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Breastfeeding in the First Hours of Life Protects Against Pacifier Use: A Birth Cohort Study

Vanessa Simas Braga1, Márcia Regina Vítolo2, Paulo Floriani Kramer1

  • 1Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
|June 27, 2020
PubMed

Insights

Early breastfeeding significantly reduces pacifier use in infants. Initiating breastfeeding within six hours of birth is crucial for preventing pacifier dependence and promoting infant health.

Area of Science:

  • Pediatrics
  • Public Health
  • Neonatal Care

Background:

  • Pacifier use is common in infants, with potential implications for breastfeeding and oral development.
  • Identifying risk factors is essential for developing targeted interventions.

Purpose of the Study:

  • To investigate risk factors associated with pacifier use during the first year of life.
  • To explore the relationship between early breastfeeding initiation and subsequent pacifier use.

Main Methods:

  • Prospective cohort study of infants in Southern Brazil.
  • Data collected on maternal and infant characteristics, breastfeeding practices, and pacifier use at 6 and 12 months.
  • Poisson regression analysis used to determine relative risks.

Main Results:

  • Pacifier use incidence was 60% in the first year.
  • Maternal age under 18 was associated with a 33% higher risk of pacifier use.
  • Early breastfeeding initiation (within 6 hours of birth) significantly reduced pacifier use risk by 18-25%.

Conclusions:

  • Initiating breastfeeding soon after birth is a protective factor against pacifier use.
  • Prenatal care, particularly for adolescent mothers, and emphasis on early breastfeeding are recommended to improve child health outcomes.

Keywords:
breastfeedingcausalitypacifierrisk factors

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