Pacifier Use and Exclusive Breastfeeding in Brazil

Buccini, Gabriela; Pérez‐Escamilla, Rafael; Venâncio, Sônia Isoyama

doi:10.1177/0890334415609611

Cited by 42 publications

(52 citation statements)

References 48 publications

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“…Although these analyses could be key to better understand the relationship between pacifier use and EBF interruption most prospective studies reviewed did not conduct them. This is relevant for understanding if and how age of introduction of pacifiers and their pattern of use mediate or modify the relationship between pacifier use and EBF interruption (Vogel et al, ; Kronborg & Vaeth, ; Buccini et al, , Howard et al, ). A possible strategy for better standardizing studies in this area is to categorize pacifier use as dichotomous based on its introduction before the second week or not (Kronborg & Vaeth, ; Lindau et al, ; Xu et al, ; Ingram, Johnson, & Greenwood, ), or use in the first month (Espirito‐Santo et al, ; Giovannini et al, , Aarts et al, ; Barros et al, ; Riva et al, ) by the time breastfeeding is more likely to be established.…”

Section: Discussionmentioning

confidence: 99%

“…Pacifier use has been identified as a factor associated with shorter duration of EBF in observational studies (Vogel, Hutchison, & Mitchell, ; Hörnell, Aarts, Kylberg, Hofvander, & Gebre‐Medhin, ; Victora, Behague, Barros, Olinto, & Weiderpass, ). A recent cross‐sectional analysis conducted with data from two Brazilian surveys showed that pacifier use was inversely associated with EBF rates with this association remaining stable across time (Buccini, Perez‐Escamilla, & Venancio, ). However, because of potential confounding it is unknown if this relationship is indeed causal (Fein, ; Cunha, Leite, & Machado, ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta‐analysis

Buccini

Pérez‐Escamilla

Paulino

et al. 2016

Maternal & Child Nutrition

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101

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Identifying modifiable risk factor for exclusive breastfeeding (EBF) interruption is key for improving child health globally. There is no consensus about the effect of pacifier use on EBF interruption. Thus, the aim of this systematic review was to investigate the association between pacifier use and EBF interruption during the first six month. A search of CINAHL, Scopus, Web of Science, LILACS and Medline; from inception through 30 December 2014 without restriction of language yielded 1,866 publications (PROSPERO protocol CRD42014014527). Predetermined inclusion/exclusion criteria peer reviewed yielded 46 studies: two clinical trials, 20 longitudinal, and 24 cross-sectional studies. Meta-analysis was performed and meta-regression explored heterogeneity across studies. The pooled effect of the association between pacifier use and EBF interruption was 2.48 OR (95% CI = 2.16-2.85). Heterogeneity was explained by the study design (40.2%), followed by differences in the measurement and categorization of pacifier use, the methodological quality of the studies and the socio-economic context. Two RCT's with very limited external validity found a null association, but 44 observational studies, including 20 prospective cohort studies, did find a consistent association between pacifier use and risk of EBF interruption (OR = 2.28; 95% CI = 1.78-2.93). Our findings support the current WHO recommendation on pacifier use as it focuses on the risk of poor breastfeeding outcomes as a result of pacifier use. Future studies that take into account the risks and benefits of pacifier use are needed to clarify this recommendation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta‐analysis

Buccini

Pérez‐Escamilla

Paulino

et al. 2016

Maternal & Child Nutrition

Self Cite

101

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“…Other Brazilian studies with similar populations corroborate this finding 9,19,[29][30][31][32] . Early pacifier introduction is associated with early interruption of exclusive breastfeeding [9][10][11]18 . In this sense, there is evidence suggesting that women participating in breastfeeding promotion programs that include information about the influence of pacifier use on child health are less likely to use the device 19 ; indeed, in that study, pacifier introduction in the first month of life was much lower than in the present sample (13.3 vs. 50.0%).…”

Section: Discussionmentioning

confidence: 99%

“…Pacifier use is associated with a higher incidence of acute otitis media 1,2 , dental malocclusion 3,4 , oral breathing 5,6 , oral motor development alterations 7 , and speech problems 8,9 , and it also has a negative influence on breastfeeding initiation and duration [10][11][12][13][14] . Pacifier use is discouraged by the World Health Organization (WHO), as established in the ninth step of the Baby Friendly Hospital Initiative, which recommends not giving artificial nipples or pacifiers to breastfeeding infants 15 .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with pacifier use among children of working women with childcare in the workplace

2017

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Purpose: to identify the prevalence of pacifier use as well as the reasons for introducing a pacifier and to analyze factors associated with this practice among children of working women with childcare in the workplace.Methods: a cross-sectional study was conducted with 46 women working at a higher education institution that offered childcare in the workplace; the children were in the age range 2.6 years. Data collection was carried out using a self-report questionnaire filled at home. Reasons for introducing a pacifier were analyzed descriptively; Poisson regression was used in the multiple analysis.Results: the prevalence of pacifier use was 63%. Most women offered the pacifier after the infant's 16th day of life, in order to calm the baby. In the multiple analysis, higher maternal education was associated with pacifier use.Conclusion: a high prevalence of pacifier use was observed, as well as early pacifier introduction, among children of working women with childcare in the workplace. With regard to the factors associated with pacifier use in this population, lower maternal education acted as a protective factor against pacifier use.

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“…Pacifier is a risk factor for early interruption of exclusive breastfeeding, and the use of artificial nipples is associated with the lack of breastfeeding after six months of the child’s life 24 - 25 .…”

Section: Discussionmentioning

confidence: 99%

Effect of the board game as educational technology on schoolchildren’s knowledge on breastfeeding

Martins¹,

Leal

Linhares

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to evaluate the effect of the board game as an educational technology on schoolchildren’s knowledge on breastfeeding. Method:cluster-randomized clinical trial, held in nine schools, with 99 children in the third grade of elementary school (control group = 51 and intervention group = 48). The pretest was conducted in both groups; intervention consisted in the application of the educational technology immediately after pretest to the intervention group; and the post-test was applied on the 7th and 30th days to both groups. For the analysis of children’s knowledge on breastfeeding, we considered the pre- and post-test score means, using the Mann-Whitney test - for comparing the means between groups - and the Wilcoxon test - within the same group. Results:there was no statistically significant difference between the groups in the pretest. In the follow-up, when comparing the groups, there were higher means in the intervention group, on the 7th (19.68 ±1.788) and on the 30th (20.16±1.260) days, with statistically significant difference. Within the intervention group, there was significant increase of the means in the pretest (15.89±3.082) for the 30th day (20.16±1.260). Conclusion:such educational intervention has significantly contributed to the increase in scores of children’s knowledge on breastfeeding for the intervention group. UTN: .

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Pacifier Use and Exclusive Breastfeeding in Brazil

Abstract: Pacifier use was the strongest risk factor for EBF interruption. Effective strategies to reduce pacifier use among infants younger than 6 months may further improve EBF rates in Brazil.

Cited by 42 publications

References 48 publications

Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta‐analysis

Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta‐analysis

Factors associated with pacifier use among children of working women with childcare in the workplace

Effect of the board game as educational technology on schoolchildren’s knowledge on breastfeeding

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