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My answer will always be 'It's up to you and your little one!' There truly is no 'right or wrong' approach when it comes to pacifiers. Some babies never take a pacifier, and that's okay! However, for many babies, pacifiers are helpful tools for comfort and relaxation. Here are the two main reasons I recommend offering a pacifier for newborn sleep.
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Obviously, if a baby is hungry, you need to feed him. However, sometimes newborns have a drive to suck even after they've finished eating. This is called non-nutritive sucking, which simply means sucking without gaining nutrition or calories.
Non-nutritive sucking has several benefits for your newborn(4):
Releases endorphins in the brain
Promotes relaxation
Provides comfort and security
Becomes a helpful tool to encourage sleep
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The American Academy of Pediatrics (AAP) reports a significantly reduced risk of SIDS with pacifier use, particularly when given to newborns for sleep. This is one of the reasons that I do love newborns sleeping with a pacifier. In a study published by the AAP(1), researchers 'recommend that pacifiers be offered to infants as a potential method to reduce the risk of SIDS. The pacifier should be offered to the infant when being placed for all sleep episodes, including daytime naps and nighttime sleep.'
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If you're concerned about the potential of nipple confusion with pacifier use, I have good news for you! Research(2) shows us that nursing moms who introduce a pacifier are JUST as successful with nursing as those who don't. True scientific research dispels the myth of nipple confusion and shows that limiting pacifiers does not increase nursing success. In studies(3), limiting pacifier use actually resulted in decreased rates of exclusive breastfeeding. In summary, yes! Pacifiers are great for breastfed babies.
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Different babies prefer different pacifiers. Some newborns prefer a flat nipple, others prefer more oval, and some prefer round. There are so many varieties to try. When you're shopping for a pacifier for your newborn, just be sure to choose the correct size. We don't want the pacifier to be too big for your newborn's mouth. I have a collection of my favorite pacifiers for you.
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For more information, please visit day and night pacifier.
Step 1: Offer when the baby is calm, not hungry or tired, and swaddled.
Step 2: Apply pressure in the middle of the baby's tongue.
Step 3: Move the pacifier in circles around his mouth.
Step 4: If your baby becomes frustrated, stop and try again later.
Keep trying each day for a week'if your baby won't take it, that's FINE! It's okay to move on.
My second tip is to practice motor skills during the day. Kids learn through play and interaction so during the day is a perfect time to learn this skill! Practice giving the child a pacifier in their hand and help them move it to their mouth. Changing the distance from the pacifier being close (tummy time or the car) and having them crawl to it. During the night, leaving a few pacifiers in the crib will help them locate one in case it pops out. Having one of the animal pacifier holders is especially helpful during this time because it gives them a bigger target.
How and when to do cold-turkey
Do not let your baby fall asleep with a pacifier then sneak in and take it once they have fallen asleep. Babies need similar environments when they fall asleep and wake up in order to connect sleep cycles.
Some things to consider before taking the pacifier, cold-turkey:
How and when it is best to wean off or quit pacifier use:
Generally, weaning off a pacifier can begin at 10 months (although waiting makes it easier!). This is because children can comprehend what you are saying. However, it is ultimately up to you and your providers. In my family, after consulting with both our Pediatrician and Dentist, my daughter was two and a half when we decided to take away her pacifier.
Here's a step-by-step plan to wean off use with a child that is 10 months or older:
For example: 'Hey Jojo we are going to get rid of your pacifier tomorrow. The pacifier fairy is going to come collect all of your wacis, put them in this bag and take them to all the new babies. Also, the pacifier fairy wants to know what you want in exchange for all your wacis.'
2. Use Play ' Children learn best through playing. Playing pretend without the pacifier is giving them something to expect. It is helpful to let the child play as the adult so they can soothe a stuffed animal or doll and see that it will all be okay.
Continuing the example: 'Let's pretend the pacifier fairy is coming! Let's put all your wacis in a bag and put them on the porch for her. Now let's pretend it's bedtime, I'll tuck you in and turn out the lights'. Then I went out and came back in, 'Yay Jojo! You slept through the night without your waci!'. Then we put her teddy bear to sleep and Jojo played as the mommy. We would pretend the teddy bear was fussing for the paci and we would soothe it and say 'It's okay teddy, you're a big kid'.
3. Binky Fairy 'Paci Fairy' Comes ' Collect all of the pacifiers, put them out for the paci fairy to come and give the gift your child chose in exchange if you decided to do that. Jojo was SO excited all day about the lipgloss she got! During bedtime, your child, like mine, might cry out for their pacifier. It is important to be consistent, empathetic, and encouraging. Some extra soothing is helpful, extra hugs or songs.
Be consistent and don't go backwards to offer a pacifier in the future.
Bye Bye Binky!
Sincerely,
Sarah Branion
PS ' Whenever you're ready, I'd love to help you with you child's sleep. Start here with my FREE Baby Sleep Cheatsheet.
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