International Child Care Practices Study: Breastfeeding and Pacifier Use

Although the Baby-Friendly Hospital Initiative advises that no pacifiers be given to breastfeeding infants, both breastfeeding and pacifier use may protect against sudden infant death syndrome. The International Child Care Practice Study data set on child care practices associated with sudden infant...

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Bibliographic Details
Published in:Journal of human lactation 2005-08, Vol.21 (3), p.289-295
Main Authors: Nelson, E. A.S., Yu, Ly-Mee, Williams, Sheila
Format: Article
Language:English
Subjects:
Breast feeding
Breast Feeding - psychology
Breast Feeding - statistics & numerical data
Care and treatment
Female
Health aspects
Humans
Infant
Infant Care - methods
Infant, Newborn
Infants
Male
Methods
Mother-Child Relations
Nursing
Pacifiers (Infant care)
Pacifiers - adverse effects
Risk factors
Sudden Infant Death - prevention & control
Sudden infant death syndrome
Time Factors
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Summary:Although the Baby-Friendly Hospital Initiative advises that no pacifiers be given to breastfeeding infants, both breastfeeding and pacifier use may protect against sudden infant death syndrome. The International Child Care Practice Study data set on child care practices associated with sudden infant death syndrome risk from 21 centers in 17 countries was used to describe infant-feeding practices and pacifier use and assess factors associated with breastfeeding. At approximately 3 months of age, rates of breastfeeding only (4%-80%) and pacifier use(12.5%-71%) varied between centers. Pacifier use was negatively associated with breastfeeding, and a dose-response effect was noted. Other negative (multiple birth, smoking by mother) and positive (intention to breastfeed, bed sharing, mothers’ education) associations with breastfeeding only were identified. Although causality should not be inferred, these associations are consistent with previous studies. Advice on pacifiers should include potential benefits as well as risks.
ISSN:0890-3344
1552-5732
DOI:10.1177/0890334405278489