May 2018
When I was the lead for our hospital's Baby-friendly team, I had the reputation of being anti-pacifier even though it wasn't accurate. Pacifiers have their place but are known to be a factor in early weaning from the breast when introduced prior to the healthy, full-term newborn learning how to latch well at the breast.
Interestingly, BMC Pregnancy and Childbirth, available free through BioMed Central, recently released the study by Lubbe and ten Ham-Baloyl on justifiable pacifier use in a Baby-friendly facility. (Download the full study here: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-017-1306-8 ).
The summary for this study states, "The use of pacifiers is justifiable in certain situations and will support breastfeeding rather than interfere with it. Justifiable conditions have been identified as: low-birth-weight and premature infant; infants at risk for hypoglycaemia; infants in need of oral stimulation to develop, maintain and mature the sucking reflex in preterm infants; and the achievement of neurobehavioural organisation. Medical benefits associated with the use of pacifiers include providing comfort, contributing towards neurobehavioural organisation, and reducing the risk of sudden infant death syndrome. Guidelines are presented for assessing and guiding safe pacifier use, for specific design to ensure safety, and for the cessation of use to ensure normal childhood development", 2017.
This article could be used as a discussion piece at your next BFHI team meeting, helping to explain why pacifier use is normally discouraged and providing guidelines for setting facility standards for appropriate therapeutic use of the pacifier.
Be sure to share here in this discussion board your thoughts and comments, rather than responding straight to me. This board is a great way to receive a variety of input from colleagues from around the globe!
Kathy Parkes, MSN-Ed, RN, IBCLC, FILCA
Professional Development Educator
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Last Updated: September 2018