The British Medical Journal has a pre-publication online article on  
pacifiers and SIDS that can be accessed for free at 
_http://bmj.bmjjournals.com/cgi/rapidpdf/bmj.38671.640475.55_ 
(http://bmj.bmjjournals.com/cgi/rapidpdf/bmj.38671.640475.55) .  After a quick look through it, I am again disappointed that the 
authors have  failed to indicate whether or not any of the infants were 
habitual pacifier  users prior to the SIDS event. They also do not state whether 
the control  infants were habitual pacifier users. Without this piece of 
information it is  difficult to know what the real effect of pacifiers are on infants 
who are  dependent on them to regulate breathing during sleep as well as 
infants without  such a need. I am concerned that this paper will once again boost 
the  inappropriate use of pacifiers with breastfed infants. We have nurses in 
some of  the local hospitals already pushing pacifiers on new parents. I 
wonder how long  it will be before we see pacifiers in formula company discharge 
bags!
 
Marsha Walker, RN, IBCLC
Weston, MA


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