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One of the most controversial decisions to make as a new parent is whether or not to introduce a dummy, or as it鈥檚 often called outside of the UK, a pacifier.

There can be a confusing array of baby-soothing tools on the market, with products with names like 'newborn pacifiers' making claims that they鈥檙e great for calming babies.

To look beyond the marketing and explain the potential benefits and risks of dummies so that you can make the right choice for you and your baby, Tiny Happy People has spoken to health visitor Kerry Bennett from Better Start Bradford.

What is a dummy or pacifier?

Dummies are designed to mimic a nipple. Kerry explains, "A dummy is usually a silicone teat with a mouth guard and a handle. It's intended for a baby to suck."

They give babies something to suck on, which engages their natural reflex for comfort.

Image caption,
Dummies might help to soothe your baby, but they're not for everyone

What are dummies' roles in soothing or calming babies?

鈥淏abies want to suck, it's about that self-soothing,鈥 says Kerry, 鈥淚t's an absolutely natural reflex that a baby is born with.鈥

Often dummies are used when a baby is struggling to settle down for a nap or when they're feeling overstimulated.

What are the benefits of using dummies?

In some instances, dummies can be useful for calming a baby or helping them settle into sleep. Some parents find that a dummy can be especially helpful during car rides, naps, or at bedtime.

According to the NHS, it is possible that dummy use at the start of a sleep may reduce the risk of SIDS, but that the evidence is not strong and not all experts agree.

What are the potential risks or doubts associated with using dummies?

Dummies are not for every baby - or every parent.

"Never force a baby to have a dummy, and go with what your baby likes."

Some babies may reject the dummy, while others may become overly dependent on it, leading to sleepless nights for parents as they constantly replace it when it falls out.

Dummies also carry hygiene risks. As Kerry points out, 鈥淚f a dummy drops on the floor and you don鈥檛 have a spare, some parents just give it a quick wipe and pop it back in.鈥 Possibly linked to this, .

How do dummies affect language development?

Long-term dummy use can impact speech development. Kerry cautions against allowing babies to use dummies beyond the period when they start babbling.

鈥淎s soon as a baby is babbling, trying to express itself in other ways, we really should be restricting dummy use and allowing that baby to babble freely.鈥
Image caption,
According to Kerry, you can introduce a dummy 鈥渁nytime from birth鈥, but 鈥渋t's best to introduce it after breastfeeding has been well established鈥

Do dummies affect breastfeeding?

"If you want to breastfeed," Kerry says, "establish breastfeeding before using a dummy."

There鈥檚 evidence that introducing a dummy too early can lead to 'nipple confusion', where the baby has trouble distinguishing between the breast and the dummy. Waiting until breastfeeding is firmly established can help avoid this confusion.

Do dummies affect teeth?

There are also concerns about how dummies can affect the development of teeth.

Prolonged sucking can change the alignment of emerging teeth, potentially leading to dental problems. "When teeth stumps start coming through, a baby sucking on a dummy can cause difficulties with how teeth emerge and align," Kerry explains, 鈥淭hat's a sign that it's time to reduce dummy use.鈥

When can you introduce a dummy?

According to Kerry, you can introduce a dummy, 鈥渁nytime from birth鈥, but if you want to breastfeed, 鈥渋t's best to introduce it after breastfeeding has been well established.鈥

And ultimately, she says, 鈥淵ou don鈥檛 have to introduce a dummy.鈥

How can you introduce a dummy?

When offering a dummy, the process should be gentle and respectful of the baby's preferences. Kerry advises鈥

鈥淕ently place it to the lips and see if they accept it and find it comforting,鈥

Kerry says there are two big 鈥渘os鈥 when it comes to introducing dummies: they should never be forced in, and 鈥測ou should never dip dummies in any sweet or sugary substances鈥.

When should you stop giving your baby a pacifier?

Dummy use should be reduced or stopped between six and 12 months, particularly as babies begin to develop their communication skills. 鈥淵ou might just use it for times like going to sleep at night, or when the child is unwell or really inconsolable,鈥 Kerry suggests.

In situations where you might have used a dummy, focus on other ways to comfort and soothe the baby, such as cuddles, white noise, or lullabies.

Should a baby sleep with a dummy?

Newborns and older babies can sleep with a pacifier. According to Kerry, 鈥淚t鈥檚 all about thinking about 鈥

How do you sterilise and maintain dummies?

Kerry explains, 鈥淭here are lots of things out there on the market, like devices where you can pop a dummy into a little container with some sterile solution. It鈥檚 up to personal preference.鈥

What鈥檚 crucial is to avoid putting dummies in your mouth after they fall on the floor, as this can spread germs.

Can you use a microwave?

鈥淪ome people choose a microwave for ease and follow the guidelines, allowing things to cool down to the right temperature,鈥 says Kerry. 鈥淏ut it is personal preference, and it depends on what resources you have.鈥

What if my baby won鈥檛 take a dummy?

鈥淣ever force a baby to have a dummy and go with what your baby likes,鈥 Kerry says.

鈥淣ot all babies want a dummy.鈥 There are plenty of alternatives on offer.

Are there alternatives to dummies?

鈥淣ot all parents want their child to have a dummy. And it鈥檚 absolutely fine if you don鈥檛 choose for your baby to have a dummy,鈥 Kerry affirms.

If you prefer not to use dummies or your baby doesn鈥檛 take to them, there are plenty of alternatives. After all, a dummy is designed to mimic a nipple, so breastfeeding is often a way to soothe. Besides this, Kerry suggests, 鈥Lullabies, cuddles, lots of skin-to-skin contact, and white noise.鈥 Other methods that can help include fresh air or motion, such as taking your baby for a walk in a pram.

A balanced approach to dummy use

Kerry says that with dummies, it鈥檚 important to think about the bigger picture, 鈥淚t鈥檚 not just about pushing a dummy in to stop them crying. Does a parent really understand why their baby is upset? Are they hungry, too hot, or in pain?鈥

Before turning to a dummy as a solution, it's crucial to evaluate the baby鈥檚 cues and ensure that other needs are being met first.

Kerry's final advice is, 鈥渢o encourage parents not to overuse and prolong the use of dummies.鈥 Understanding when and how to use a dummy 鈥 and when to stop 鈥 can ensure that it serves its purpose without hindering your baby鈥檚 overall development.

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