Do Pacifiers Reduce the Risk of Sudden Infant Death Syndrome? A Meta-analysis

Hauck, Fern R.; Omojokun, Olanrewaju O.; Siadaty, Mir S.

doi:10.1542/peds.2004-2631

Cited by 211 publications

(124 citation statements)

References 42 publications

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“…Messages communicated in the first days of the infant's life should encourage attachment and exclusive breastfeeding, and also promote pacifier use once breastfeeding has been well enough established. 4,25,26 Consistent with our results, among the Argentine population it is very common that parents share the bedroom with their babies, either because of their attachment, a lack of space, or fear of SIDS itself, and this may account for the high percentage of bedroom sharing observed in both groups.…”

supporting

confidence: 89%

Impact of an educational intervention to improve adherence to the recommendations on safe infant sleep

et al. 2016

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Introduction. In developed countries, public campaigns promoting recommendations on safe infant sleep increased adherence to the supine sleeping position to more than 70% and, at the same time, reduced the incidence of sudden infant death syndrome by 53%. Objective. To determine the impact, at 60 days of life, of an educational intervention conducted in maternity centers aimed at improving adherence to the recommendations on safe infant sleep. Population, material and methods. Intervention study with historical control conducted between February 1 st and September 30 th of 2014 at the Maternity Center of Hospital Meisner and Hospital Universitario Austral. The intervention was called "crib card" and consisted in training health care team members and providing families with information on safe infant sleep by means of lessons, written material and using stickers on cribs. Results. Five hundred and fifty newborn infants were included. After the intervention, a 35% increase in the supine sleeping position (p < 0.0001) was observed; exclusive breastfeeding increased by 11% (p= 0.01); and co-sleeping decreased from 31% to 18% (p< 0.0005). No differences were observed in relation to bedroom sharing, living with tobacco users, or pacifier use at 60 days of life. Conclusions. The educational intervention was useful to improve adherence to the recommendations on safe sleep at 60 days of life: using the supine position and breastfeeding improved, and the rate of co-sleeping decreased. No changes were observed in the number of household members who smoke, bedroom sharing, and pacifier use.

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supporting

confidence: 89%

Impact of an educational intervention to improve adherence to the recommendations on safe infant sleep

et al. 2016

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“…Because pacifier use has been associated with a reduction in SIDS incidence, mothers of healthy term infants should be instructed to use pacifiers at infant nap or sleep time after breastfeeding is well established, at approximately 3 to 4 weeks of age. [129][130][131] Vitamins and Mineral Supplements Intramuscular vitamin K 1 (phytonadione) at a dose of 0.5 to 1.0 mg should routinely be administered to all infants on the first day to reduce the risk of hemorrhagic disease of the newborn. 132 A delay of administration until after the first feeding at the breast but not later than 6 hours of age is recommended.…”

Section: Pacifier Usementioning

confidence: 99%

Breastfeeding and the Use of Human Milk

Eidelman¹,

Schanler²,

Johnston³

et al. 2012

Pediatrics

3,897

1,367

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Breastfeeding and human milk are the normative standards for infant feeding and nutrition. Given the documented short- and long-term medical and neurodevelopmental advantages of breastfeeding, infant nutrition should be considered a public health issue and not only a lifestyle choice. The American Academy of Pediatrics reaffirms its recommendation of exclusive breastfeeding for about 6 months, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant. Medical contraindications to breastfeeding are rare. Infant growth should be monitored with the World Health Organization (WHO) Growth Curve Standards to avoid mislabeling infants as underweight or failing to thrive. Hospital routines to encourage and support the initiation and sustaining of exclusive breastfeeding should be based on the American Academy of Pediatrics-endorsed WHO/UNICEF “Ten Steps to Successful Breastfeeding.” National strategies supported by the US Surgeon General’s Call to Action, the Centers for Disease Control and Prevention, and The Joint Commission are involved to facilitate breastfeeding practices in US hospitals and communities. Pediatricians play a critical role in their practices and communities as advocates of breastfeeding and thus should be knowledgeable about the health risks of not breastfeeding, the economic benefits to society of breastfeeding, and the techniques for managing and supporting the breastfeeding dyad. The “Business Case for Breastfeeding” details how mothers can maintain lactation in the workplace and the benefits to employers who facilitate this practice.

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“…67,68 The protective effect of the pacifier is observed even if the pacifier falls out of the infant's mouth. 69,70 The pacifier should be used when placing the infant for sleep.…”

Section: Breastfeeding Is Recommendedmentioning

confidence: 99%