Pros and cons of the pacifier

Why give a pacifier to a baby?

More than a need, sucking is a archaic reflex for the child. As soon as something enters his mouth, he starts to suck on it, as he already did in his mother’s womb. “Sucking not only allows the baby to drink from the breast or bottle, but also to comfortfrom take it easybetter to sleep and even eliminate it, because sucking promotes the opening of the sphincters,” sums up the lactation consultant.

Sucking actually promotes the secretion of endomorphin – the hormone of pleasure and happiness – in the baby, protecting it from fear and giving it a sense of security.

Some studies even show that the nipple facilitate the acquisition of sleep rhythms and reduce the risk of: cot deathpresumably because it holds the tongue forward and clears the airways
For these various reasons, the pacifier is a precious possession for the young baby, and it would be a shame to forbid it if it shows the need.

Palate deformity, breastfeeding failure, speech delay: what are the consequences of tutute?

As precious as it may be to the baby, the pacifier is often chosen by health professionals. Accused of deform the child’s mouthor from interfere with the establishment of breastfeedinghow to understand things and use them correctly to avoid these problems.

Does the pacifier deform children’s teeth?

Dentists are unanimous on the question: yes, the pacifier promotes deformation of the palate and thus possibly of the child’s future teeth. And against all odds, according to a recent study conducted at the University of Nice, it would even be more harmful in this connection what could be… thumb The explanation? “The first damage factor is: the duration of the hour is spent with the pacifier during the day,” emphasizes Dr. Kerbrat. In practice, a baby with a pacifier lasts much longer during the day than someone who sucks his thumb. “When a baby cries, becomes impatient or moans, the reflex of the parents is very often to put the pacifier in his mouth to calm him: something that is impossible with the thumb “explains the orthodontist. In addition, a baby who sucks on his thumb is obliged to take it out of his mouth when he has to using his hands, as opposed to the pacifier that he can hold during all his activities.
However, during the first months of life, the palate is very flexible and malleable, so it will mold itself according to the pressure applied to it.

dr. Jean-Baptiste Kerbrat, maxillofacial surgeon and stomatologist: When the baby sucks, his tongue is under and not against the roof of the mouth as it should be, and it is not developing properly.

Second problem: a nursing baby no longer breathes through the nose, but through the mouth. “The position of the tongue and breathing are the two engines of jaw development,” emphasizes the specialist. The palate becomes narrower and hollowand the jaw is not wide enough, which necessarily leads to a bad position of the teeth

How to mitigate the problem?

Fortunately, however, it is possible to reconcile the pacifier and healthy teeth, limiting daily use and over time.
“I advise parents not to systematically have the pacifier reflex, as soon as the child cries. Ideally, it should be reserved for falling asleep, and if possible, gently take it away from him as soon as he sleeps, or as soon as he has calmed down,” the stomatologist recommends. Finally, the child should ideally be able to: do without about 3 years at the latest, i.e. the start of school, to limit the consequences.

Are ergonomic teats and American teats with holes interesting?

These asymmetrically shaped pacifiers, also known as orthodontic or physiological pacifiers, are said to provide better support for the baby’s tongue, allowing the palate to develop without deformation and limiting poor positioning of the teeth. So, miracle product or marketing operation? †the pacifiers orthodontic does not exist “, protests Dr. Kerbrat. Regardless of the shape or material the pacifier is made of, the pacifier will cause poor tongue positioning and possibly mouth deformation if used too long and too often. “Non-nutritive sucking is not physiological,” the stomatologist recalls.

Can the Pacifier Affect the Success of Breastfeeding for Infants?

Accused of causing confusion with the “breast pacifier”, thus the pacifier could interfere with the smooth course of the pregnancy to breastfeed† The World Health Organization (WHO) advises against the use of a pacifier for babies who are breastfed at birth.
“It is indeed better not to offer a breastfed baby a pacifier as the first intention for the first few days after birth,” confirms Carole Hervé. Indeed, by giving a newborn baby a pacifier when he cries, the risk is to reduce the number of feedings and therefore to do lower lactation† “It all depends on how the pacifier is given to the baby: if it is offered to him when all his needs are met, it will not pose a problem. On the contrary, if it is given to him to keep him waiting when he is hungry, is that problematic,” describes the lactation consultant.

The problem is not that after the pacifier has been tested, the baby no longer knows how to breastfeed, but that the lactation decreases due to the reduced stimulation associated with a pacifier offered too often.

“If the mother no longer produces the milk in sufficient quantity, baby will fuss at the breastcry and seem dissatisfied” summarizes Carole Hervé.
To avoid this risk, it is preferable to recommend that breastfeeding mothers only give their baby a pacifieronce the lactation is well established and sparingly on a daily basis.

Which pacifier to choose for a breastfed baby?

Insofar as it is ultimately not the pacifier itself that is blamed for the possible impact on breastfeeding, the choice of model is not very important. Choosing a pacifier whose shape resembles that of the nipple as closely as possible will therefore not be the solution to the problem. “What must be remembered is that the pacifier should never replace a breast milk† It should also not be the easy solution to put an end to the baby criesthe lactation consultant insists.

Speech delay?

A study published in 2015 in the journal Proceedings of the National Academy of Sciences (1) highlighted a link between oral motor movements and auditory perception of language. Translation: prolonged sucking of a pacifier – but also of a thumb – on the one hand, would prevent children from recognizing certain soundsand on the other side repeat them correctly
Another reason to limit the pacifier as much as possible during the day and to wean the baby quickly.

Pacifier from what age?

The need to suck is innate in newborns, so it is felt very quickly and must be satisfied. In addition, the preventive effects on SIDS make it interesting from an early age. It is for these reasons that the American Academy of Pediatrics recommends the use of the pacifier in infants over the age of 6 weeks to 1 year old† In addition, breastfed babies will already be at cruising speed after 6 weeks and therefore the pacifier will not run the risk of interfering with the baby’s proper functioning. to breastfeed.

Fortunately, for nursing mothers who should ideally wait a few weeks before offering the pacifier to their toddler, it is possible to meet their sucking needs in other ways. “It is recommended to breastfeed them as often as possible, no matter what happens, so that the lactation is optimal,” recalls Carole Hervé. And that’s enough for some newborns who are quite satisfied with regular breastfeeding. For others, whose needs are greater, mom or dad’s pinky – well washed of course – can be an excuse. And we should also keep in mind that the need for suction is closely linked to the need for reassurance, and that the soothing presence of a parent, hugs, cradles, sweet wordsare just as many effective ways to reassure the baby without always going through the box.

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