Hi Netters,
Received my March Pediatric Journal  yesterday.  It was in Pediatrics
electronic page "Effects of Early Pacifier Use on Breastfeeding Duration"
by R. Lawrence & CR Howard et al-- e33 and "Pacifier Use and Morbidity in
the First Six Months of Life" by K North et al --e34, "Pediatricians
Practices and Attitudes Regarding Breastfeeding" by R J Schanler et al --
e35.  Journal only has abstracts.  Effects of Early Pacifier Use
....Summary:  A total of 181mothers (68%) introduced a pacifier before
6wks.  In adjusted analyses, pacifier introduction by 6wks was associated
with a significant increased risk for shortened duration of full and
overall BF.  Women who introduced pacifiers tended to BF their infants
fewer times per day, with significant differences noted at 2 and 12wks
postpartum, women who introduced pacifiers also were more likely to report
that BF was inconvenient and that they had insufficient milk supplies. 
Pacifier use begun either before 2wks or before 6wks postpartum was not
significantly associated with BF duration at 2 and 3 months.  Conclusion: 
Pacifier use was independently associated with significant declines in the
duration of full and overall BF.  BF duration in the first 3months'
postpartum, however, was unaffected by pacifier use.  Women who introduced
pacifiers tended to BF their infants less frequently and experienced BF
problems consistent with infrequent feeding.  Findings from this study
suggest that the decreases in BF duration associated with pacifier use may
be a consequence of less frequent BF among women who introduce pacifiers to
their infants.   That is one abstract for you.  Got to fly off to Atlanta,
Georgia for BSC conference.  Flight leaves in 1hr.  Have a good week
everyone.  
Pat Bull, RN, IBCLC
The Breastfeeding Connection/Medela, Inc
Naperville, IL