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Research questions impact of pacifiers on breast-feeding - Wall Mounted Kiosk Manufacturer by grehh hernjer





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Research questions impact of pacifiers on breast-feeding - Wall Mounted Kiosk Manufacturer by
Article Posted: 03/27/2013
Article Views: 110
Articles Written: 1951
Word Count: 410
Article Votes: 0
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Research questions impact of pacifiers on breast-feeding - Wall Mounted Kiosk Manufacturer


 
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The theory is that infants suckle their mother's nippledifferently than they do a bottle or pacifier, and may havedifficulty latching on to the mother if they're given toomuch exposure to artificial nipples. In addition, the body produces breast milk according to demand, sofrequently giving infants a pacifier may in some cases compromisethe mother's milk supply, Phillipi says. Prohibiting the use of pacifiers and artificial nipples is one ofthe 10 steps for encouraging breast-feeding that hospitals in theUnited States must take to earn a "baby-friendly"designation from the WHO and the United Nations Children'sFund (UNICEF). As part of its efforts to qualify for this baby-friendly status,the Doernbecher Children's Hospital at OHSU curtailed the useof pacifiers in its mother-baby unit in December 2010.

After thatdate, the hospital required nurses and doctors to sign pacifiersout and use them only for "medically appropriatereasons," such as when a baby undergoes a painful surgicalprocedure or is withdrawing from drugs the mother took whilepregnant. The policy change provided Phillipi and her colleagues with a handyway of assessing before-and-after changes in pacifier use andbreast-feeding, but their analysis lacks the rigor of a carefullydesigned and controlled study. For instance, the hospital allowed visitors to bring their ownpacifiers into the mother-baby unit, which is specially designed toaccommodate mothers, infants, and family members. The researchershave no way of knowing how many outside pacifiers were brought it,or how often the infants used them.

Moreover, the analysis didn't take into account themothers' demographic profiles and the hospital'sstaffing levels, in particular the availability of doctors andnurses to give breast-feeding advice, Phillipi says. Despite these weaknesses, the findings add another wrinkle to thealready confusing recommendations for pacifier use in newborns. Incontrast to the WHO, which discourages all pacifier use in thefirst six months of life, the American Academy of Pediatricsrecommends giving babies pacifiers as they fall asleep beginning atthe one-month mark, because this practice has been linked with alower risk of sudden infant death syndrome (SIDS). "It's very logical to think that pacifiers mightinterfere with breastfeeding, but there isn't really strongevidence that pacifiers are the problem, and they do turn out to bebeneficial for reducing the risk of SIDS," Phillipi says."Maybe we could approach mothers and their infants on a moreindividual basis We can't make blanket recommendationsabout complex things.".

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