Should I Use a Pacifier While Breastfeeding?

Should I Use a Pacifier While Breastfeeding? What Lactation Experts Recommend

One of the most common questions new parents ask is, “Should I use a pacifier, and will it interfere with breastfeeding?”

You may hear conflicting advice. Some sources say to avoid pacifiers entirely, while others suggest using one right away. The truth is more nuanced. Pacifiers can be helpful when used intentionally and at the right time.

At Thrive Lactation, we typically recommend introducing a pacifier around four weeks of age and weaning off by six months. Here’s why.

Why Timing Matters When Introducing a Pacifier

The first few weeks of life are critical for establishing milk supply, learning feeding cues, and ensuring baby feeds frequently enough.

Introducing a pacifier too early can sometimes mask hunger cues, which may lead to missed feeds, less milk removal, and potential impacts on milk supply.

By waiting until breastfeeding is more established, usually around four weeks, parents can feel more confident that baby is feeding well, weight gain is appropriate, and milk supply is stable.

Can Pacifiers Cause Nipple Confusion?

The idea of nipple confusion is often misunderstood.

Pacifiers do not automatically cause breastfeeding problems, but early or excessive use can delay feeding when baby is actually hungry, reduce time at the breast, and make it harder to recognize hunger cues.

Once breastfeeding is well established, most babies can go back and forth between breast and pacifier without issues.

Benefits of Pacifier Use

When used appropriately, pacifiers can provide comfort between feeds, help babies self-soothe, reduce the risk of SIDS when used during sleep, and offer relief during car rides or procedures.

Pacifiers can be especially helpful for babies who have strong sucking needs and seek comfort even when they are not hungry.

Why We Recommend Stopping Pacifier Use Around Six Months

As babies grow, prolonged pacifier use can contribute to dental overcrowding, changes in oral development, and potential speech concerns later on.

By around six months of age, babies often develop other soothing skills such as bringing hands to their mouth, rolling, and increased interaction with caregivers. Gradually reducing pacifier use around this age supports healthy oral development.

Best Practices for Pacifier Use While Breastfeeding

Always offer the breast first if baby may be hungry. Use pacifiers for comfort, not to delay feeds. Monitor diaper output and weight gain. Avoid using pacifiers to extend time between feeds in young infants.

If you are unsure whether pacifier use is affecting feeding, a lactation consultant can help assess feeding patterns and cues.

When to Seek Lactation Support

You may want lactation support if baby seems fussy or unsettled after feeds, weight gain is slow, feeding cues feel confusing, or you are unsure when to offer the breast versus a pacifier.

At Thrive Lactation, we help families create feeding plans that support both comfort and breastfeeding success.

Takeaway

Pacifiers can be a helpful tool when introduced intentionally. Waiting until around four weeks supports breastfeeding success, and weaning by six months supports healthy oral development. When in doubt, focus on feeding cues and seek personalized lactation guidance.