn monkeys from their mothers and provided two artificial "mothers": one made of cold wire and the other covered in soft cloth. Despite the wire mother offering food, the infant monkeys preferred the comfort of the cloth mother, demonstrating that physical...
Psychosexual Stages of Personality: Oral
The oral stage is the initial phase of Sigmund Freud's theory of psychosexual development, occurring from birth to approximately 12 to 18 months. During this period, the infant's mouth serves as the primary source of pleasure, with actions such as sucking, chewing, biting, and drinking playing a crucial role in reducing tension. These activities are essential not only for nourishment but also for the infant's psychological and emotional satisfaction.
Weaning, typically occurring around the age...
Weaning, typically occurring around the age...


