Pacifier use versus no pacifier use in breastfeeding term infants for increasing duration of breastfeeding

Cochrane Reviews, 04/06/2011

Jaafar SH et al. - Pacifier use in healthy term breastfeeding infants, started from birth or after lactation is established, did not significantly affect the prevalence or duration of exclusive and partial breastfeeding up to four months of age. However, evidence to assess the short-term breastfeeding difficulties faced by mothers and long-term effect of pacifiers on infants' health is lacking.


  • Randomised and quasi-randomised controlled trials comparing pacifier use versus no pacifier use in healthy full-term newborns who have initiated breastfeeding regardless of whether they were born at home or in the hospital.
  • Two authors independently assessed the studies for inclusion, assessed risk of bias and carried out data extraction.


  • The authors found three trials (involving 1915 babies) for inclusion in the review but have included only two trials (involving 1302 healthy full-term breastfeeding infants) in the analysis.
  • Meta-analysis of the two combined studies showed that pacifier use in healthy breastfeeding infants had no significant effect on the proportion of infants exclusively breastfed at three months, and at four months of age and also had no effect on the proportion of infants partially breastfed at three months, and at 4 months of age.

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