Hello Ladies,
I am new to this forum. I am a "wannabe" lactation specialist. At one of my home visits yesterday, a mother told me that her Pediatrician told her to use a pacifier with breastfed baby so reduce the risk of SIDS. Mom said that he told her that AAP is now recommending it. (gulp)..... Has anyone else had to deal with this?
Here are some things that I have found during my research:
Several studies31,40,42,49-53 have reported a protective effect of pacifiers on the incidence of SIDS, particularly when used at the time of last sleep (Fig 4). The mechanism for this apparent strong protective effect is still unclear, but several mechanisms such as lowered arousal thresholds have been proposed.54,55
Consider offering a pacifier at nap time and bedtime: Although the mechanism is not known, the reduced risk of SIDS associated with pacifier use during sleep is compelling, and the evidence that pacifier use inhibits breastfeeding or causes later dental complications is not. Until evidence dictates otherwise, the task force recommends use of a pacifier throughout the first year of life according to the following procedures:
a.. The pacifier should be used when placing the infant down for sleep and not be reinserted once the infant falls asleep. If the infant refuses the pacifier, he or she should not be forced to take it.
http://aappolicy.aappublications.org/cgi/content/full/pediatrics;116/5/1245
The association between pacifiers and sudden infant death syndrome (SIDS) has been known for some time. A possible protective effect was proposed as early as 19791 and subsequently supported by findings from a large case-control study in 1993,2 followed by several others.3-11 However, there has been reluctance among SIDS researchers and health professionals to recommend pacifier use as a potentially protective measure; they state the need to know more about the mechanisms of its effects and the role of possible confounding factors, thoroughly evaluate potential harm as well as potential benefits, and validate this apparent protective effect.2,4,12
Pacifiers have been recommended for all infants in Germany13 and in the Netherlands initially for bottle-fed infants9 and now for all infants.14 In October 2005 the American Academy of Pediatrics (AAP) published updated guidelines for the reduction of SIDS risk and included a recommendation that parents consider offering a pacifier to infants at . . . [Full Text of this Article]
http://pediatrics.aappublications.org/cgi/content/extract/117/5/1811
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