Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.
Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Acta Paediatr. 2018 May;107(5):806-810. doi: 10.1111/apa.14253. Epub 2018 Mar 8.
Mothers are often advised not to use pacifiers until breastfeeding has been well-established. This study determined the infant and social factors that were related to pacifier use during the first few days of life and whether it led to alterations in feeding performance.
We enroled 51 full-term infants and their mothers at Barnes-Jewish Hospital in urban St. Louis, USA, in 2015. Before they were discharged the mothers completed a questionnaire, and infant feeding was assessed using a standardised assessment.
There were 24 (47%) infants who used a pacifier during the first few days of life and seven (29%) of these were exclusively breastfed. Pacifier use was less common among mothers who exclusively breastfed (p = 0.04). Pacifier use was more common among mothers whose income was less than 25 000 US dollars (p = 0.02), who were single (p = 0.002) and who did not have a college education (p = 0.03). No associations between pacifier use and feeding performance were observed.
While lower socioeconomic status was related to pacifier use, feeding performance in the first few days of life was no different between those infants who did and did not use pacifiers after a full-term birth.
母亲通常被建议在母乳喂养建立良好之前不要使用奶嘴。本研究旨在确定与婴儿和社会因素相关的奶嘴使用与在生命最初几天的喂养表现的改变之间的关系。
2015 年，我们在美国密苏里州圣路易斯市的 Barnes-Jewish 医院招募了 51 名足月婴儿及其母亲。在出院前，母亲们完成了一份问卷，婴儿的喂养情况通过标准化评估进行评估。
在生命最初几天，有 24 名（47%）婴儿使用了奶嘴，其中 7 名（29%）婴儿为纯母乳喂养。纯母乳喂养的母亲使用奶嘴的情况较少（p = 0.04）。收入低于 25000 美元的母亲（p = 0.02）、单身母亲（p = 0.002）和未接受过大学教育的母亲（p = 0.03）使用奶嘴的情况更为常见。在生命最初几天，使用奶嘴与喂养表现之间没有关联。
虽然社会经济地位较低与奶嘴使用有关，但在足月出生后使用奶嘴的婴儿与不使用奶嘴的婴儿在生命最初几天的喂养表现并无差异。
