Does the Recommendation to Use a Pacifier Influence the Prevalence of Breastfeeding?

Objective To evaluate whether the recommendation to offer a pacifier once lactation is well established reduces the prevalence or duration of breastfeeding. Study design A multicenter, randomized, non-inferiority, controlled trial comprising 1021 mothers highly motivated to breastfeed whose newborns...

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Bibliographic Details
Published in:The Journal of pediatrics 2009-09, Vol.155 (3), p.350-354.e1
Main Authors: Jenik, Alejandro G., MD, Vain, Nestor E., MD, Gorestein, Adriana N., MD, Jacobi, Noemí E., MD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Breast Feeding - epidemiology
Epidemiology
Follow-Up Studies
General aspects
Guideline Adherence
Humans
Infant
Infant Care - instrumentation
Infant Care - methods
Infant Care - standards
Infant, Newborn
Interviews as Topic
Medical sciences
Miscellaneous
Pacifiers - utilization
Pediatrics
Practice Guidelines as Topic
Prevalence
Public health. Hygiene
Public health. Hygiene-occupational medicine
Single-Blind Method
Sudden Infant Death - prevention & control
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Summary:Objective To evaluate whether the recommendation to offer a pacifier once lactation is well established reduces the prevalence or duration of breastfeeding. Study design A multicenter, randomized, non-inferiority, controlled trial comprising 1021 mothers highly motivated to breastfeed whose newborns regained birth weight by 15 days. They were assigned to offer versus not to offer pacifiers. Primary outcome was prevalence of exclusive breastfeeding at 3 months. Main secondary outcomes were the prevalence of exclusive and any breastfeeding at different ages and duration of any breastfeeding. Results At 3 months, 85.8% infants in the offer pacifier group and 86.2% in the not offer pacifier group were exclusively breastfeeding (risk difference, 0.4%; 95% CI, –4.9%-4.1%), satisfying the pre-specified non-inferiority requirement of –7%. Furthermore, the recommendation to offer a pacifier did not produce a significant decrease in the frequency of exclusive and any breastfeeding at different ages or in the duration of lactation. Conclusions The recommendation to offer a pacifier at 15 days does not modify the prevalence and duration of breastfeeding. Because pacifier use is associated with reduced incidence of sudden infant death syndrome, the recommendation to offer a pacifier appears safe and appropriate in similar populations.
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2009.03.038