Dear Dr Kerac,
Thank you for sharing the Pediatrics meta-analysis on whether pacifiers
reduce the risk if SIDS.

I would be very interested to know if there have been any studies comparing
the use of pacifiers to nursing babies sleeping in the same bed as their
mothers under safe conditions (no fluffy covers, non-smoking, etc.)

norma

Norma Ritter, IBCLC, RLC
Breastfeeding Matters in the Capital Region
[log in to unmask]
www.NormaRitter.com
http://normaritter.blogspot.com/



>CONCLUSIONS.: Published case-control studies demonstrate a significant
reduced risk of SIDS with pacifier use, particularly when placed for sleep.
Encouraging pacifier use is likely to be beneficial on a population-wide
basis: 1 SIDS death could be prevented for every 2733 (95% CI: 2416-3334)
infants who use a pacifier when placed for sleep (number needed to treat),
based on the US SIDS rate and the last-sleep multivariate SOR resulting from
this analysis. Therefore, we recommend that pacifiers be offered to infants
as a potential method to reduce the risk of SIDS. The pacifier should be
offered to the infant when being placed for all sleep episodes, including
daytime naps and nighttime sleeps. This is a US Preventive Services Task
Force level B strength of recommendation based on the consistency of
findings and the likelihood that the beneficial effects will outweigh any
potential negative effects. In consideration of potential adverse effects,
we recommend pacifier use for infants up to 1 year of age, which includes
the peak ages for SIDS risk and the period in which the infant's need for
sucking is highest. For breastfed infants, pacifiers should be introduced
after breastfeeding has been well established.<

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome