SynthesisMaternal & child nutrition2017
Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta-analysis.
Synthesis in Maternal & child nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Household food insecurity and early childhood development: Systematic review and meta-analysis.Maternal & child nutrition · 2020Pooled it
- Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta-analysis.Maternal & child nutrition · 2017Pooled it
- Factors associated with the maintenance of breastfeeding for 6, 12, and 24 months in adolescent mothers.BMC public health · 2018Trial
- Pacifier Use and Early Life Weight Outcomes in the Intervention Nurses Start Infants Growing on Healthy Trajectories Study.Childhood obesity (Print) · 2018Trial
- Impact of nurse-focused Baby-Friendly Hospital Initiative training program on mothers' breastfeeding practices at hospital discharge: a quasi-experimental study.BMC pregnancy and childbirth · 2026Article
- Prevalence, barriers and determinants of exclusive breastfeeding among Palestinian mothers: a multicenter study.Journal of health, population, and nutrition · 2025Article
- Exclusive Breastfeeding or Formula Use? A Cross-Sectional Survey of Romanian Mothers' Feeding Practices and Influencing Factors.Medicina (Kaunas, Lithuania) · 2025Article
- Pacifier Usage Among Saudi Children: A Cross-Sectional Study in Jeddah, Saudi Arabia.Healthcare (Basel, Switzerland) · 2025Article
- Twin Challenges in Türkiye: Exclusive Breastfeeding Rates and Predictors of Breastfeeding Duration in a Tertiary Care Center.Children (Basel, Switzerland) · 2025Article
- Observational
- How did the use of the social marketing approach in Egyptian communities succeed in improving breastfeeding practices and infants' growth?BMC public health · 2024Article
- Impact of intrapartum oxytocin administration on neonatal sucking behavior and breastfeeding.Scientific reports · 2024Article
- The effects of prolonged pacifier use on language development in infants and toddlers.Frontiers in psychology · 2024Review
- Article
- Global evidence of persistent violations of the International Code of Marketing of Breast-milk Substitutes: A systematic scoping review.Maternal & child nutrition · 2022Article
- Evolution of breastfeeding indicators and early introduction of foods in Latin American and Caribbean countries in the decades of 1990, 2000 and 2010.International breastfeeding journal · 2022Article
- The role of breastfeeding promotion in German hospitals for exclusive breastfeeding duration.Maternal & child nutrition · 2022Article
- Determinants of the interruption of exclusive breastfeeding at the 30th day after birth.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2022Article
- Exclusive breastfeeding abandonment in adolescent mothers: a cohort study within health primary services.Revista latino-americana de enfermagem · 2022Article
- Exclusive Breastfeeding and Factors Influencing Its Abandonment During the 1st Month Postpartum Among Women From Semi-rural Communities in Southeast Mexico.Frontiers in pediatrics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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