i just tell breastfeeding clients to not use pacifiers. they mess up the
baby's mouth, leading to future dental problems, and they increase disease.
that's the bottom line. when someone asks me about giving up on
breastfeeding, and going to bottlefeeding, and the role of pacifiers, i tell
them that, yes, since a bottle fed baby cannot get comfort at the breast,
they may need a little plastic thing, and yes, it ruins the shape of their
mouth and increases disease.

i personally don't think they are worth using except in extremely limited
circumstances. for instance, if i suspected a baby to be having trouble with
breathing, i would never discourage the pacifier use until they were
evaluated.. it is the baby equivalent of saying "wait a minute, i can't help
you now (or wait an hour, etc.)." which brings me to the new elmo movie,
which i slept through mostly last week. if elmo didn't have to sleep alone,
and still nursed, he wouldn't need to go all the way to grouchland to get his
stupid blankie.

carol brussel IBCLC
grouchland CO

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