What Should I Know About Giving My Breastfed Baby a Pacifier?

When can I begin using a pacifier?

It is recommended that pacifiers and other types of artificial nipples be avoided for at least the first 3-4 weeks. I’d personally suggest that most breastfed babies – if they get a pacifier at all – would be better off without a pacifier until mom’s milk supply is well established (6-8 weeks, usually) and the 6 week growth spurt is over. That way you’ve established a good milk supply and don’t lose any much-needed breast stimulation to a pacifier.

What should I consider before using a pacifier?

After the early weeks, pacifier use is less likely to cause problems as long as you are aware of the following:

Never substitute a pacifier for a feeding at the breast or try to hold the baby off longer between feedings with one.

There are studies that indicate that babies who take a pacifier tend to wean earlier than those who do not. This is most likely because as a baby gets older – once he’s established on solid food – it is often his desire to suck that ensures he continues to seek out the breast often. Babies who use pacifiers are getting that need to suck met with something other than the breast, and therefore may decide to give up breastfeeding sooner than if they did not take a pacifier.

Some babies who take pacifiers are more prone to oral yeast (thrush) which can be transferred to mom’s nipples.

A number of studies have shown a link between pacifier use and an increased incidence of ear infections.

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