Use of pacifiers is associated with decreased breast-feeding duration.
OBJECTIVE
To determine the relationship between pacifier use at 1 month of age to the duration of breast-feeding to 6 months of age.


METHODS
Longitudinal study of infants from birth to 6 months of age.


METHODS
Six hundred five rooming-in infants born at the largest hospital in Guarujá, São Paulo, Brazil, during January and February 1993.


METHODS
Prevalence of breast-feeding (exclusive, predominant, and complementary) at 1, 4, and 6 months of age.


RESULTS
Relative risk for weaning between 1 and 6 months of age was 3.84 (95% confidence interval 2.65-5.50) for pacifier users at 1 month of age, compared with nonusers. When an adjustment was made for possible confounding variables through Cox regression analysis, the relative risk dropped to 2.87 (95% confidence interval 1.97-419).


CONCLUSIONS
Pacifier use is highly correlated with early weaning, even after controlling for possible confounders. Until it is determined if pacifier use is causally related to weaning or is a marker for other undetermined causes, pacifier use probably should not be recommended for breast-fed infants.
Barros
F C
FC
Departamento de Medicina Social, Universidade Federal de Pelotas, Brazil.
Victora
C G
CG
Semer
T C
TC
Tonioli Filho
S
S
Tomasi
E
E
Weiderpass
E
E
D001942:Breast Feeding / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D007224:Infant Care; D007231:Infant, Newborn; D013997:Time Factors; D014886:Weaning