Pacifier Use, Breastfeeding and Sudden Infant Death Syndrome
Objective: To review the effect of pacifier use in healthy term infants on breastfeeding duration and the risk of Sudden Infant Death Syndrome (SIDS). Design: Two systematic reviews were conducted of published studies (meta-analysis, Systematic Literature Reviews (SLRs), Randomised Controlled Trial...
| Main Authors: | , , , |
|---|---|
| Format: | Journal Article |
| Published: |
Bentham Science Publishers Ltd.
2012
|
| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/11175 |
| _version_ | 1848747735242506240 |
|---|---|
| author | Hewitt, Katie Binns, Colin Scott, J. Forbes, David |
| author_facet | Hewitt, Katie Binns, Colin Scott, J. Forbes, David |
| author_sort | Hewitt, Katie |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: To review the effect of pacifier use in healthy term infants on breastfeeding duration and the risk of Sudden Infant Death Syndrome (SIDS). Design: Two systematic reviews were conducted of published studies (meta-analysis, Systematic Literature Reviews (SLRs), Randomised Controlled Trials (RCTs), cohort, case-control or cross-sectional studies). Electronic databases were searched for articles that assessed the effect of infant pacifier use on the risk of SIDS and/or on breastfeeding outcomes. Retrieved articles were assessed for validity and quality using the Dietitians Association of Australia (DAA) Quality Criteria Checklist and the NHMRC Evidence Hierarchy before being included in the review. Results: The initial search of the databases resulted in 68 references on the use of pacifiers and SIDS; three articles (1 meta-analysis, 1 SLR, 1 narrative review) received a positive rating according to the DAA checklist. The three publications consistently found pacifier use at last sleep was associated with a significant reduction in the risk of SIDS and to a lesser extent, routine pacifier use also provided a significant reduction in the risk. Searching the electronic databases for use of pacifiers and breastfeeding duration resulted in 188 publications and four of these publications were retrieved for analysis (1 Cochrane review, 1 SLR, 1 meta-analysis, 1 cohort study). The epidemiological evidence found pacifier use reduced the duration of any, full and exclusive breastfeeding, but this effect was not significant in four out of the five RCTs analysed in the Cochrane review and the SLR.Conclusion: The present review provides evidence of the association between pacifier use during the postnatal period and a decreased risk of SIDS whilst also drawing attention to the negative association between early pacifier use and reduced duration of breastfeeding (any, full and exclusive). This is the first review to emphasise the U-shaped effect of pacifiers on infant health. When assessing the totality of the evidence the results indicate that pacifiers should be advised against in the first month of life, but after the first month pacifier use may reduce the probability of SIDS. |
| first_indexed | 2025-11-14T06:53:52Z |
| format | Journal Article |
| id | curtin-20.500.11937-11175 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:53:52Z |
| publishDate | 2012 |
| publisher | Bentham Science Publishers Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-111752017-09-13T16:07:07Z Pacifier Use, Breastfeeding and Sudden Infant Death Syndrome Hewitt, Katie Binns, Colin Scott, J. Forbes, David Breastfeeding pacifier SIDS systematic literature review infant sudden infant death syndrome Objective: To review the effect of pacifier use in healthy term infants on breastfeeding duration and the risk of Sudden Infant Death Syndrome (SIDS). Design: Two systematic reviews were conducted of published studies (meta-analysis, Systematic Literature Reviews (SLRs), Randomised Controlled Trials (RCTs), cohort, case-control or cross-sectional studies). Electronic databases were searched for articles that assessed the effect of infant pacifier use on the risk of SIDS and/or on breastfeeding outcomes. Retrieved articles were assessed for validity and quality using the Dietitians Association of Australia (DAA) Quality Criteria Checklist and the NHMRC Evidence Hierarchy before being included in the review. Results: The initial search of the databases resulted in 68 references on the use of pacifiers and SIDS; three articles (1 meta-analysis, 1 SLR, 1 narrative review) received a positive rating according to the DAA checklist. The three publications consistently found pacifier use at last sleep was associated with a significant reduction in the risk of SIDS and to a lesser extent, routine pacifier use also provided a significant reduction in the risk. Searching the electronic databases for use of pacifiers and breastfeeding duration resulted in 188 publications and four of these publications were retrieved for analysis (1 Cochrane review, 1 SLR, 1 meta-analysis, 1 cohort study). The epidemiological evidence found pacifier use reduced the duration of any, full and exclusive breastfeeding, but this effect was not significant in four out of the five RCTs analysed in the Cochrane review and the SLR.Conclusion: The present review provides evidence of the association between pacifier use during the postnatal period and a decreased risk of SIDS whilst also drawing attention to the negative association between early pacifier use and reduced duration of breastfeeding (any, full and exclusive). This is the first review to emphasise the U-shaped effect of pacifiers on infant health. When assessing the totality of the evidence the results indicate that pacifiers should be advised against in the first month of life, but after the first month pacifier use may reduce the probability of SIDS. 2012 Journal Article http://hdl.handle.net/20.500.11937/11175 10.2174/157339612803307697 Bentham Science Publishers Ltd. restricted |
| spellingShingle | Breastfeeding pacifier SIDS systematic literature review infant sudden infant death syndrome Hewitt, Katie Binns, Colin Scott, J. Forbes, David Pacifier Use, Breastfeeding and Sudden Infant Death Syndrome |
| title | Pacifier Use, Breastfeeding and Sudden Infant Death Syndrome |
| title_full | Pacifier Use, Breastfeeding and Sudden Infant Death Syndrome |
| title_fullStr | Pacifier Use, Breastfeeding and Sudden Infant Death Syndrome |
| title_full_unstemmed | Pacifier Use, Breastfeeding and Sudden Infant Death Syndrome |
| title_short | Pacifier Use, Breastfeeding and Sudden Infant Death Syndrome |
| title_sort | pacifier use, breastfeeding and sudden infant death syndrome |
| topic | Breastfeeding pacifier SIDS systematic literature review infant sudden infant death syndrome |
| url | http://hdl.handle.net/20.500.11937/11175 |