Written by Hannah Harp
Spoon Feed
This survey-based study on pacifier use found that the parents of babies who used pacifiers had lower levels of parenting stress and perceived their babies to have better temperaments.
Summary
This study explores the demographic characteristics, motivations, and psychosocial effects of pacifier use among mothers of infants. Surveying 428 UK-based mothers, the researchers found that pacifier users generally had lower educational attainment and reported less parenting stress and better mother-infant interactions than non-users. Pacifier use correlated with a more positive perception of infants’ affectivity, suggesting pacifiers may ease parenting demands and improve emotional dynamics. However, pacifiers were rarely recommended by healthcare providers, with family and friends being more influential in their adoption. These findings highlight potential developmental and relational benefits, supporting balanced discussions on pacifier use. (AI-generated)
Paci pros and cons
We know a lot about the physical pros and cons of pacifier use — lower SIDS risk, improved oral-motor skill development, increased AOM rates, and risk of dental malocclusion. This survey-based descriptive study looked at the psychosocial benefits and drawbacks of pacifier use. Overall, parents who used pacifiers with their babies reported lower levels of stress (p=0.018), more positive view of their baby’s affectivity — that is, ‘good’ baby vs. ‘bad’ baby (p=0.006), and higher quality of parent-infant interactions (p<0.001). Interestingly, prevalence of pacifier use did not skew by baby sex, reported maternal anxiety levels, or parental feelings of self-efficacy (i.e., how well do I meet my baby’s needs?). The study is limited by potential recall bias — some participants were parents of 3-year-olds by the time they completed this survey. It is also likely affected by sample bias, as all participants were recruited from a commercial paid survey site.
How will this change my practice?
Because it feels like an overcomplicated and low-yield topic, I don’t recommend that parents do or don’t use pacifiers — I answer their questions, support the decision that works for their family, and reassure them that this choice won’t make or break their child’s chances of success in life. In the end, this study will give me even more material when I’m talking to parents who feel guilty about giving their baby a pacifier.
Source
The who, when, and why of pacifier use. Pediatr Res. 2024 Oct 15. doi: 10.1038/s41390-024-03540-6. Epub ahead of print. PMID: 39406952

Hmm, not bad