Evie Summers
There are many things to consider when it comes to newborn sleep, from reducing the risk of sudden infant death syndrome (SIDS) to establishing a sleep routine. One common question that arises is whether or not a newborn should sleep with a dummy. While it is ultimately a personal decision, there is evidence to suggest that using a dummy during sleep can lower the risk of SIDS. The NHS recommends introducing a dummy after breastfeeding is established, usually around four weeks, and offering it consistently at the beginning of every sleep. However, it is important to gradually stop using the dummy between six and twelve months to avoid potential side effects such as misaligned teeth and ear infections.
| Characteristics | Values |
|---|---|
| Dummy usage for newborns | It is safe for newborns to use a dummy while they sleep. |
| Dummy usage frequency | If you are using a dummy, it is best to offer it for every sleep, day or night. |
| Dummy usage duration | The NHS recommends that babies stop using a dummy between the ages of 6 and 12 months. |
| Dummy usage and breastfeeding | It is recommended to wait until breastfeeding is well established before introducing a dummy, usually when the baby is around four weeks old. |
| Dummy usage and SIDS | Some research suggests that using a dummy during sleep can lower the risk of sudden infant death syndrome (SIDS). |
| Avoiding SIDS | Placing a baby to sleep on their back reduces the risk of SIDS, while exposing a baby to cigarette smoke or allowing them to overheat increases the risk. |
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What You'll Learn
Dummy use may reduce the risk of SIDS
Breastfeeding is known to reduce the risk of SIDS, and it is recommended to wait at least four weeks after breastfeeding is well established before introducing a dummy. This is usually when the baby is around one month old. It is also important to stop giving the baby a dummy when they are between six and twelve months old.
There are several theories as to why dummy use may reduce the risk of SIDS. One theory suggests that dummies may prevent babies from turning their faces into the bedding, reducing the risk of suffocation. Another theory proposes that dummies may alter the way babies' hearts work or prevent them from sleeping too deeply. However, more research is needed to understand the potential protective mechanism of dummy use and to determine in which groups of babies it might have the most effect.
In addition to dummy use, there are other ways to reduce the risk of SIDS. It is recommended to place the baby on their back to sleep, keep their head uncovered, and use a firm, flat surface for sleeping. Overheating can increase the risk of SIDS, so it is important to maintain a comfortable room temperature and avoid excessive bedding or clothing. Keeping the baby in the same room as the caregiver for the first six months can also reduce the risk of SIDS.
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When to introduce a dummy
The decision to introduce a dummy depends on several factors, and while it can be a helpful tool for some parents, it may not be necessary or suitable for all. Here are some considerations for when to introduce a dummy:
Advantages of Using a Dummy
Dummies can be a source of comfort for some babies, aiding in settling and soothing them, especially those with a strong sucking urge that isn't satisfied by feeding. They have also been associated with a reduced risk of Sudden Infant Death Syndrome (SIDS) when used consistently. SIDS, or cot death, is a tragic occurrence that happens most often during sleep and is more common in the first six months of a baby's life. Using a dummy correctly and following safe sleeping practices can help lower the risk of SIDS.
Timing of Introduction
The recommended timing for introducing a dummy varies. If you are bottle-feeding, you can offer a dummy from birth, choosing one from the same brand as your bottles to ensure the teats are the same. However, if you are breastfeeding, it is generally advised to wait until breastfeeding is well established, typically around four to six weeks after birth. This helps ensure that the dummy doesn't interfere with breastfeeding and that your baby is getting enough milk.
Weaning Off the Dummy
It's important to note that dummies can be a hard habit to break, and prolonged use beyond four years of age can lead to tooth alignment problems and ear infections. Therefore, it is recommended to gently stop using the dummy between six and twelve months to avoid these issues.
Safe Dummy Usage
To ensure safe dummy usage, it is crucial to choose the right type of dummy. Look for a one-piece model with a soft nipple to prevent choking hazards. Check that the dummy has a firm shield with at least two air holes, and ensure it is large enough that your baby cannot put the entire shield in their mouth. Regularly inspect the dummy for any signs of wear or degradation and replace it if necessary. Additionally, never dip the dummy in sweet drinks, honey, or sweet foods, as this can lead to tooth decay.
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Dummy use and breastfeeding
Breastfeeding and the Risk of SIDS
Firstly, it is important to note that breastfeeding has a protective effect on reducing the risk of sudden infant death syndrome (SIDS). SIDS can affect babies up to 12 months old, and placing a baby to sleep on their back reduces the risk, while exposing them to cigarette smoke or overheating increases the risk. The safest place for a baby to sleep during the first six months of their life is in a cot in the same room as their caregiver.
Dummy Use and the Risk of SIDS
The use of dummies has also been found to reduce the risk of SIDS. Dummies soothe babies and help them settle, and they can be especially useful when a baby is not hungry but seeks comfort. However, there has been a reluctance to endorse dummy use due to concerns about its potential detrimental effects on breastfeeding.
Combining Dummy Use and Breastfeeding
If you are combining dummy use and breastfeeding, it is recommended to wait at least four weeks after birth, or until breastfeeding has been established, before introducing a dummy. This helps ensure that dummy-sucking does not interfere with breastfeeding. When offering a dummy, make sure your baby is not hungry by doing so after or between feeds. Check the dummy regularly for any wear or degradation, and replace it if broken to prevent choking hazards.
Safety Precautions
To ensure the safe use of dummies, there are several precautions to consider. Always choose a dummy suitable for your baby's age, and ensure it can be safely sterilised for babies under six months old. Check that the dummy has a firm shield with at least two air holes, and ensure it is large enough that your baby cannot put the whole thing in their mouth. Avoid using a ribbon or cord to attach the dummy to your baby's clothing or bed linen, as this poses choking and strangulation risks. Instead, consider a dummy chain that meets safety standards.
In summary, while both breastfeeding and dummy use independently reduce the risk of SIDS, combining the two requires careful consideration. Introducing a dummy after breastfeeding is established and following safety guidelines can help ensure a smooth transition.
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Safe sleep environment
A safe sleep environment is crucial to reducing the risk of Sudden Unexpected Infant Death (SUID), which includes Sudden Infant Death Syndrome (SIDS). Here are some detailed guidelines to ensure a safe sleep environment for newborns:
Room and Temperature Control:
Keep the room temperature comfortable, between 16 to 20°C. This may vary depending on the season and your baby's health, but the key is to avoid overheating. Do not use all-night heating or hot water bottles; instead, consider layers of lightweight blankets or a baby sleeping bag. Remember, babies regulate their temperature through their heads, so keep their heads uncovered.
Sleep Space:
The safest place for a baby to sleep is in a cot in the same room as their caregiver for the first 6 months. The cot should have a firm, flat, well-fitting, clean, and waterproof mattress covered with a single sheet. Avoid soft mattresses and bedding, comforters, pillows, loose sheets, blankets, sheepskins, toys, positioners, or bumpers in the sleep area, as these pose a risk of suffocation. Ensure the crib spindles are no wider than 2-3/8 inches apart, and the sides do not drop down.
Sleep Position:
Always place your baby on their back to sleep, both during the day and at night. This position significantly reduces the risk of SIDS. Once your baby can roll over by themselves, you don't need to worry if they turn onto their side or tummy while sleeping. To prevent them from wriggling down under the covers, use the "feet to foot" position, with their feet at the end of the cot.
Breastfeeding and Pacifiers:
Breastfeeding is recommended and has been shown to decrease the risk of SUIDS. If you choose to breastfeed, remember to put your baby back in their own separate safe space to sleep when you're finished nursing. Pacifier use can also help prevent SUIDS, but it is not recommended to force it on the baby. Ensure the pacifier is clean and dry, and do not attach it to the baby's clothing or stuffed animals.
Avoid Bed-Sharing and Smoking:
Never share a bed with your baby, especially if you or your partner have consumed alcohol or taken drugs. Bed-sharing increases the risk of SIDS, especially if the baby is exposed to cigarette smoke or if the adult rolls over and obstructs the baby's airway. Keep your baby away from cigarette smoke at all times, and make your home a smoke-free environment.
Car Seats and Swings:
Do not leave your baby in a car seat, swing, bouncy seat, or similar seating devices for extended periods when not travelling. Their heads can accidentally roll forward, affecting their breathing. Always move them to a safe sleep space as soon as possible.
Remember, creating a safe sleep environment is crucial to reducing the risk of SUID and SIDS. Always follow the latest guidelines and recommendations from trusted sources, such as the NHS and paediatricians, to ensure your newborn sleeps safely.
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Weaning off the dummy
Dummies are often used to comfort babies and help them settle at bedtime. They can also help premature babies learn how to suck. However, it is recommended to wean babies off the dummy when they are between 6 and 12 months old. This is because dummies can negatively impact speech and language development as well as your child's teeth. The longer your baby uses a dummy, the more chance there is that the structure of their mouth will be affected.
There are different ways to approach stopping dummy use, and it is your decision which way to go about it. Some parents prefer to gradually wean their baby off the dummy, while others decide to remove it completely. If you choose to gradually wean your baby off the dummy, you can begin by offering it at nap and bedtime only, before eventually removing it completely. You can also limit its use to certain times and places, such as in the car or cot. It is important to remain firm and consistent with your decision to help your baby adjust to the change without getting confused.
If your child asks for the dummy, you can explain to them that they can only have it at sleep times or that they don't have it anymore. You can also use distraction by diverting their attention to playing and having fun. You can also offer something else as a comforter in place of the dummy, such as a specific teddy bear or a small blanket.
As they get older, you can try praising them and giving them stickers as a reward for not reaching for their dummy. You can also mark the occasion of becoming dummy-free with a celebration or special reward.
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Frequently asked questions
Yes, it is safe for newborns to sleep with a dummy. Some research suggests that using a dummy during sleep can lower the risk of sudden infant death syndrome (SIDS). However, it is recommended that you wait until breastfeeding is well established before introducing a dummy, which is usually when the baby is around four weeks old.
The NHS recommends that your baby stops using a dummy when they are between 6 and 12 months old. However, this transition should be gradual to help your baby adjust.
The sooner your baby learns not to use a dummy as a sleep aid, the less likely they are to wake up looking for it. If you decide to stop using a dummy but are facing difficulties, it is okay to take a break and try again later.
Using a dummy can lead to tummy upsets and, with prolonged use, problems such as misaligned teeth and ear infections.
