BC Children's Hospital, Department of Pediatrics, Room K4-226, Ambulatory Care Bldg, 4480 Oak St, Vancouver, BC V6H 3V4, Canada.
Can Fam Physician. 2013 May;59(5):499-500.
As a family physician who frequently attends deliveries and follows up with neonates, parents often ask me if they can provide their newborns with pacifiers in order to calm infants down, reduce crying, and improve sleep. Is pacifier use safe in the first month of life?
While pacifiers are useful for soothing, there is concern that their use might cause early weaning of breastfeeding owing to "nipple confusion." Several organizations, such as the World Health Organization and the United Nations Children's Fund, recommend avoiding use of pacifiers in term infants who breastfeed. However, evidence suggests that it might not be pacifier use that causes premature cessation of breastfeeding, and that use of pacifiers might only be a sign of a maternal decision to stop breastfeeding.
作为一名经常参与分娩并随访新生儿的家庭医生，父母经常问我，他们是否可以给新生儿提供安抚奶嘴，以安抚婴儿、减少哭泣和改善睡眠。在生命的第一个月使用安抚奶嘴安全吗？
虽然安抚奶嘴很有用，但人们担心它们的使用可能会导致母乳喂养的早期断奶，因为存在“乳头混淆”。一些组织，如世界卫生组织和联合国儿童基金会，建议避免给母乳喂养的足月婴儿使用安抚奶嘴。然而，有证据表明，导致母乳喂养提前中断的可能不是安抚奶嘴的使用，而只是母亲决定停止母乳喂养的一个迹象。
