Should Pacifiers Be Recommended to Prevent Sudden Infant Death Syndrome?

@article{Mitchell2006ShouldPB,
  title={Should Pacifiers Be Recommended to Prevent Sudden Infant Death Syndrome?},
  author={Edwin A. Mitchell and Pete Blair and M.P. L’Hoir},
  journal={Pediatrics},
  year={2006},
  volume={117},
  pages={1755 - 1758}
}
OBJECTIVES. Our aim was to review the evidence for a reduction in the risk of sudden infant death syndrome (SIDS) with pacifier (“dummy” or “soother”) use, to discuss possible mechanisms for the reduction in SIDS risk, and to review other possible health effects of pacifiers. RESULTS. There is a remarkably consistent reduction of SIDS with pacifier use. The mechanism by which pacifiers might reduce the risk of SIDS is unknown, but several mechanisms have been postulated. Pacifiers might reduce… 
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TLDR
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    Archives of Disease in Childhood
  • 2007
TLDR
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TLDR
The use of a pacifier was associated with a lower prevalence and shorter duration of breast feeding, lower socioeconomic status, and mothers who smoked more heavily and there was no association between pacifier use and sleeping position.
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TLDR
Pacifier ventilation holes are essential, flanges should have a minimum horizontal and vertical diameter of 43 mm and Rings should be attached to the flange to facilitate removal if aspirated.
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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.
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TLDR
This paper provides reviews of literature concerning the role of pacifier NNS in 4 areas: (1) sudden infant death syndrome; (2) breast-feeding; (3) otitis media and other infections; and (4) safety.
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TLDR
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Despite knowledge about the major modifiable risk factors for SIDS, these factors are still present in Germany and a continued effort is needed to inform all parents about preventable risk factors.
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TLDR
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TLDR
Until it is determined if pacifiers use is causally related to weaning or is a marker for other undetermined causes, pacifier use probably should not be recommended for breast-fed infants.
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TLDR
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TLDR
It is concluded that dummy use may protect against SIDS, but this observation needs to be repeated before dummies can be recommended for this purpose.
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