With the pacifier discussions we are all going to be having at work, I
thought I'd share this pacifier card that we developed with help from
you all (and I'm sorry I'd have to go looking for all of you who
emailed or posted, but I don't have time as we have a plethora of late
pretermers this week!)
BTW, Jennifer Dellaport (who was one of the authors of the Colorado
study that has been helping us think about "Baby Steps" told me that
of those five steps, the pacifier use is the biggest in-hospital
challenge.
Our nurses don't kvetch too much about this - a very cute card with
the big letters for BABY and the teaching is stapled to each pacifier.
We don't have any statistics to say if it is helping, I am sorry to
say.
Dawn Kersula in Vermont - where the moms tell me it must be last
weekend's snow and low barometric pressure that made their waters
break and their babies come early....

B
Begin with a good milk supply: get breastfeeding off to a good start
before using a pacifier. Nursing well today means lots of milk
tomorrow.
A
 Ask for help from a nurse or breastfeeding specialist if you think
your baby is not nursing well, wants to nurse too much, your nipples
hurt, or you just plain want help!  We have tips to make nursing easy
and comfortable.
B
Breast is best; offer breast for comfort and food in the early days.
Don’t use the pacifier to put off a feeding. The act of sucking on the
pacifier releases a hormone that makes baby sleepy – but s/he is still
hungry.
Y
You are the best comfort for baby.  In case you cannot feed right away
(driving, working, etc) always offer the breast as soon as possible in
case baby is hungry.

The American Academy of Pediatrics suggests you wait a month before
starting a pacifier if you are breastfeeding.

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