Pacifiers for newborns breastfeeding

As a new mother, the decision of whether to introduce a pacifier to your exclusively breastfed newborn can be a complex one. On one hand, pacifiers offer potential benefits, such as soothing your baby between feedings and reducing the risk of Sudden Infant Death Syndrome (SIDS).

On the other hand, there are concerns about how pacifiers might affect breastfeeding, including the possibility of nipple confusion and a decreased time spent at the breast.

Indeed, nursing mothers are often unsure if giving their newborn a pacifier is a good idea or not. There are pros and cons to consider before introducing a pacifier while breastfeeding.

Pacifiers for newborns when breastfeeding

Potential Benefits of Pacifiers for Breastfed Newborns

1. Soothing Between Feedings:

One of the primary advantages of using pacifiers is their ability to provide comfort and soothing for your baby between breastfeeding sessions. The non-nutritive sucking motion can be incredibly calming for infants.

2. Satisfying Non-Nutritive Sucking Needs:

Babies have a natural instinct to suck, which isn’t always related to hunger. Pacifiers can help satisfy this need for non-nutritive sucking, allowing your baby to self-soothe.

3. Reduced Risk of SIDS

Some studies have suggested that pacifier use during sleep may reduce the risk of Sudden Infant Death Syndrome (SIDS). While the mechanism isn’t entirely understood, the use of a pacifier might help keep a baby’s airway open.

4. Comfort During Procedures:

Pacifiers can provide comfort and distraction during medical procedures, vaccinations, or other uncomfortable situations your baby may encounter.

5. Transition from Bottle to Breast:

If you plan to introduce bottle-feeding alongside breastfeeding, pacifiers can sometimes serve as a helpful intermediate step. The sucking action on a pacifier is more similar to breastfeeding than bottle-feeding, making the transition smoother.

Possible Drawbacks of Pacifiers for Breastfed Newborns

1. Interference with Establishing Breastfeeding:

One of the primary concerns about pacifier use is that it may interfere with the establishment of breastfeeding. Newborns need frequent feedings to establish a good milk supply and learn effective nursing techniques.

2. Nipple Confusion:

There’s a risk that using a pacifier too early may lead to nipple confusion. This occurs when a baby has difficulty switching between the artificial nipple of a pacifier and the breast, which can lead to breastfeeding challenges.

3. Reduced Time at Breast:

If a baby becomes accustomed to using a pacifier, they might spend less time at the breast. This can result in reduced milk intake, which can be a concern for breastfeeding mothers.

4. Ineffective Feeding:

A pacifier might satisfy a baby’s sucking needs without providing the nourishment they need from breastfeeding. This can lead to less effective feedings and decreased milk production.

5. Masking Hunger Signs:

If a baby uses a pacifier when they are hungry, it can mask hunger cues, making it challenging for parents to recognize when their baby needs to feed.

6. Increased Risk of Ear Infections:

There is some evidence to suggest that pacifier use, particularly when used frequently, may increase the risk of ear infections in infants.

Recommendations for Pacifier Use

While there are potential benefits to using pacifiers for breastfeeding newborns, it’s crucial to approach their use with caution.

Here are some recommendations from lactation experts:

  • Wait until Breastfeeding is Well Established

Most lactation experts suggest waiting until breastfeeding is well established, typically around 3-4 weeks of age, before introducing a pacifier. This allows your baby to become proficient at nursing and reduces the risk of nipple confusion.

  • Use Sparingly and Purposefully

Use pacifiers sparingly and only for specific purposes, such as calming your baby or during naps. Avoid using them as a first response to your baby’s fussiness.

  • Avoid Pacifiers Immediately Before or During Nursing

To ensure that your baby gets adequate milk during nursing sessions, avoid giving them a pacifier immediately before or during breastfeeding.

  • Wean Off Pacifier Use by 6-12 Months

Consider weaning your baby off pacifier use between 6 to 12 months of age. This helps prevent long-term pacifier dependency.

Recommended Pacifiers

Always consult with your pediatrician or a lactation consultant for personalized guidance on pacifier use in breastfeeding. They can provide recommendations based on your baby’s unique needs and your breastfeeding goals.

Here are some recommended brands known for their orthodontic pacifiers:

  • Philips Avent: Philips Avent offers a range of orthodontic pacifiers that are designed to support natural oral development.
  • NUK: NUK is a well-known brand for orthodontic pacifiers. They have pacifiers with unique shapes and nipple designs that promote healthy oral development.
  • MAM: MAM pacifiers are designed with input from pediatric dentists and orthodontists. They have a symmetrical orthodontic nipple that adapts to your baby’s mouth, reducing the risk of tooth misalignment. MAM pacifiers also come in various cute and colorful designs.
  • Brown’s: Dr. Brown’s offers orthodontic pacifiers designed to support proper oral development. They have a variety of shapes and sizes, including one-piece pacifiers for easy cleaning and maintenance.
  • Chicco: Chicco is another brand that produces orthodontic pacifiers with a focus on promoting healthy oral development.
  • Playtex Baby: Playtex Baby offers Binky pacifiers designed to be gentle on your baby’s gums and teeth.
  • Tommee Tippee: Tommee Tippee’s orthodontic pacifiers are designed to help your baby self-soothe while supporting natural oral development.
  • Hevea: Hevea pacifiers are made from natural rubber latex and are free from harmful chemicals. They have an orthodontic teat shape and are suitable for eco-conscious parents.

These pacifiers come in various sizes and styles to cater to different age groups and preferences. Remember that the best pacifier for your baby depends on their comfort and preference

Final Note

In conclusion, pacifiers can offer benefits for soothing and comforting your exclusively breastfed newborn, but their use should be approached thoughtfully and judiciously. By following expert recommendations and monitoring your baby’s breastfeeding progress, you can strike a balance that supports both breastfeeding success and your baby’s comfort and well-being.


  • 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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