Dear Listmates,
Did any of you see this study?  
_http://www.medscape.com/viewarticle/711283_ (http://www.medscape.com/viewarticle/711283) 
 
Does the Use of a Pacifier Influence the Prevalence of Breastfeeding?
Jenis AG, Vain NE, Gorestein AN, Jacobi NE, Pacifier and Breastfeeding  
Trial Group. J Pediatr. 2009;155:350-354
The investigators concluded that pacifier use does not alter the prevalence 
 of exclusive breastfeeding at 3 months of age among infants born at term 
who had  successful breastfeeding established at 2 weeks of life.  
In my practice as a hospital based LC, I quote the AAP statement from their 
 breastfeeding paper that "Pacifier use is best avoided during the 
initiation of  breastfeeding and used only after breastfeeding is well established." 
 I do not encourage their use and recommend discontinuing their use when 
the baby  is having latching/feeding issues. 
I find this information from the article really  interesting: Of note, only 
67% of the infants in the pacifier use group  actually used a pacifier, but 
40% of the infants in the no-pacifier group also  used a pacifier.  
This gives one pause for thought about the usefulness of this study. 
Mary-Jane Sackett, RN, IBCLC,  RLC           Pittsfield, MA  (western 
Massachusetts) 


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