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A pacifier is a rubber, plastic, or silicone nipple substitute given to an infant or toddler to suckle upon between feedings to quiet its distress by satisfying the need to suck when it does not need to eat. Pacifiers normally have three parts: an elongated teat, a handle, and a mouth shield which prevents the child from swallowing or choking on it. Pacifiers have many different informal names: binky or wookie (American English), dummy (Australian English and British English), piece, paci, bo-bo, nookie, teething ring, device, sugar tit, teether, comforter, soother (Canadian English and Hiberno-English), and Dodie (Hiberno-English). Properly speaking, a teether is another device used for a different purpose. History Pacifiers were mentioned for the first time in medical literature in 1473, being described by German physician Bartholomäus Metlinger in his book Kinderbüchlein, in later editions retitled Regiment der jungen Kinder ("Caring For Young Children"). In England in the 17th–19th centuries, a coral was a teething toy made of coral, ivory or bone, often mounted in silver as the handle of a rattle. A museum curator has suggested that these substances were used as "sympathetic magic" and that the animal bone could symbolize animal strength to help the child cope with pain. Pacifiers were a development of hard teething rings, but they were also a substitute for the softer sugar tits, sugar-teats, or sugar-rags 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 center of it", "gathered ... up into a little ball" with a thread tied tightly around it. 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 around sweetened bread or poppy-seeds. A Madonna and child painted by Dürer in 1506 shows one of these tied-cloth "pacifiers" in the baby's hand. 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" by Manhattan pharmacist Christian W. Meinecke. Rubber had been used in flexible teethers sold as "elastic gum rings" for British babies in the mid-19th century, and also used for feeding-bottle teats. In 1902, Sears, Roebuck & Co. advertised a "new style rubber teething ring, with one hard and one soft nipple". 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'". 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."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. Binky (with a y) was first used in about 1935 as a trademarked brand name for pacifiers and other baby products manufactured by the Binky Baby Products Company of New York. The brand trademark is owned by Playtex in the U.S. (and other countries). Drawbacks There are negative effects from using a pacifier during breastfeeding for healthy babies. The AAP suggests avoiding pacifiers for the first month. Introducing a pacifier can lead to the infant ineffectively sucking at the breast and causing "nipple confusion". Babies will take their suck out on the pacifier instead of nursing or comfort nursing at the breast which is good for the mother's supply. Evidence in premature infants or infants that are not healthy is lacking but shows that it can have benefits. It may have clinical benefits for preterm babies, such as helping them progress from tube to bottle feeding.Infants who use pacifiers may have more ear infections (otitis media). The effectiveness of avoiding the use of a pacifier to prevent ear infections is not known.Although it is commonly believed that using a pacifier will lead to dental problems, it does not appear to lead to long-term damage if used for less than around three years. However, prolonged use of a pacifier or other non-nutritive sucking habit (such as finger or blanket sucking) has been found to lead to malocclusion of the teeth, that is teeth sticking out or not meeting properly when they bite together. This is a common problem and the dental (orthodontic) treatment to correct it can take a long time and can be expensive. A Cochrane Review of the evidence found that orthodontic braces or psychological intervention (such as positive or negative reinforcement) were effective in helping children stop sucking habits where that was necessary. An orthodontic brace that used a palatal crib design seems to have been more effective than a palatal arch design.There appears to be no strong evidence that using a pacifier delays speech development by preventing babies from practicing their speaking skills. Benefits Researchers have found that use of a pacifier is associated with a substantial reduction in the risk of sudden infant death syndrome. They are divided over whether this association is sufficient reason to prefer pacifier use. Some argue that pacifiers should be recommended on the strength of an association, just as back sleeping was recommended on the strength of an association. Others argue that the association is not strong enough or that the mechanism is unclear.Pacifiers have also been found to reduce infants' crying during painful procedures such as venipuncture.Some parents prefer the use of a pacifier to the child sucking their thumb or fingers. Researchers in Brazil have shown that neither "orthodontic" nor standard pacifiers prevent dental problems if children continue sucking past the age of three years.It is commonly reported anecdotally that pacifier use among stimulant users helps reduce bruxism and thus prevents tooth damage. It is also known to help infants and toddlers to get to sleep and also keeps infants and toddlers calm. Medical policies The American Academy of Pediatric Dentistry's "Policy on Thumb, Finger and Pacifier Habits" says: "Most children stop sucking on thumbs, pacifiers or other objects on their own between 2 and 4 years of age. However, some children continue these habits over long periods of time. In these children, the upper front teeth may tip toward the lip or not come in properly. Frequent or intense habits over a prolonged period of time can affect the way the child's teeth bite together, as well as the growth of the jaws and bones that support the teeth."A study .... Discover the Dashka Slater popular books. Find the top 100 most popular Dashka Slater books.

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    The Antlered Ship

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