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Dummies and Cot death

169 replies

GingerBearingGifts · 09/12/2005 08:25

BBC Breakfast - report says that they reduce the risk of SIDS. But also that if you give a baby a dummy, not to take it away again as the risk increases more than for a baby who hasn't had a dummy.
So do we maintain a nightly vigil over the crib to ensure the dummy doesn't fall out?
And what about babies like mine who rejected a dummy outight?

OP posts:
thecattleareALOHing · 12/12/2005 13:17

Aelita, no need to be personal or aggressive. I do suspect that I have researched this subject in greater depth than you have, actually.

milwardmincepies · 12/12/2005 13:23

Well said deckthehalls. One aspect of mnet I like is the different opinions & ways of doing things. Full respect to all as we all do our best for our kids. Just hate the use of foul language.

aelita · 12/12/2005 13:39

I'm being neither personal nor aggressive. Why do you say that? You made a statement on my post and I responded. As for you being more knowledgeable on the subject than I, well...what of it? I could say with some justification that you're being patronising. I'm writing as a member of the non-medical profession - that's my point! Am I barred from expressing an opinion because I apparently know less than you?

To repeat myself, my concern is that members of the public (like me) who have neither the time nor the inclination to 'research the subject in (great) depth' are being given conflicting information by the media via the medical journals with little provenance or transparency. Do please respond to the article I linked to by the way - do you refute everything in there? And no, that's not meant agressively ! Seriously, if you have much more knowledge than me, I want to know your response. And I promise I won't get upset if you disagree...

Harktheheraldcabewillsing · 12/12/2005 13:40

Fair play Sackache - I think if you write obnoxious posts you can expect them in return.

You can say whatever you like, however 'simple' you might think it!

SackAche · 12/12/2005 13:45

Don't see the difference between bad language and insulting someone without swearing!

I swear in RL...all the time... I'll do it MN too coz that me. Always have done, but of course its only ever picked up on when someone try's to pick a fight.

My opinion is the same as many posting on this thread..... yet I seem like fair game for a right old slagging. Who are you anyway???? I'd at least like to know who to blank in future!

Eulalia · 12/12/2005 13:52

aelita - I agree with you that we all need a healthy level of scepticism, but not everyone is as well educated and knowledgeable as you or most of the people here and they need to feel they can trust advice given to them. Sounds a bit niave I know but I don't think that in general advice given is so bad or conflicting ... research journals always put into their conclusions words such as "in this instance" or "this appears to show x, y and z" its just the media grab this and turn it all simplistic and black and white and say that we MUST do this or that. Rarely is advice ever so prescriptive unless we are talking about something obvious like putting your seatbelt on of course. I agree it can seem confusing but in general I feel medical research is done properly and conscientously and it is all we have at the end of the day. So yes rely upon it within its perimeters and use your own judgement too as every case ie your own baby you know best.

Sorry if this is a bit garbled, getting distracted by 3 yr ol.d

Harktheheraldcabewillsing · 12/12/2005 13:53

The one to blank is Cabe.

SackAche · 12/12/2005 13:54

Never heard of you anyway... so it won't be a great loss to me.

Eulalia - Not garbled at all! Very nice post.

aelita · 12/12/2005 14:07

Eualia, you're saying much the same thing as me I think. Though most of us never clap eyes on the medical journals, so really the only access we have to these reports is via the media & we don't get the caveats. That said, there are also concerns that the medical journals are not always as impartial as they're generally believed to be.

Wordsmith · 12/12/2005 16:59

Forgive me for being ignorant, but what exactly us the problem poeple have with dummies? Is it just aesthetic, ie they think babies and children look common sucking a dummy? (I know this was my mum's opinion, but I've used one with both my kids and they've been a lifesaver, perhaps literally it seems now.) I'm just a bit confused because earlier on in this thread several posters said 'there are disadvantages to dummies' equalling the alleged cot-death preventing advantages. If so what are they? I've heard the ones about teeth forming wrongly, but my dentist disputes this one strongly, and the one about delayed speech, which my kids would certainly disprove, so I would be interested (seriously!) to hear others.

I have no strong feelings either way but having seen how much easier dummies can make settling a tired and grumpy baby I would have no hesitation in using them.

Wordsmith · 12/12/2005 16:59

...or even is the problem...

Eulalia · 12/12/2005 17:27

I found this below on the BBC website:

Dummies are quite controversial - some people always use them and find they are a great way to help soothe their child, while others can't stand them and warn about possible risks to the teeth, speech and hearing.

In most cases, children who use dummies don't come to much long term harm. This is probably because they don't actually spend much time with the dummy in their mouth ? using them only intermittently or as a pacifier until they fall asleep at night (when the dummy drops out of their mouth). But there are some risks that you need to be aware of, especially if your child is particularly reliant on their dummy and uses it a lot during the day.

Damage to teeth or jaw?

The biggest concern is that using a dummy (and, it should be said, the 'natural' alternative of thumb-sucking) might damage the teeth or distort the way they grow so that they are left with teeth which don't bite together. But some experts believe that this isn't important while the child has its first set of teeth, or milk teeth, and as long as the child stops using the dummy or sucking their thumb by about 3 to 4 years of age (when adult teeth begin to appear) there is unlikely to be a major problem.

According to the British Dental Association, sucking a dummy is preferable to sucking thumbs, which is more likely to push the teeth out of alignment. In addition, stopping the use of a dummy is easier than getting a child to stop sucking its thumb. Nearly half of thumb-suckers still have the habit at the age of 9 when their adult teeth are coming through (by which time dummies have long been abandoned.) Of course, some dummy users may become thumb suckers but this doesn't happen very often if the child hasn't sucked their thumb from an early age.

Another area of concern with dummies is that they are undoubtedly linked to severe tooth decay when people sweeten them by dipping them in honey or filling them (or bottles) with sugary drinks. Conversely, some people believe that unsweetened dummies may reduce tooth decay by increasing the flow of saliva.

Speech and hearing problems

There is some evidence that the use of a dummy may increase the risk of problems with speech development. With a dummy in their mouth babies may be less inclined or able to babble and practice different shapes with their mouth, and are slow to develop the oral motor skills needed for speech. Research has shown that small children talk more often and more clearly when they aren't brought up with a dummy.

The use of a dummy, if frequent and prolonged, has also been linked to a 33% increase in infections of the middle ear (otitis media) which may interfere with hearing (and thus speech development). However, dummy use is only one of many factors affecting the risk of otitis media and its exact significance is not clear.

Hygiene arguments

Another argument against dummies is hygiene. Most dummies hit the floor dozens of times a day and few parents wash them each time. Some argue that a bit of dirt helps to build the immune system up (research suggests this may be true) but much depends on the sort of dirt the dummy is gathering! For example, if the dummy is dropped in the garden, especially in a household with pets, there is a real risk of infections such as toxoplasmosis.

Risk of stopping breast feeding

Some babies particularly enjoy sucking - it doesn't mean they are anxious or unhappy, just that it is a nice comforting habit.

Others are irritated or confused by putting something other a real nipple in their mouth. The feel and action of a dummy is very different to that of a soft flexible nipple which provides nice warm milk. Babies who use a dummy may spend less time at their mother's breast, reducing the milk supply and causing feeding problems. Research suggests that weaning may occur earlier than it might if dummies were not used. So it is best not to offer a dummy to a baby who is still being breastfed, or at least who has not yet fully mastered the art of breast feeding, especially if they are having problems learning how to latch on or suck correctly.

Protection from Sudden Infant Death

In favour of the use of dummies, there have been three studies in recent years which suggest that they may have a protective effect against Sudden Infant Death Syndrome (SIDS or Cot Death) . Why SIDS occurs is not really understood ? and how a dummy could protect a child is even less clear, but the research results are strong enough to make some doctors hesitant about firmly discouraging the habit.

Simple rules

If you're going to allow a dummy:

Try to limit the amount of time each day that your child is allowed a dummy (preferably just for soothing during stressful situations or before sleep).
Restrict dummy use to the months after breast-feeding has stopped and before speech develops (and certainly before adult teeth start to come through).
Make sure it is made from a single molded piece with holes stamped out to reduce choking risks.
Check the dummy nipple regularly - if it becomes brittle it could break up and be a choking risk.
Never tie a dummy around a child's neck because of the risk of strangulation.
Never fill dummies with fluid, especially sugary solutions.

Wordsmith · 12/12/2005 17:35

Thanks Eulalia.

WellieMum · 13/12/2005 01:38

OK, have now read the BMJ article. In their conclusion, the authors say:

"The findings from our study and others will collectively provide support for the protective effect of dummies, but they are not ?proof ? of a causal effect by themselves. "

I think that (surprise!) the media reporting of this has got ahead of what the researchers are actually claiming.

ruty · 13/12/2005 09:55

oh thanks eulalia! glad to know that my instinct about my dummy possibly interfering with my ds's desire to breastfeed not totally unfounded!

ruty · 13/12/2005 09:55

my dummy? A dummy...

11sleepstilxmas · 14/12/2005 11:24

oh my god, what a daft way to end a thread. what started as a discussion ended in a battle. i don't bf my dd, and didn't dd1 either, neither had or has a dummy, but thats there choice not mine. each to there own on the bf, i didn't try personally as i didn't want to and people can slate me all they want, i don't care. i agree with points made by both milward and sackache. people do get defensive about how there way of feeding is the best (not saying your defensive milward ) but i can honestly say that both my children are very happy children, i agree with deckthehillswithboughsofmummy, very well said

ruty · 14/12/2005 12:26

sorry i didn't mean to be daft or end the thread!

11sleepstilxmas · 14/12/2005 13:24

it wasn't a dig at you, i meant in general

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