Featured Research

from universities, journals, and other organizations

Pulling plug on pacifiers: New data do not support recommendation to restrict soothers in breastfeeding infants

Date:
April 30, 2012
Source:
American Academy of Pediatrics
Summary:
Binkies, corks, soothers. Whatever you call pacifiers, conventional wisdom holds that giving them to newborns can interfere with breastfeeding. New research, however, challenges that assertion. In fact, limiting the use of pacifiers in newborn nurseries may actually increase infants' consumption of formula during the birth hospitalization, according to a new study.

Binkies, corks, soothers. Whatever you call pacifiers, conventional wisdom holds that giving them to newborns can interfere with breastfeeding.

New research, however, challenges that assertion. In fact, limiting the use of pacifiers in newborn nurseries may actually increase infants' consumption of formula during the birth hospitalization, according to a study presented April 30, at the Pediatric Academic Societies (PAS) annual meeting in Boston.

Studies have shown that breastfed infants have fewer illnesses such as ear infections and diarrhea as well as a reduced risk of certain cancers, obesity and asthma. Moms benefit, too, from more rapid loss of pregnancy-associated weight gain, reduced risks of certain cancers and improved cardiovascular health. Based on that evidence, the American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for the first six months of life.

To encourage exclusive breastfeeding, the World Health Organization and United Nations Children's Fund recommend that hospitals caring for newborns follow Ten Steps to Successful Breastfeeding. One of the steps states that artificial teats or pacifiers should not be provided to breastfeeding babies. Medical centers that follow the 10 steps can be recognized as Baby-Friendly Hospitals.

In their study, Laura Kair, MD, and Carrie Phillipi, MD, PhD, from Oregon Health & Science University (OHSU), sought to determine if eliminating routine pacifier distribution on the hospital's mother-baby unit increased the rate of exclusive breastfeeding.

OHSU, which has been working to become a Baby-Friendly Hospital, implemented a policy in December 2010 restricting nurses from routinely giving pacifiers to breastfed newborns. The pacifiers were locked up and nurses had to enter a code and a patient's name in order to access them for special circumstances (e.g., to help soothe infants undergoing painful procedures).

Drs. Kair and Phillipi analyzed feeding data on 2,249 infants born between June 2010 and August 2011. Results showed that the rate of exclusive breastfeeding on the mother-baby unit decreased significantly after pacifiers were restricted -- from 79 percent of infants in July to November 2010 to 68 percent in January to August 2011.

In addition, the proportion of breastfed infants receiving supplemental formula increased from 18 percent before the policy was changed to 28 percent afterward. The percentage of infants fed only formula remained statistically unchanged during the study period.

"There is a great deal of energy nationally as well as internationally in support of increasing the number of Baby-Friendly Hospitals," said Dr. Kair, pediatric resident at OHSU Doernbecher Children's Hospital. "Taken together, the 10 steps improve exclusive breastfeeding rates in the hospital. However, the effect of pacifier use on initiation and duration of exclusive breastfeeding has not been well-established in the medical literature.

"Our goal with publicizing this data is to stimulate conversation and scientific inquiry about whether there is sufficient evidence to support the universal recommendation of not offering pacifiers to breastfeeding infants in the first few days to weeks of life," Dr. Kair added. "This subject poses an additional dilemma for parents and pediatric providers as pacifier use is associated with a decreased risk of sudden infant death syndrome (SIDS), and the AAP recommends using a pacifier for sleep after breastfeeding is established."

Further information.


Story Source:

The above story is based on materials provided by American Academy of Pediatrics. Note: Materials may be edited for content and length.


Cite This Page:

American Academy of Pediatrics. "Pulling plug on pacifiers: New data do not support recommendation to restrict soothers in breastfeeding infants." ScienceDaily. ScienceDaily, 30 April 2012. <www.sciencedaily.com/releases/2012/04/120430100927.htm>.
American Academy of Pediatrics. (2012, April 30). Pulling plug on pacifiers: New data do not support recommendation to restrict soothers in breastfeeding infants. ScienceDaily. Retrieved October 22, 2014 from www.sciencedaily.com/releases/2012/04/120430100927.htm
American Academy of Pediatrics. "Pulling plug on pacifiers: New data do not support recommendation to restrict soothers in breastfeeding infants." ScienceDaily. www.sciencedaily.com/releases/2012/04/120430100927.htm (accessed October 22, 2014).

Share This



More Health & Medicine News

Wednesday, October 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Working Mother (Oct. 22, 2014) Is your child ready? Video provided by Working Mother
Powered by NewsLook.com
U.S. Issues Ebola Travel Restrictions, Are Visa Bans Next?

U.S. Issues Ebola Travel Restrictions, Are Visa Bans Next?

Newsy (Oct. 22, 2014) Now that the U.S. is restricting travel from West Africa, some are dropping questions about a travel ban and instead asking about visa bans. Video provided by Newsy
Powered by NewsLook.com
US to Track Everyone Coming from Ebola Nations

US to Track Everyone Coming from Ebola Nations

AP (Oct. 22, 2014) Stepping up their vigilance against Ebola, federal authorities said Wednesday that everyone traveling into the US from Ebola-stricken nations will be monitored for symptoms for 21 days. (Oct. 22) Video provided by AP
Powered by NewsLook.com
Doctors Help Paralysed Man Walk Again, Patient in Disbelief

Doctors Help Paralysed Man Walk Again, Patient in Disbelief

AFP (Oct. 22, 2014) Polish doctors describe how they helped a paralysed man walk again, with the patient in disbelief at the return of sensation to his legs. Duration: 1:04 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins