There
are plenty of differing opinions out there when the subject is
pacifiers. My thoughts are as follows. If used with a few common sense
rules, a pacifier can be a useful tool, and what parent doesn't need all
the tools they can get?
The
main benefit is that it satisfies the baby's need to suck. Sure, a
finger works, but a pacifier can offer a little peace and free up your
hands so you can get something else done while the baby is content. If
your baby is fussing and you are fairly certain they are not hungry, a
pacifier may help them calm right down. Trust me, if they are looking
for milk and you offer a pacifier instead of a meal, they will NOT
simply happily suck. I also want to protect mom's tender nipples. It is
not so good for a baby to linger on mom's nipple long after the feeding
is done just because they are enjoying the sucking. A little extra
sucking is fine, of course, but some kids will never sign off.
If I have my way though, I would counsel that you keep the pacifier out of the crib. Certainly it is fine if your baby drifts off to sleep occasionally when they have a pacifier in their mouth, but make it the exception, not the rule. Take it out before you put them in the bed. The cornerstone of my sleep advice is that you let your baby learn to fall asleep without too much assistance from you. Don't PUT them to sleep. Don't SNEAK them into their beds. If they learn that a pacifier is an essential part of their sleep routine, then they are dependant on you to replace it every time it falls out. I have plenty of families who are ruing the fact that they didn't heed that advice. Some of my patients now go to sleep with a dozen pacifiers scattered around the crib in the hopes that they will be able to find one and replace it themselves rather than waking up mom or dad every few hours.
Other
disadvantages of a pacifier if you don't set limits is that you could
end up with a Maggie Simpson on your hands. For the few of you who may
not get that reference, Maggie is a cartoon character who is actively
sucking on a pacifier 100% of the time. Pacifiers are also potential
germ minefields. It is important to clean them well, especially after
any illness. The dishwasher is fine for this.
Pacifiers
can also be safety issues if they are worn down. If you have a brand
that your baby is attached to, make sure you have several, and throw
away any damaged ones immediately.
Typically
the oral stage should be ending around 12 months. This is also an age
when the mouth is about to go through some major growth changes. Ideally
try to lose the pacifier habit well before that.
Dr
David Rothman, who was my children's dentist says that he is often
able to guess the brand of the pacifier by the shape of the roof of the
mouth. They do have an impact! Some forceful frequent sucking on a
pacifier can generate more force than an orthodontic appliance. When I
asked him his opinion about which is the least heinous type, he told me
the better ones are probably the Playtex natural nurser and the evenflo.
He says the worst offenders are the NUK and "orthodontic" type
pacifiers.
Dr
Claudia Masouredis, another popular local pediatric dentist says that
she doesn't have any strong opinions on pacifiers. She admits to having
had a daughter who used one and feels they provide comfort to some
children, so she is not militant about forbidding their use. She adds
that they can cause bite issues if used frequently. These malocclusions
may self-correct when the habit stops.
Nurse
Charity says that pacifiers can be linked to early weaning. She
prefers that folks use round ones for the least impact. She is fine with
limited use. As she says, "use them for a purpose, don't just shove
them in!"
One
of Dr Anne's twins enjoyed the pacifier while the other rejected them
right off the bat. Every baby is different. She stopped offering the
pacifier around 4 months.
My
older daughter Lauren loved her pacifier. I don't even know what brand
it was. It was pink and plastic and luckily she seems to have survived
having that habit without any long term repercussions. She referred to
it as her "powell" which was probably the garbled way she would have
said "pacifier" if she didn't have it in her mouth. At the time, I
didn't know enough to set any pacifier limits and it became clear that
if we didn't intervene, this was a habit she was in no hurry to break.
When she was older than two, we ultimately made the rule that she could
only have it when she was at home and she had to deposit it in a little
bowl when we were leaving the house. Eventually we staged an
intervention and "gave them away" to a new baby that a friend had just
had. She plaintively asked for her powell for about a week before she
moved on.
Dr
Kaplan sent her little guy's pacifier up to the pacifier fairy by tying
it to the end of some helium balloons. "Bye bye pacifier"
Bottom
line, if your baby likes it, use a pacifier for occasional sucking
needs during the day and for the first year only (but try to get rid of
it before 6 months unless it is essential to your peace of mind.) If you
follow these guidelines, you shouldn't have to worry about breaking a
difficult habit later.
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