Many mothers hear the words "nipple confusion" and wonder exactly what it is. Many health care providers, when asked about nipple confusion, will state they "don't believe in it". Some are not even sure what exactly it is.
- The truth is that "nipple confusion" (also called bottle preference, especially when it involves older babies) is real.
- The truth is that there is no way to know which baby will have a problem with nipple confusion or bottle preference until the bottle or pacifier is given.
- The truth is that unless one has experienced this, they often have no idea what it's all about, or how significant an impact it can have on a breastfeeding relationship.
Breastfeeding experts recommend waiting to introduce any artificial nipples (includes pacifiers) until baby is at least 3 weeks of age. There is good reason for this. One bottle, or one day of pacifier or bottle use in a newborn can, and has resulted in nipple confusion. We often hear "just one bottle" won't hurt, but the truth is - yes it can.
Becky Flora, IBCLC, noted "For some babies it may take many bottles before they show any nipple confusion; for others it can take only one or two."
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