Pacifier

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This article is about the baby pacifier. For other uses, see Pacifier (disambiguation).

A pacifier

A pacifier (North American English), dummy (British, New Zealand, and Australian English) or soother (Canadian and Irish English), is a rubber, plastic, or silicone nipple given to an infant or other young child to suck upon.

1 History
2 Problems caused by their use
3 Problems remedied by their use
4 Summary of best practice recommendations
5 In popular culture
6 Note
7 External links

[edit] History

Baby Comforter design - 1900

While pacifiers have taken on a standard appearance, with teat, mouth shield, and handle, there have always been things which a baby can suck on for comfort.

Pacifiers were settling into their modern form around 1900 when the first teat, shield and handle design was patented in the US as a "baby comforter".^[1] Rubber had been used in flexible teethers sold as "elastic gum rings" for British babies in the mid-1800s,^[2] and also used for feeding-bottle teats. In 1902 Sears Roebuck advertised a "new style rubber teething ring, with one hard and one soft nipple",^[3] and in 1909 someone calling herself "Auntie Pacifier" wrote to the New York Times to warn of the "menace to health" (she meant dental health) of "the persistent, and, among poorer classes, the universal sucking of a rubber nipple sold as a 'pacifier'."^[4] In England too, dummies were seen as something the "poorer classes" would use, and associated with poor hygiene. In 1914 a London doctor complained about "the dummy teat": "If it falls on the floor it is rubbed momentarily on the mother's blouse or apron, lipped by the mother and replaced in the baby's mouth."^[5]

Early pacifiers were manufactured with a choice of black, maroon or white rubber, though the white rubber of the day contained a certain amount of lead. One of the best-known brands was the Binki, which became a general name for pacifier in the US. Binky (with a y) was first used as a brand name for pacifiers and other baby products in about 1935.^[6]

Tied-cloth "pacifier" - 1506

Pacifiers were a development of hard teething rings, but they were also a substitute for the softer sugar tits, sugar-teats or sugar-rags ^[7]which had been in use in 19th century America. A writer in 1873 described a "sugar-teat" made from "a small piece of old linen" with a "spoonful of rather sandy sugar in the centre of it", "gathered ... up into a little ball" with a thread tied tightly around it. ^[8] Rags with foodstuffs tied inside were also given to babies in many parts of Northern Europe and elsewhere. In some places a lump of meat or fat was tied in cloth, and sometimes the rag was moistened with brandy. German-speaking areas might use Lutschbeutel: cloth wrapped round sweetened bread, or maybe poppy-seeds. A Madonna and child painted by Dürer in 1506^[9] shows one of these tied-cloth "pacifiers" in the baby's hand.^[10]

In the 1800s, the expression "born with a silver spoon in his mouth" could be taken almost literally – silver soothers/teethers were often given to babies born to wealth. Other expensive materials were also used, with mother-of-pearl or coral being thought to ward off sickness. Coral was believed to guard against all kinds of evil,^[11] and in England in the 17th-19th centuries, a coral meant a teething toy made of coral, ivory or bone.^[12] A museum curator has suggested that these substances were used as "sympathetic magic"^[13] and that the animal bone could symbolise animal strength to help the child cope with pain.

[edit] Problems caused by their use

If a pacifier is dipped in a sugary substance like syrup or honey (a practice employed by some) it may cause dental caries in emerging teeth. Feeding honey to infants is also dangerous due to the risk of botulism.

Infant may use pacifier or thumb or fingers to soothe themselves

Pacifiers have been shown to interfere with breastfeeding, especially if introduced within the first 6 weeks of life.^[14]^[15]

Children who suck pacifiers may be more prone to ear infections (otitis media); the relationship was demonstrated in the journal Pediatrics in September 2000.^{[citation needed]} See also thumb sucking.

Some older infants may have delayed speech development due to the pacifier's constant presence in their mouths preventing them from practising their speaking skills.^{[citation needed]}

Some believe that pacifiers, if used for too long, may cause crooked teeth.^{[citation needed]}

[edit] Problems remedied by their use

Researchers have found that "Use of a pacifier is associated with a substantial reduction in the risk of SIDS". (Sudden infant death syndrome)^[16] ^[17]. A meta-analytic study published in Pediatrics in October 2005 supports this benefit to 1 year of age. Some parents may prefer the use of pacifiers to the child sucking their thumbs.

[edit] Summary of best practice recommendations

The American Academy of Pediatric Dentistry's 'Policy on Thumb, Finger and Pacifier Habits' says: "For most children there is no reason to worry about a sucking habit until the permanent front teeth are ready to come in."

The American Academy of Pediatrics (AAP) states that "It seems appropriate to stop discouraging the use of pacifiers." The AAP recommends the use of pacifiers at nap time and bedtime throughout the first year of life. For breastfeeding mothers, AAP suggests that they wait until breastfeeding is well established, typically for several weeks, before introducing the pacifier.

[edit] In popular culture

Maggie Simpson from the animated television show The Simpsons is rarely separated from her pacifier, and her constant "suck, suck" sound has been one of the few sounds made by the baby.

Throughout the 1990s and early 2000s, it became a teen fashion trend to wear pacifiers as accessories. This was associated with techno music and the use of the illegal drug MDMA ("Ecstasy/Ex") (used due to oral dystonia and the urge to grind or nash teeth while on the drug), leading to a ban on this trend in many places. In Australian English, "spit the dummy" is a colloquial expression meaning to get angry or obstinate, since a baby that spits its dummy is beyond pacification.