Pacifier Pros and Cons: Should You Introduce a Pacifier to Baby?

Let’s talk about that little piece of rubber or silicone that can be a lifesaver (or a bit of a headache) for many of us: the pacifier. You know, the one that can sometimes calm a fussy baby in seconds but also can spark debates? It can be the best soothing tool, but there are pacifier pros and cons. So, if you’re juggling whether to give your little one the classic binky or go without, you’ve come to the right place! 

Pros of Using a Pacifier

Pacifiers can be a lifesaver for soothing babies and helping them fall asleep, but like most things, they have benefits and risks. Here are some of the advantages of using a pacifier.

Pro: Potentially reduces the risk of SIDS

It turns out pacifiers might do more than just keep the peace. Some studies, including this one from the American Academy of Pediatrics (AAP), suggest that using a pacifier while your little one is sleeping can potentially reduce the risk of Sudden Infant Death Syndrome (SIDS). Of course, every baby is different, but if using a pacifier helps keep them safe, it’s worth considering.

Pro: Pacifiers provide comfort to babies

Pacifiers help develop the sucking reflex, which offers comfort to babies. Giving your baby a pacifier can work wonders when your little one is trying to fall asleep or just needs some chill time. It can also provide relief during teething and help prevent their little ears from popping on an airplane. Plus, that sucking action can even remind them of being in the womb, which is super soothing! Now, if only it didn’t fall out of their mouth so often!

Pro: Pacifiers can be a temporary distraction

Pacifiers can be a temporary distraction in those inconvenient moments when you don’t have anything else to offer them. Whether waiting in line, on a car ride, or just trying to get through a diaper change, a pacifier can help tide babies over a little bit, especially when Mom knows that baby isn’t hungry. It’s a quick and easy way to give them something to focus on!

Pro: Can be an easier habit to break than thumb-sucking

One upside of pacifiers is that they can be easier to phase out than thumb-sucking. You can take a pacifier away when it’s time to break the habit, but a thumb is always there! This makes it simpler to control when and how your child stops using a pacifier, while thumb-sucking can be a more problematic habit to kick.

Cons of Using a Pacifier 

While pacifiers can be soothing, they do come with some downsides. Here are some disadvantages of giving your little one a pacifier.

Con: A long-term pacifier habit may lead to health issues

Unfortunately, pacifier use can actually lead to some problems later on. Per the American Academy of Pediatric Dentistry (AAPD), prolonged pacifier use after one year of age “can increase the risk of acute otitis media,” a fancy word for ear infections. The AAPD also recommends that parents avoid using a pacifier before the 18-month mark; otherwise, open or crossbite issues may develop. So, while they’re great for comforting, it’s good to watch the timing!

Con: Pacifier use may interfere with milk supply

Some folks say that introducing a pacifier too soon might mess with your little one’s latch (nipple confusion). While research shows little evidence that pacifiers cause nipple confusion, it could affect Mom’s milk supply. This may happen if a pacifier replaces a feeding or extends the time between feedings—naturally, less nursing results in less milk being produced. The key is to feed your little one regularly to keep your milk supply flowing just as often.

Con: Pacifiers can harbor bacteria if not cleaned thoroughly and often

If pacifiers are not cleaned regularly, they can become a real bacteria breeding ground. Thrush, a common fungal infection that causes white patches and sores in the mouth, can develop from a dirty pacifier. If the pacifier falls on the ground, wash it well to avoid spreading germs to your baby. Keeping some spare pacifiers around can help parents rotate in clean ones as the dirty ones are getting sanitized.

How to Introduce a Pacifier to Your Baby

If you’ve decided to introduce the pacifier to your baby, there are a few things to remember. 

  • Timing is key. You may want to wait until your baby is about a month old and has the hang of breastfeeding or bottle-feeding, although this is not a must. Once they're ready, pick a calm moment—maybe after a nap or during some chill time. This way, they’re more likely to be open to the idea.

  • Choose the best pacifier. Choose a pacifier that suits your baby’s age and preferences. There are many shapes and sizes out there, so don't hesitate to experiment.

  • Be patient. When introducing a new pacifier, gently rub it on their lips to spark their interest. If they start to suck, that’s awesome! If not, don’t sweat it—just try again later and make it a fun, relaxed experience.

  • What not to do. Never attach a pacifier to your baby as the ribbons or ties could increase strangling risks.

With a bit of patience and planning, your baby will hopefully be welcoming to using a pacifier as needed.

When to Stop Using a Pacifier

There comes a time when it may be best to hide or throw out the pacifier once and for all. Here are some considerations:

  • Age of 1. Typically, you’ll want to start weaning a baby off their pacifier around the age of 1. By then, they’re usually developing other ways to self-soothe, and you don't wanna risk them getting too attached.

  • Starts talking. Keeping that pacifier around if your little one starts talking can mess with their speech. You don’t want them to have a lisp because they’re still sucking on it! So, maybe try giving them a favorite stuffed animal instead.

  • Go with your gut. Ultimately, trust your gut! If you think it’s time, go for it. Just keep it chill and make it a positive experience for your kiddo. 

Pacifier weaning may feel intimidating if your little one is super attached to it. With consistency and patience, the pacifier will be gone in no time.


Conclusion

In conclusion, it is key to consider the benefits and drawbacks of pacifiers to make the best decision for you and your little one. While a pacifier can come in handy during fussy periods and may lower the risk of SIDS during sleep, prolonged use may lead to dental issues or dependency, making it harder to wean your baby off later. By understanding the pros and cons of pacifiers and ensuring pacifier use in healthy ways, you can make a well-informed decision for your child.

Jessica Lagrone, CCCE

Jessica is a certified childbirth educator, doula, and mom of three girls. With her first, Jessica was so frustrated at all the information out there about birth and postpartum life that seemed to contradict itself. It was this reality that inspired her to create Balanced Families® - a place for truly balanced, un-biased and evidence-based information for families.

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