Abstract
There is widespread belief that pacifiers may interfere with breast milk production and lead to discontinuation of breast-feeding. The current highest-quality evidence does not support the claim that pacifiers lead to decreased breastfeeding duration. Pacifier use is common and is influenced by a baby’s soothing and feeding needs and by parents’ preferences. Considering that pacifier use may be a marker of underlying breastfeeding difficulties but may also decrease sudden infant death syndrome risk, health care providers should counsel families on the potential risks and benefits of appropriate pacifier use.
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