Is It Really Okay For Newborn Babies To Use Pacifiers?

As with most things related to newborns, using a newborn pacifier can come with pluses and minuses. If your newborn is taking one (some don’t!), it’s probably their favorite go-to accessory. And while thoughts of braces in your baby’s future run through your head, you’re probably more than a little thrilled that it soothes their crying. Come to think of it, in Western countries, up to 75 to 85 percent of babies use binkies at some point.

But then worry pops back into your head because you wonder if this carefree sucking might be habit-forming or interfering with feedings. Learn more about pacifiers here. 

When Can My Newborn Start Using A Pacifier?

As the names suggest, pacifiers help soothe and calm babies.

Sucking is a normal reflex in newborn babies. In fact, it begins even before birth. It helps your baby practice feeding from the breast or a bottle. Sucking without feeding — called non-nutritive sucking — is also natural for babies. But, does that mean your baby can use a newborn pacifier soon after being born? 

There’s no right or wrong answer about how soon you should give your newborn a pacifier. But if you’re breastfeeding, the American Academy of Pediatrics (AAP) generally recommends waiting until you and your baby have a nursing routine down pat. This may mean waiting up to four weeks for your baby to avoid nipple confusion. 

More on nipple confusion…

What on earth is nipple confusion, and why didn’t they tell you about this in the hospital? Well, sucking on a nipple is different — clearly from your side of things, but also for baby — than sucking on a pacifier.

Some newborns may find it easier to suck on the pacifier. This can make it more difficult for them to latch on for breastfeeding. Or, they may use their energy to suck on the pacifier and then fall asleep or be less interested in breastfeeding when feeding time comes.

Breastfeeding can be even more difficult for preterm babies. This is because they may have smaller sucking muscles. Your nurse or doctor may recommend waiting to use a pacifier. However, remember that every baby is different.

Is it OK For My Baby to Have A Pacifier During Sleep?

Even if your little one isn’t crying, sucking a pacifier may help them fall asleep and stay asleep longer — which means more sleep for you, too.

What’s even better? Pacifiers are also linked to lowering the risk of sleep-related death in babies. Sudden infant death syndrome (SIDS) is the most common cause of death in babies between month and 1 year. Several medical studies have found that giving your baby a pacifier while they sleep may be associated with a reduced risk of SIDS, possibly by more than half.

Medical organizations are taking note, too. The AAP’s safety guidelines against SIDS advises that pacifiers help even if they fall out after your baby nods off. So go ahead — pop the pacifier in your newborn’s mouth and rest a little easier.

Possible reasons why a newborn pacifier promotes safety 

Pacifiers may help protect your baby from SIDS and suffocation during sleep for several reasons.

They might make it harder for your baby to roll over onto their stomach. Tummy time is great under your watchful eye, but sleeping on the stomach is the riskiest position for SIDS.

A pacifier also blocks your baby’s face from accidently getting too close to the mattress, a pillow, or blanket. (That being said, your infant’s crib should be as empty as a florist shop the day after Valentine’s Day — no pillows, blankets, or stuffed animals inside it.)

Other researchers think that sucking on a pacifier might help babies develop better nerve reflexes and breathing muscles.

So, give your baby their favorite pacifier as you lay them down (on their back) for sleep or a nap. If the pacifier falls out mid-sleep, it’s perfectly OK. If they wake up or cry, try popping the pacifier back in.

Benefits of Pacifiers

Pacifiers are as important as baby wipes — and arguably have just as many benefits. Keep a few on hand to give to your newborn: at home, in your car, and in your purse.

Rest assured that a pacifier is less habit-forming than sucking on a thumb, and habits are unlikely to form before 6 months of age, period.

During sleep and nap time, pacifiers help:

+ babies fall asleep and stay asleep

+ babies relax and self-soothe back to sleep if they wake up

Pacifiers may also help:

+ prevent SIDS in newborns

+ your baby exclusively breastfeed, if that’s what you want

+ your baby stay content between feedings longer

Pacifiers help soothe and distract babies:

+ during general fussiness

+ from general anxiety or fear

When they’re sick or colicky 

+ when they are getting a check-up or shots

+ or when they are being bathed but before they take to the water

During flights and travel a pacifier may:

+ help ease anxiety

+ help relieve ear pain from air pressure changes

Risks of Pacifiers

There are a few risks to keep in mind with pacifiers.

Nipple confusion can occur if a pacifier is used too soon, and your baby may:

+ prefer the pacifier than latching onto your breast

+ get tired and breastfeed for short periods only

They can also be habit-forming, but generally only over the age of 6 months. If this happens, your precious little one might:

+ become dependent on a pacifier to self-soothe while awake

+ wake up and cry if the pacifier falls out during sleep

Illness can also occur if the pacifier isn’t cleaned often and adequately. They may:

+ spread germs

+ increase the risk of ear infections (more common after the age of 6 months)

And finally, using a pacifier for too long can famously interfere with your baby’s incoming teeth. They can cause baby teeth to grow in slightly crooked. Pacifier manufacturers have developed new shapes and sizes to combat this, and also keep in mind that baby teeth aren’t permanent. (The tooth fairy will be draining your pockets before you know it.)

Tips for Using A Pacifier to Keep Everyone Happy

+ Use one-piece pacifiers that can’t come apart. This reduces the risk of choking.

+ Look for pacifiers that are made from natural rubber and other safe materials.

+ Avoid pacifiers that contain harmful chemicals like bisphenol-A (BPA).

+ Clean pacifiers by boiling in sterile water for a few minutes.

All Good Things Must Come to An End

When your baby (or toddler) starts using their pacifier as a chewing toy or teether, it might be time to wean him off of it. One sign that your baby is chewing the pacifier rather than sucking it is nonstop drool.

As with toilet-training, there are several different ways to cut the proverbial umbilical cord to baby’s pacifier. Try these tips to find out what works for your little one:

+ take it away cold turkey (and brave the tantrums)

+ give them the pacifier only at certain, consistent times — the slow and steady approach

+ limit the pacifier to one place, such as their crib

+ offer your child other ways to self-soothe — like a favorite blanket or toy