Pacifier use: What makes mothers change their mind?

Pansy, Jasmin; Zotter, Heinz; Sauseng, W.; Schneuber, Susanne; Lang, Uwe; Kerbl, Reinhold

doi:10.1111/j.1651-2227.2008.00821.x

Cited by 25 publications

(31 citation statements)

References 32 publications

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“…Sertório & Silva 3 comentam que as mães que não amamentam reconhecem a necessidade da sucção independente da alimentação e, ao oferecerem a chupeta, percebem que "as crianças acalmam". A esse respeito, Pansy et al 25 , avaliando 174 binômios (mães e filhos) austríacos através de um questionário semiestruturado, verificaram que 31% das mães tinham mudado de opinião quanto ao uso da chupeta até os bebês completarem 5 meses. Segundo os autores, logo após o nascimento, a maioria das mães (135/174) pretendia oferecer a chupeta aos filhos, e apenas 39 (das 174) não tinham essa intenção.…”

Section: Psicologiaunclassified

Pacifier habit: history and multidisciplinary view

Castilho¹,

Rocha²

2009

J Pediatr (Rio J)

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Objectives: To review the history of pacifiers and to compile a multidisciplinary literature review, searching for pros and cons with the purpose of providing health professionals with arguments when parents request guidance. Sources:History and art books, as well as non-medical literature and museums were used in the historical survey. Multidisciplinary data were collected from MEDLINE, LILACS, SciELO, and The Cochrane Library. Search criteria were: the keyword "pacifiers" present in articles published in the last 5 years that included abstract and were written in Portuguese, English, or Spanish. Summary of the findings:There is evidence that their precursors have been used since the Neolithic Period to calm down children. Small balls made of fabric containing food were portrayed in paintings. Other balls made of non-perishable material persisted throughout time. Pacifiers have been used to stimulate sucking or to coordinate this reflex, promoting an earlier beginning of the oral feeding of newborns. Some authors suggest that pacifiers reduce the incidence of the sudden death syndrome, but the topic is controversial. Pacifiers prevent the establishment of breastfeeding and lead to weaning. Their use may cause suffocation, poisoning, or allergies and increases the risk of caries, infections, and intestinal parasitic diseases. Harmful effects are related to frequency, duration, and intensity of the habit. It should be discontinued by the age of 3 or 4 in order not to affect speech and dentition. Conclusions:There are more harmful effects than benefits. It is advisable that health professionals inform parents of the pros and cons of pacifiers so that they can make a conscious decision regarding its use.J Pediatr (Rio J). 2009;85(6):480-489: Pacifier, sucking behavior. ResumoObjetivos: Resgatar a história da chupeta e fazer um levantamento multidisciplinar da literatura, buscando prós e contras, com o propósito de oferecer aos profissionais da saúde subsídios para orientarem os pais. Fontes dos dados:O levantamento histórico foi realizado em livros de história, arte, literatura secular, museus, e a busca de dados, em livros e nas bases MEDLINE, LILACS, SciELO e Biblioteca Cochrane. Os limites para busca foram: pacifiers, últimos 5 anos, com resumo, texto em português, inglês ou espanhol. Síntese dos dados:Existem evidências de que os precursores da chupeta foram empregados desde o período neolítico para acalmar as crianças. Bolinhas de pano que continham alimentos ficaram imortalizadas em telas. Outras, feitas de materiais não perecíveis, resistiram ao tempo. A chupeta tem sido utilizada para estimular a sucção ou para coordenar esse reflexo, antecipando o início da alimentação oral de recém-nascidos. Alguns sugerem que diminui a incidência de morte súbita, mas o assunto é controverso. Ela impede o estabelecimento da mamada e induz ao desmame. Pode provocar asfixia, intoxicações ou alergias e aumenta o risco de cáries, infecções e parasitoses intestinais. Efeitos deletérios se associam à frequência, duração...

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Section: Psicologiaunclassified

Pacifier habit: history and multidisciplinary view

Castilho¹,

Rocha²

2009

J Pediatr (Rio J)

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“…If this practice is begun before breastfeeding is established it can lead to weaning, both because of nipple confusion and also because the lack of stimulus leads to a reduction in milk production. Pacifiers were generally given during infants' first month of life and particularly during the first week of life, which has also been observed in other studies (14,21) . Howard et al (22) observed that pacifier use was correlated both with exclusive breastfeeding duration and with breastfeeding duration.…”

Section: Intended To Use a Pacifier (N=390)mentioning

confidence: 67%

Prevalência do uso de chupeta em lactentes amamentados e não amamentados atendidos em um hospital universitário

Castilho

Casagrande

Rached

et al. 2012

Rev. paul. pediatr.

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Prevalence of pacifier among breastfed and not breastfed infants attending a university hospital ABSTRACTObjective: To evaluate the prevalence of pacifier use in relation to breastfeeding, to find out the reasons why mothers planned or not to introduce this habit and the arguments for changing their minds about the pacifier used.Methods: Cross sectional study comprising 642 motherinfant pairs (0-12months) at a University Hospital, in Campinas, São Paulo, Brazil. The mother was questioned about her original intention regarding the pacifier, the current outcome and the explanation for changing or not her mind. After a descriptive analysis, the logistic regression was applied to verify the association between the pacifier and breastfeeding.Results: The prevalence of pacifier use was 48% (95%CI 44-52), being greater among non-breastfeed infants (70%) compared those breastfed (36%; p=0.029). Among the infants exclusively breastfed, 29% used pacifier (p<0.001). The chance to be breastfed was smaller when the infant used a pacifier (OR=0.22; 95%CI 0.15-0.33). Among the mothers, 60% changed their minds regarding their previous intention about pacifier use. The main reasons for changing plans were: infant rejection (95% -for those who wanted to use the pacifier), and to soothe the baby (72% -for those who initially did not want to use the pacifier). Conclusions:The prevalence of pacifier use is high. This habit is more frequent among non-breastfed infants; among the breastfed ones, it is less frequent for those exclusivelybreastfed. The majority of mothers changed their minds regarding their initial plans about pacifier use. Few worried about the possibility that the pacifier could interfere on breastfeeding.Key-words: pacifiers; breast feeding; weaning. RESUMOObjetivo: Avaliar a prevalência do uso da chupeta em relação ao tipo de aleitamento, as razões das mães para introduzi-la ou não e os fatores associados à mudança de opinião quanto à sua intenção inicial a esse respeito.Métodos: Estudo transversal que avaliou 642 crianças (0-12 meses) atendidas no Hospital da Pontifícia Universidade Católica de Campinas quanto ao tipo de alimentação e uso de chupeta. A mãe foi questionada sobre sua intenção inicial quanto à chupeta, quanto ao seu uso e, se utilizada, porquê. Após análise descritiva, aplicou-se a regressão logística para verificar a associação da chupeta com a amamentação.Resultados: A prevalência de uso de chupeta foi de 48% (IC95% 44-52), sendo maior entre as crianças não amamentadas (70%) comparadas às amamentadas (36%; p=0,029).

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“…Unlike recommendations against smoking and non-supine sleeping positions; the pacifier recommendation has been controversial (Fleming, Blair & McKenna, 2006). Recommendations to use a pacifier compete with some mothers’ and dentists’ fears that pacifiers will harm infants’ developing mandibles, (Pansy et al, 2008; Vazquez-Nava et al, 2006; Warren et al, 2005) impair breastfeeding, (Howard et al, 2003; Scott et al, 2006) or increase otitis media (Uhari, Mäntysaari & Niemelä, 1996). …”

Section: Discussionmentioning

confidence: 99%

Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention

Walsh

Vieth

Rodriguez

et al. 2014

PeerJ

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Background. Pacifier use decreases the risk of sudden infant death syndrome (SIDS). An emergency department (ED) visit may provide an opportunistic ‘teachable moment’ for parents.Objectives. To test the hypotheses (1) that caregivers were less familiar with the role of pacifiers in sudden infant death (SIDS) prevention than other recommendations, and (2) that an ED educational intervention would increase pacifier use in infants younger than six months, and (3) that otitis media would not occur more frequently in pacifier users.Methods. We did an intervention-group-only longitudinal study in a county hospital ED. We measured pacifier use infants and baseline knowledge of SIDs prevention recommendations in caregivers. We followed up three months later to determine pacifier use, and 12 months later to determine episodes of otitis media.Results. We analyzed data for 780 infants. Parents knew of advice against co-sleeping in 469/780 (60%), smoking in 660/776 (85%), and prone sleeping in 613/780 (79%). Only 268/777 (35%) knew the recommendation to offer a pacifier at bedtime. At enrollment 449/780 (58%) did not use a pacifier. Of 210/338 infants aged less than 6 months followed up 41/112 (37%) non-users had started using a pacifier at bedtime (NNT 3). Over the same period, 37/98 (38%) users had discontinued their pacifier. Otitis media did not differ between users and non-users at 12 months.Conclusion. Caregiver knowledge of the role of pacifiers in SIDS prevention was less than for other recommendations. Our educational intervention appeared to increase pacifier use. Pacifier use was not associated with increased otitis media.

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Pacifier use: What makes mothers change their mind?

Abstract: About one third of mothers had changed their mind about pacifier use, either because of rejection by the infant or the need of settling. Breastfeeding mothers require more and better information concerning the appropriate time of pacifier onset.

Cited by 25 publications

References 32 publications

Pacifier habit: history and multidisciplinary view

Pacifier habit: history and multidisciplinary view

Prevalência do uso de chupeta em lactentes amamentados e não amamentados atendidos em um hospital universitário

Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention

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