Corpus ID: 38107028

Risks and benefits of pacifiers.

@article{Sexton2009RisksAB,
  title={Risks and benefits of pacifiers.},
  author={Sumi M. Sexton and Ruby Natale},
  journal={American family physician},
  year={2009},
  volume={79 8},
  pages={
          681-5
        }
}
Physicians are often asked for guidance about pacifier use in children, especially regarding the benefits and risks, and when to appropriately wean a child. The benefits of pacifier use include analgesic effects, shorter hospital stays for preterm infants, and a reduction in the risk of sudden infant death syndrome. Pacifiers have been studied and recommended for pain relief in newborns and infants undergoing common, minor procedures in the emergency department (e.g., heel sticks, immunizations… Expand
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References

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Pacifier use, early weaning, and cry/fuss behavior: a randomized controlled trial.
TLDR
It is suggested that pacifier use is a marker of breastfeeding difficulties or reduced motivation to breastfeed, rather than a true cause of early weaning, when the data were analyzed by randomized allocation. Expand
Pacifier as a risk factor for acute otitis media: a randomized, controlled trial of parental counseling.
TLDR
Pacifier use appeared to be a preventable risk factor for AOM in children and its restriction to the moments when the child was falling asleep effectively prevented episodes of AOM. Expand
The effects of early pacifier use on breastfeeding duration.
TLDR
Findings from this study suggest that the decreases in breastfeeding duration associated with pacifier use may be a consequence of less frequent breastfeeding among women who introduce pacifiers to their infants. Expand
Is pacifier use a risk factor for acute otitis media? A dynamic cohort study.
TLDR
Pacifier use appears to be a risk factor for recurrent AOM and parents should be informed about the possible negative effects of using a pacifier once their child has been diagnosed with AOM to avoid recurrent episodes. Expand
A randomized controlled trial of sucrose and/or pacifier as analgesia for infants receiving venipuncture in a pediatric emergency department
TLDR
Pacifiers are inexpensive, effective analgesics and are easy to use in the PED for venipuncture in infants aged 0–3 months and sucrose does appear to provide additional benefit when used with a pacifier in this age group. Expand
Sucrose and non-nutritive sucking for the relief of pain in screening for retinopathy of prematurity: a randomised controlled trial
TLDR
Non-nutritive sucking reduced distress responses in infants undergoing screening for retinopathy of prematurity, and the difference in response was large enough to be detected by a validated assessment tool. Expand
Breastfeeding Patterns in Relation to Thumb Sucking and Pacifier Use
TLDR
More frequent use of a pacifier was associated with shorter breastfeeding duration, even among a group of mothers who were highly motivated to breastfeed. Expand
Randomized clinical trial of pacifier use and bottle-feeding or cupfeeding and their effect on breastfeeding.
TLDR
There was no advantage to cupfeeding for providing supplements to the general population of healthy breastfed infants, but it may have benefitted mother-infant dyads who required multiple supplements or were delivered by cesarean. Expand
A sugar-coated pacifier reduces procedural pain in newborns.
TLDR
Offering a sugar coated pacifier during heelstick in healthy neonates reduces pain behaviors more effectively than a water-moistened pacifier, 2 cc of a 12% sucrose solution, or no intervention. Expand
Pacifiers and breastfeeding: a systematic review.
TLDR
The highest level of evidence does not support an adverse relationship between pacifier use and breastfeeding duration or exclusivity, and Ongoing quantitative and qualitative research is needed to better understand the relationship betweenpacifiers and breastfeeding. Expand
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