This was a common practice at my inner city hospital in St. Paul until
the early 80s.  What stopped the practice cold turkey was an article
about a baby having a choking incident in another state with this
practice.  To my knowledge, the best reason to avoid rigging up a
pacifier with a bottle nipple and cotton ball is the choking hazard.  For
this reason I would also avoid a bottle nipple on the breast as a nipple
shield.
     Sincerely,
     Susan in Minn.
     rn ibclc

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