Hello Sam and all,
My kids also have perfect teeth, thank goodness and I really do believe it
was lack of pacifiers and breastfeeding that played a crucial part. Also
anecdotal. Wondering how many of our bf kids needed braces.
Hmmm. That could be an interesting study along with paci use. 

Babies unlucky enough to receive only bottles, really would need a
replacement for the breast in order to answer their sucking needs. As we all
know, bf babies get this need met, but more bottles of liquids or more
formula will not answer these needs for a non bf baby and could cause
extreme over feeding. So by virtue of the fact that the breast does answer
this need, then it stands to reason that bf babies would be more alert and
wake in the event of an episode of apnea or some system malfunction while
sleeping. My impression was not that the recommendation was in order to
induce more sleep but to make the baby more active - AS IF HE WERE BFG
during the night, just like his breastfeeding counterparts. I would say,
that the recommendation would NOT be required for bf babies at all, because
they are already doin what nature intended. Thus the reduction in SIDS
incidents..

Ellen shein,
LLLI IBCLC
Tel Aviv  

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Date:    Thu, 3 Dec 2009 09:09:42 -0500
From:    [log in to unmask]
Subject: Pacifiers and SIDS

In looking at the studies cited for the recommendation of pacifier use, I am
struck by the description that the SIDS incident occurred on a night where
the infant lost the pacifier out of his mouth. This suggests to me that
these infants were already pacifier-dependent for the regulation of their
breathing during sleep. We know that exclusively breastfed infants,
especially if they sleep in the same room as the parents have a lower
incidence of SIDS. My question regarding the advice to give all babies
pacifiers is why would we want to make them pacifier-dependent in the first
place and actually raise the risk of SIDS? We already have RestFull infant
formula that is supposed to make babies sleep longer and deeper,
sleep-through-the-night baby training programs to make babies sleep deeper
and longer, and research being done on putting tryptophan into formula to
make babies sleep deeper and longer! 

Pacifier use during the day for a few minutes to calm a fussy baby or in a
NICU for sucking experience is different in my mind than addicting a baby to
a pacifier to the point where he is dependent on it to breathe at night. Is
there a subset of infants who need a pacifier to regulate breathing during
sleep or do we create this subset by accustoming them to pacifier use as a
newborn?

Marsha Walker, RN, IBCLC
Weston, MA




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