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My answer will always be Its up to you and your little one! There truly is no right or wrong approach when it comes to pacifiers. Some babies never take a pacifier, and thats okay! However, for many babies, pacifiers are helpful tools for comfort and relaxation. Here are the two main reasons I recommend offering a pacifier for newborn sleep.
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Obviously, if a baby is hungry, you need to feed him. However, sometimes newborns have a drive to suck even after theyve finished eating. This is called non-nutritive sucking, which simply means sucking without gaining nutrition or calories.
Non-nutritive sucking has several benefits for your newborn(4):
Releases endorphins in the brain
Promotes relaxation
Provides comfort and security
Becomes a helpful tool to encourage sleep
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The American Academy of Pediatrics (AAP) reports a significantly reduced risk of SIDS with pacifier use, particularly when given to newborns for sleep. This is one of the reasons that I do love newborns sleeping with a pacifier. In a study published by the AAP(1), researchers recommend that pacifiers be offered to infants as a potential method to reduce the risk of SIDS. The pacifier should be offered to the infant when being placed for all sleep episodes, including daytime naps and nighttime sleep.
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If youre concerned about the potential of nipple confusion with pacifier use, I have good news for you! Research(2) shows us that nursing moms who introduce a pacifier are JUST as successful with nursing as those who dont. True scientific research dispels the myth of nipple confusion and shows that limiting pacifiers does not increase nursing success. In studies(3), limiting pacifier use actually resulted in decreased rates of exclusive breastfeeding. In summary, yes! Pacifiers are great for breastfed babies.
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Different babies prefer different pacifiers. Some newborns prefer a flat nipple, others prefer more oval, and some prefer round. There are so many varieties to try. When youre shopping for a pacifier for your newborn, just be sure to choose the correct size. We dont want the pacifier to be too big for your newborns mouth. I have a collection of my favorite pacifiers for you.
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Step 1: Offer when the baby is calm, not hungry or tired, and swaddled.
Step 2: Apply pressure in the middle of the babys tongue.
Step 3: Move the pacifier in circles around his mouth.
Step 4: If your baby becomes frustrated, stop and try again later.
Keep trying each day for a weekif your baby wont take it, thats FINE! Its okay to move on.
Pacifiers and sleep are a HOT topic. It seems as though some babies have a pacifier in their mouths all day long, some parents dont want their little ones to get attached to their pacifier so they never use one at all, and most other people are somewhere in between.
As a sleep consultant, I talk about pacifier usage ALL THE TIME, so I want to break it down for you in this blog post. We will talk about:
And more!
When babies are first born, they have a physical need to suck its called non-nutritive sucking, and that need makes pacifiers GREAT for newborns! Nursing or bottle feeding certainly help meet this physical need, but sometimes a newborn is not hungry but simply needs to suck on something, and a pacifier is just the tool.
Additionally, as newborns have two underdeveloped sleep cycles and dont yet have the ability to self-soothe, pacifiers can be really helpful in soothing a newborn to sleep. My general rule of thumb is to not make the pacifier the first plan of action when trying to get your newborn to sleep, but to have it as an option when other soothing methods arent working.
As a sleep consultant, my job is to step in and help families when they ask for it. But I always tell people, if what youre currently doing works for you, your child, and your family, thats great! So if your baby or toddler uses a pacifier for every nap and bedtime and that works for you, Im so thankful.
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Although pacifiers are great for newborns, I recommend pulling that pacifier completely away from sleep by about four months old, if your goal is to help your baby sleep more independently. At four months old, a babys sleep cycles have adjusted and are now more mature, adult-like cycles, and they now have the ability to learn to self-soothe. So we can start teaching our babes to fall asleep without needing a pacifier to suck on!
Now I know what youre wonderingdo we have to pull the pacifier away during the day, too? The short answer is no, you dont! I totally understand wanting to keep a pacifier on hand for the road trip where your baby just wont fall asleep, or for the church service where theyre happily squealing away and you want to be a bit more quiet. Sure, keep the pacifier, but make sure your child isnt using it too close to sleep time (read further, for more info).
The temptation here, however, is that it will keeping creeping closer and closer to sleep, and eventually youll be back at square one. So if you do keep the pacifier around, I would keep them out of your childs room altogether and try to use them sparingly.
So lets dig into why I recommend taking the pacifier away from sleep at four months old.
First, pacifiers are a sleep prop something outside of a child that they rely on in order to fall and stay asleep. The trouble with sleep props, however, is that relying on certain sleep props, such as feeding, rocking, or using a pacifier, prevents babies and children from becoming independent sleepers.
When families are looking to teach their babies and children to fall asleep on their own and sleep through the night (once physically ready), its important that we remove those sleep props so they can naturally connect sleep cycles during naps and night time.
I know what some of you are thinkingyour child is able to fall asleep independently, with the pacifier, and sleep through the night. And if the pacifier falls out, they simply grab it and put it back in their mouth. So whats the problem?
Like I said before, if the way your little one currently sleep works for you, thats great! However, when I work with families, we always work on removing the pacifier from sleep when theyre four months or older, because I often see it get in the way.
Ive worked with so many families who seem to have the perfect schedules, the perfect routines, theyve sleep trained, and everything seems to be in the right placeBUT their little one still uses a pacifier for all sleep. And something just isnt working, whether thats long night wakings, early mornings, short naps, etc.
Let me explain some more
Using a pacifier requires a physical response from babies and toddlers they have to actively suck on it in order to keep it in their mouth. Because they require such a physical response, I have found that pacifiers can actually keep little ones in a lighter stage of sleep, making it easier for them to stir in the night, especially when the pacifier falls out.
This is why parents often get stuck having to pop back into their babys room multiple times throughout the night, because the pacifier fell out of their babys mouth and they need help replacing it. And that can be exhausting!
Additionally, whether a little one knows how to replace the pacifier themselves or not, it still breaks up their sleep. And the pacifier can actually make it that much harder to fall back asleep. One reason being, like I mentioned before, pacifiers require such a physical response from babies and toddlers to engage them. Can you imagine chewing gum while trying to fall asleep? That chewing would certainly keep you awake longer, and youd probably stir and keep chewing every now and then.
This is a response I frequently get when I tell families my sleep training plans do not include a pacifier
Thats definitely better than you having to replace it multiple times a night or nap, however your child is still getting more broken up sleep. For them to realize the pacifier fell out, sit up, roll around, find another one, turn it the right way, and get it in their mouth is a lot! We all experience natural night wakings, however those wakings are generally so brief we dont even remember them in the morning because we simply go right back to sleep. And were looking for consolidated sleep.
This is a another common question! Pacifiers require a physical action in order to engage them your child has to suck on one to keep it in their mouth. And if it falls out, your child has to not only find that small pacifier, but figure out which way to put it in their mouth, and then suck on it to be able to use it.
A blanket, stuffed animal, or lovey, on the other hand, doesnt require much response. Your child can cuddle up next to it, wrap their arm around it, even grasp it in their hands, but when they fall asleep, its still cuddled right next to them without any more action necessary. Plus, if they happen to lose it, stuffed animals and lovies are much bigger and easier to find than a small pacifier.
Another rule with keeping the pacifier for awake times is still keeping it away from sleep! Its important that, if your baby still occasionally uses their pacifier during awake times, they no longer suck on it around 30 minutes before their nap or bedtime, and 30 minutes after they wake up in the morning or from a nap.
One, we want it totally removed from feeling like its connected to sleep, and two, we dont want the pacifier taking off any sort of sleepy edge (sleep pressure!) that will help your little one both fall and stay asleep. Using the pacifier too close to sleep can make it harder to fall asleep for that nap or bedtime, or cause a short nap or night wakings to occur due to lack of sleep pressure.
I know it might sound scary, or it might sound harsh, but I dont suggest weaning a pacifier removing the pacifier from your baby or toddler cold turkey is really the quickest and least confusing way to do so!
I suggest you take them all out of your babys nursery, make sure none have been left under your toddlers bed or covers, and take them all out of your room, so theyre just not an option!
And then HAVE A PLAN for what youre going to do when your baby or toddler is upset without it. How will you respond to their protest? When will you respond? What if they wake in the night, what will you do? (Hint hint: use the sleep training method you previously used or one that will work best for your child.) That consistency is so important!
For toddlers and older children who are more verbal and are able to enter a conversation, Ive known some families who talk about how the pacifier fairy is going to come and take their pacifiers, and exchange them for a special gift (kind of like the tooth fairy). This lets the child know their pacifiers will soon be gone and can build some excitement about whats to come.
Similarly, Ive also known families who wrap up their childs pacifiers and gift them to a family or friend having a baby, or to their new sibling.
Ill be honest while both of these ideas seem fun, I still think its confusing and can cause more challenges. What if your toddler doesnt care about getting a new gift, they just want their pacifier? Or what if they dont fully understand that gifting their pacifiers means theyre gone forever? It just kind of seems confusing.
Lets just be honest with our kiddos about how now its time to learn to sleep without a pacifier and well help them do it, and soon they wont even remember how attached they were in the first place.
If youre looking to sleep train your little one, whether four months old, 14 months old, or 4 years old, I suggest saying goodbye to that pacifier! Think about itif you sleep train your little one at 6 months old (with the pacifier), youre going to eventually have to take it away and there will likely be some sleep training that has to happen again to actually remove it altogether.
Also, you may sleep train with a pacifier only to find it doesnt actually fully work, and then you have to take it away anyway. So if youre going to sleep train, lets sleep train all the way, the right way, when youre ready, so you dont have to do it all over again a few months or years down the road when its time for the pacifier to go.
If even thinking about taking the pacifier away seems totally overwhelming and you just dont know where to start, or if you know its time to take it away but you want some reassurance and accountability in doing so, thats what were here for! Check out our coaching options so we can your family get the best sleep possible!
With Grace,
Lauren
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