Best pacifiers for breastfed newborns baby

Being a nursing mother means that every decision you make regarding your baby’s comfort and well-being is crucial, especially when it comes to pacifiers.

You want to select the right pacifier that not only soothes your baby but also avoids potential nipple confusion and breastfeeding complications.

Here are some valuable tips on how to choose the best pacifier for your breastfed newborn baby:

Best pacifiers for breastfed newborns baby

Tips for Choosing a Pacifier

Timing is Everything

The first step in selecting a pacifier for your breastfed baby is knowing when to introduce it. Waiting until breastfeeding is well established, which is typically around 3-4 weeks old, is a widely recommended practice. This waiting period allows your baby to become proficient at breastfeeding, reducing the risk of nipple confusion.

Opt for Orthodontic Style

When choosing a pacifier, opt for an orthodontic style with a flattened nipple shape. This design can help reduce palate confusion in your baby. Orthodontic pacifiers are crafted to mimic the natural shape of the breast during nursing, which can be especially beneficial for breastfed babies.

Size Matters

Consider the size of the pacifier. It’s essential to pick a small to medium-sized pacifier to prevent overstretching your baby’s mouth. Pacifiers that are too large can be uncomfortable and challenging for your baby to use effectively. Pacifier shields should be proportionate to fit baby’s mouth and prevent choking. The nipple should not be so long it could obstruct the airway if detached.

Seek One-Piece Construction

Look for pacifiers with one-piece construction and minimal crevices or seams. One-piece pacifiers are easier to clean and less likely to trap bacteria. This is vital for your baby’s health and hygiene.

Safety First

Avoid pacifiers that attach to strings or clips. While these accessories might seem convenient, they can pose safety hazards. Strings and clips can accidentally wrap around your baby’s neck or become a choking hazard.

Check for Safety Standards

Make sure the pacifier you choose complies with the safety standards recommended by the American Academy of Pediatrics. These standards are designed to ensure the safety and well-being of your baby while using a pacifier. These include:

  • Use of medical grade silicone or rubber pacifiers to minimize potential chemical leaching
  • Pacifiers must withstand reasonably expected chewing and use without parts puncturing or tearing to prevent choking hazards.
  • Nipples should have small ventilation holes to prevent collapsing and allow airflow. However, holes should not be so large that they pose a choking risk if the nipple tears.
  • No attached toys/parts – Nothing should dangle from the pacifier like a stuffed animal that could detach and block airways.

Experiment with Nipple Materials

Pacifiers come with different nipple materials, such as silicone or latex. Babies have individual preferences, so it’s worth trying both materials to see which one your baby accepts more readily. Be attentive to any signs of discomfort or allergies.

Reserve Pacifiers for Specific Purposes

To minimize the risk of pacifiers interfering with breastfeeding, offer them for specific purposes like naps or soothing moments, but avoid using them during feeding sessions. This way, your baby will learn to associate breastfeeding with nourishment rather than pacification.

Gradual Weaning off

Plan to wean your baby off the pacifier gradually, typically around 6-12 months when he or she begins to explore solid foods. This helps prevent long-term pacifier dependency and promotes oral development.

Skip the Sweet Coating

Never coat a pacifier with sugars, honey, or medication. While it may seem tempting to make the pacifier more enticing, these substances can be harmful to your baby’s oral health and overall well-being.

Regular Replacement and Sterilization

Pacifiers can accumulate bacteria over time, so it’s essential to replace them frequently and practice proper sterilization. This routine maintenance ensures that your baby’s pacifier remains clean and safe to use.

What’s the right time to wean off pacifiers?

The right time to wean your child off pacifiers can vary depending on the age, developmental stage, and individual needs. There is no one-size-fits-all answer, but here are some general guidelines to consider:

  • Age – Most pediatric experts recommend weaning from pacifiers between 6 months and 2 years of age. This is a broad range because readiness to give up the pacifier can vary widely among children. Some children may naturally lose interest in pacifiers as they get older, while others may need more time.
  • Developmental Stage – Watch for signs of readiness in your child. If your child can self-soothe in other ways, such as with a favorite toy or thumb-sucking, they may be ready to part with the pacifier. Also, consider your child’s language development. If they’re starting to talk more, it’s a good time to reduce pacifier use to promote speech development.
  • Sleep Habits – Pay attention to your child’s sleep habits. If your child can sleep through the night without needing the pacifier for comfort, it may be a good time to start weaning.
  • Behavioral Signs – If your child starts using the pacifier as a constant source of comfort throughout the day, it may be a sign that they are becoming overly dependent on it. This could be a signal to begin the weaning process.
  • Dentition – Prolonged pacifier use, especially past the age of 2, can potentially impact dental development, leading to dental issues like misaligned teeth or bite problems. Consult with your pediatric dentist for guidance if you have concerns about your child’s teeth.
  • Individual Needs – Every child is unique, and what works for one child may not work for another. Pay attention to your child’s temperament and emotional readiness. Some children may willingly give up the pacifier when they feel ready, while others may need more gentle encouragement.

Remember that weaning from the pacifier is a gradual process. It’s usually not recommended to go “cold turkey” unless your child is ready and willing to do so. Instead, consider a gradual reduction in pacifier use, starting with limiting its use to specific situations (e.g., naptime or bedtime) and gradually phasing it out.

Ultimately, the right time to wean off pacifiers is when you and your child are both comfortable with the process. If you have concerns or questions about pacifier weaning, don’t hesitate to consult with your pediatrician or a pediatric dentist for guidance tailored to your child’s unique needs.

What are some tips for (pacifier graduation) weaning off pacifiers?

Weaning your child off pacifiers, also known as “pacifier graduation,” can be a challenging but important step in their development. Here are some tips to make the transition smoother:

  • Choose the Right Time – There’s no one-size-fits-all timeline for pacifier weaning. Some parents start as early as 6 months, while others wait until their child is closer to 2 years old. Choose a time that feels right for both you and your child.
  • Gradual Reduction – Instead of going cold turkey, consider gradually reducing pacifier use. Start by limiting pacifier time to specific situations, like naps and bedtime. Over time, reduce these instances until the pacifier is only used at bedtime.
  • Offer Comfort – Transitioning away from the pacifier can be emotionally challenging for your child. Offer alternative sources of comfort, like a favorite stuffed animal, blanket, or cuddling with you. This helps them feel secure without the pacifier.
  • Positive Reinforcement – Praise and reward your child for not using the pacifier. Create a sticker chart where they earn stickers for each pacifier-free night or day. After accumulating a certain number of stickers, offer a small reward.
  • Talk About It – If your child is old enough to understand, have a conversation about why it’s time to say goodbye to the pacifier. Explain that they’re growing up and that big kids don’t need pacifiers.
  • Cutting the Pacifier – Some parents choose to gradually cut the pacifier tip to make it less appealing and satisfying. Continue to trim it down until your child loses interest in it.
  • Pacifier Fairy – Similar to the Tooth Fairy, you can introduce the “Pacifier Fairy.” Tell your child that the Pacifier Fairy collects pacifiers from big kids and leaves a special toy or gift in exchange.
  • Cold Turkey – For some children, a clean break is the most effective method. This means removing all pacifiers from the house. Expect a few difficult nights, but most children adjust relatively quickly.
  • Involve Your Child – If your child is old enough, involve them in the process. Let them help decide when it’s time to say goodbye to the pacifier or where it should go (e.g., a special box or the Pacifier Fairy).
  • Stay Consistent – Whatever method you choose, consistency is key. Stick to the plan and avoid giving in to requests for the pacifier once you’ve started the weaning process.
  • Be Patient and Understanding – It’s normal for your child to feel upset, frustrated, or even sad during the weaning process. Be patient, offer comfort, and reassure them that it’s okay to have these feelings.
  • Talk to Your Pediatrician – If you’re having a particularly challenging time with pacifier weaning or if you have concerns about your child’s emotional response, consult with your pediatrician or a child psychologist for guidance.

Remember that every child is unique, and what works for one may not work for another. The key is to choose an approach that suits your child’s personality and needs, as well as your own parenting style. With patience, understanding, and consistent effort, you can successfully wean your child off pacifiers and support their transition to self-soothing without them.

Final Note

By following these tips and being mindful of your baby’s needs and preferences, you can select the ideal pacifier that promotes comfort and avoids nipple confusion and feeding issues, and also wean him or her correctly when the time comes.

Remember to consult with your pediatrician, lactation consultant, or healthcare professional for personalized guidance on pacifier use for your breastfed baby. With the right pacifier, you can provide your baby with the soothing comfort they need while supporting their breastfeeding journey.


  • Editorial team

    A team comprising oral health care professionals, researchers, and professional Writers, striving to impart you with the knowledge to improve your oral health, and that of your loved ones. 

  • Lilly

    Lilly, aka, Liza Lee, is a passionate community oral health officer and our lead writer. She's not only well-versed in performing a multitude of dental procedures, including preventive, restorative, and cosmetic, but also an avid writer. Driven by the significant oral health burden all around her, Lilly strives to build capacity and promote oral health. She envisions making a lasting impact by advancing research, prevention, and promotion efforts to alleviate oral health disparities. Please share your views and opinions on my posts.

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