I too put pacifiers in the same catagory with bottle nipples, but I say 10 to 14 days, until breastfeeding is well established. I make it clear that establishing breastfeeding for some is a few days and others is another story. I usually talk to moms postpartum about this topic more on a "warm-line" and can discuss their individual needs. I do see a place for pacifier use for some relationships and have developed an attitude of every situation is unique. I do not use pacifiers if the mom has sore nipples in the inital weeks, *assuming* the sore nipples have to do with other problems and the pacifier further complicates the situation. I love using the finger for sucking but find parents often interpret this as a baby sucking on their knuckle or a finger tip. I go over exactly what i mean if they use thier finger for meeting the infants sucking needs, which is not a one sentence piece of information. Any other thoughts on pacifiers? Robin Hollen, Rn, IBCLC