Should I give my premature baby a dummy?

If you wish to give your premature baby a dummy or soother there's a number of important things to consider: 

• A premature baby - baby born less-than 37 weeks gestation - will probably have an under-developed sucking reflex
• All babies need to be able to co-ordinate the suck-swallow-breathe pattern of feeding
• This reflex doesn’t develop until 32-34 weeks gestation
• Some premature babies will have an urge to suck, but because they aren’t coordinated with the S-S-B pattern, its best to offer a dummy
• If baby is unable to be held for skin-to-skin or too unstable to come out for a cuddle, sucking on a soother may keep them calm and settled
• Sucking on a soother can also help keep baby calm during painful procedures
• Using a dummy can help develop facial muscles in premature babies
• If your baby is receiving CPAP in the NICU, using a soother can help them keep their mouths closed, maintaining pressure in their airway
• There is evidence that babies who establish their S-S-B co-ordination sooner than others have a shorter stay in the NICU
• If you decide to give your premature baby a dummy, it might be worthwhile restricting this once baby is ready to establish breastfeeding - dummies can cause nipple confusion (research is ongoing)
• Some research suggests that using a dummy when putting baby to sleep can reduce the risk of Sudden Infant Death Syndrome 
• Don’t force your baby to take a dummy or put it back in if baby spits it out

Ask your NICU nurse if your premature baby can have a dummy

Nurses on the NICU will always ask for your consent before they offer baby a dummy or soother. Speak to them if you have any questions with regards to making this decision for your little mouse.