Pacifier Restriction and Exclusive Breastfeeding Full Text
Pediatrics,  Review Article

Kair LR et al. – Restricting pacifier distribution during the newborn hospitalization without also restricting access to formula was associated with decreased exclusive breastfeeding, increased supplemental formula feeding, and increased exclusive formula feeding. Because high–quality, prospective medical literature addressing pacifier use and breastfeeding does not conclusively show an adverse relationship in women who are motivated to breastfeed, more studies are needed to help determine what effect, if any, pacifiers have on breastfeeding initiation and exclusivity in the immediate newborn period.

Methods

  • The authors retrospectively compared exclusive breastfeeding, breastfeeding plus supplemental formula feeding, and exclusive formula feeding rates for 2249 infants admitted to the MBU at university teaching hospital during the 5 months before and 8 months after restriction of routine pacifier distribution.
  • Formula supplementation, if not medically indicated, was discouraged per standard practice, but access to formula was not restricted.

Results

  • Of the 2249 infants, 79% were exclusively breastfed from July through November 2010, when pacifiers were routinely distributed.
  • During the 8-month period after pacifier restriction, this proportion decreased significantly to 68% (P < .001).
  • A corresponding increase from 18% to 28% was observed in the number of breastfed infants receiving supplemental formula feeds in the same period (P < .001).
  • During the study period, the proportion of exclusively formula-fed infants increased from 1.8% to 3.4% (P < .05).

Please login or register to follow this author.
► Click here to access Full Text, PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Pediatrics

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Pediatrics Articles

1 Magnesium should be given to all children presenting to hospital with acute severe asthma Paediatric Respiratory Reviews, October 15, 2014    Clinical Article

2 Omalizumab in children Pediatric Drugs, November 25, 2014    Clinical Article

3 Maternal consumption of coffee and tea during pregnancy and risk of childhood brain tumors: Results from an Australian case-control study Cancer Causes and Control, October 31, 2014    Clinical Article

4 Case series of bifidobacterium longum bacteremia in three preterm infants on probiotic therapy Neonatology, November 10, 2014    Clinical Article

5 Long-term immunogenicity and safety of the HPV-16/18 AS04-adjuvanted vaccine in 10- to 14-year-old girls: open 6-year follow-up of an initial observer-blinded, randomized trial The Pediatric Infectious Disease Journal, November 21, 2014    Clinical Article

6 Atenolol versus losartan in children and young adults with Marfan's syndrome New England Journal of Medicine, November 24, 2014    Evidence Based Medicine    Clinical Article

7 Benefits of probiotics on enteral nutrition in preterm neonates: a systematic review American Journal of Clinical Nutrition, November 7, 2014    Evidence Based Medicine    Review Article    Clinical Article

8 Effect of deregionalized care on mortality in very low-birth-weight infants with necrotizing enterocolitis JAMA Pediatrics, November 12, 2014    Clinical Article

9 The PICHFORK (Pain in Children Fentanyl or Ketamine) trial: A randomized controlled trial comparing intranasal ketamine and fentanyl for the relief of moderate to severe pain in children with limb injuries Annals of Emergency Medicine, November 20, 2014    Clinical Article

10 Rapid diagnostic tests for group a streptococcal pharyngitis: a meta-analysis Pediatrics, September 11, 2014    Evidence Based Medicine    Review Article

11 Efficacy of a tetravalent dengue vaccine in children in Latin America New England Journal of Medicine, November 6, 2014    Evidence Based Medicine    Clinical Article

12 Asthma: the role of low high-density-lipoprotein cholesterol in childhood and adolescence International Archives of Allergy and Immunology, November 4, 2014    Clinical Article

13 Dysbiosis anticipating necrotizing enterocolitis in very premature infants Clinical Infectious Diseases, November 17, 2014    Clinical Article

14 Probiotics in the prevention of eczema: a randomised controlled trial Archives of Diseases in Childhood, October 22, 2014    Clinical Article

15 Outcome after anal intrasphincteric Botox injection in children with surgically treated Hirschsprung disease Journal of Pediatric Gastroenterology and Nutrition, November 3, 2014    Clinical Article

16 Fluticasone or montelukast in preschool wheeze: a randomized controlled trial Clinical Pediatrics, September 24, 2014    Clinical Article

17 Application of moisturizer to neonates prevents development of atopic dermatitis The Journal of Allergy and Clinical Immunology, October 14, 2014    Clinical Article

18 The intestinal microbiota composition and weight development in children: the KOALA Birth Cohort Study International Journal of Obesity, November 14, 2014    Clinical Article

19 Rapid diagnostic tests for group a streptococcal pharyngitis: a meta-analysis Pediatrics, October 7, 2014    Evidence Based Medicine    Review Article

20 Association of early caffeine administration and neonatal outcomes in very preterm neonates JAMA Pediatrics, November 18, 2014    Clinical Article

Indexed Journals in Pediatrics: Pediatrics International, Journal of Pediatrics, Current Pediatricsmore