Navigation Links
Researchers question pulling plug on pacifiers

BOSTON 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 to be presented Monday, 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."

Contact: Susan Stevens Martin
American Academy of Pediatrics

Related biology news :

1. UCSD researchers: Where international climate policy has failed, grassroots efforts can succeed
2. Researchers announce GenomeSpace environment to connect genomic tools
3. Evidence shows that anti-depressants likely do more harm than good, researchers find
4. Johns Hopkins researchers uncover genes at fault for cystic fibrosis-related intestinal obstruction
5. Researchers find mechanism that gives plants balance
6. Climate change may create price volatility in the corn market, say Stanford and Purdue researchers
7. NCEAS researchers offer new ecological model for deep-water oil spills
8. Southampton researchers lead 2 international projects to help people out of poverty
9. Researchers across North America team up to find genetic markers for autism
10. UCSB researchers discover particularly dangerous Salmonella
11. Researchers discover non-surgical test for brain cancer
Post Your Comments:
(Date:4/5/2017)... KEY FINDINGS The global market for stem ... 25.76% during the forecast period of 2017-2025. The rise ... growth of the stem cell market. Download ... The global stem cell market is segmented on the ... cell market of the product is segmented into adult ...
(Date:3/30/2017)... , March 30, 2017 Trends, opportunities and ... and behavioral), by technology (fingerprint, AFIS, iris recognition, facial ... and others), by end use industry (government and law ... financial and banking, and others), and by region ( ... , Asia Pacific , and the ...
(Date:3/24/2017)... Research and Markets has announced the addition ... Trends - Industry Forecast to 2025" report to their offering. ... The Global Biometric ... of around 15.1% over the next decade to reach approximately $1,580 ... market estimates and forecasts for all the given segments on global ...
Breaking Biology News(10 mins):
(Date:10/11/2017)... and LAGUNA HILLS, Calif. , Oct. 11, ... Research, London (ICR) and University of ... SkylineDx,s prognostic tool to risk-stratify patients with multiple myeloma (MM), ... nine . The University of Leeds ... funded by Myeloma UK, and ICR will perform the testing ...
(Date:10/11/2017)... ... October 11, 2017 , ... Singh ... orphan drug designation to SBT-100, its novel anti-STAT3 (Signal Transducer and Activator of ... SBT-100 is able to cross the cell membrane and bind intracellular STAT3 and ...
(Date:10/10/2017)... ... October 10, 2017 , ... ... FirstHand program has won a US2020 STEM Mentoring Award. Representatives of the FirstHand ... Excellence in Volunteer Experience from US2020. , US2020’s mission is to change the ...
(Date:10/10/2017)... SANTA CRUZ, Calif. , Oct. 10, 2017 /PRNewswire/ ... SBIR grant from the NIH to develop RealSeq®-SC (Single ... preparation kit for profiling small RNAs (including microRNAs) from ... Cell Analysis Program highlights the need to accelerate development ... "New techniques for ...
Breaking Biology Technology: