Many parents wonder, Should I remove pacifier when baby is sleeping? It’s a subject that could cause debate, stir fears, and leave parents in a state of confusion in their quest to ensure the comfort of their child and concerns for their child’s health.
In this blog post, we’ll discuss the benefits and potential drawbacks of pacifier use, provide expert opinions, and provide practical advice to help you make an informed decision.
What are pacifiers?
A pacifier is a rubber, silicone, or plastic nipple alternative that babies or young children can suckle on between meals when they don’t feel like eating (1). Pacifiers usually consist of three main parts: an extended teat, a handle, and a mouth guard that prevents the baby from swallowing or choking.
Pacifiers can be identified by various informal names, such as binky or Wookie (American English), dummy (Australian and British English), dokey (informal Scots), soother (Canadian English), and Dodie (Hiberno-English).
Importance of pacifiers in soothing babies
Soothers are very important in calming down babies and giving them a sense of security, especially in the early stages of their lives. Pacifiers offer more than just a placation to an inherent urge to suck by bringing some considerable benefits that contribute towards their general welfare too. They may help soothe a crying baby, provide safety feelings as well as minimize sudden infant death syndrome (SIDs) by promoting safe sleep guidelines.
Pacifying infants develop self-soothing abilities, which can be advantageous not only to the baby but also to the parent. The significance of these tools goes far beyond immediate soothing implications: they encompass healthy sleeping patterns promotion, encouragement of emotional safety and well-being, and fostering comfort for infants, among others.
Table of Contents
Should I Remove Pacifier When Baby Is Sleeping?

No, you should not. General advice from pediatricians is to take the baby’s pacifier out of their mouth before sleeping. A pacifier during sleep may increase the risk of Sudden Infant Death Syndrome (SIDS) since it may lead to suffocation or choking. This can also disturb infants’ usual sleep patterns and hamper self-soothing efforts, as has been shown by research. It is suggested that a routine for bedtime should be established, which does not include using a pacifier to help the baby get to sleep independently.
Why do babies need pacifiers?
Babies need pacifiers for several reasons:
- Pacifiers are capable of satisfying the natural sucking needs of babies and, at the same time, providing a soothing effect, comfort, possibility to prevent SIDS and make it easier for them to quit sucking their thumbs.
- Sucking is an automatic response for newborns that makes them feel secure and okay. During periods when babies are not being fed, pacifiers enable them to dwell on this need for suckling.
- Pacifiers can calm babies by mimicking a breastfeeding suction motion.
- Pacifiers used during sleep could reduce the risk of Sudden Infant Death Syndrome (SIDS)(2), although the precise reasons for this are undetermined.
- Medical procedures or vaccinations can be made less traumatic by pacifiers, which provide babies relief from sad situations.
- The use of pacifiers in preterm infants is associated with shorter hospital stays, earlier transition to bottle feeding, and better performance on bottle feeding.
- Pacifiers allow babies to do self-soothing and develop self-regulatory skills, facilitating independent sleep.
- Using a pacifier is a more accessible practice to give up as compared to thumb-sucking, which is likely linked with dental problems if continued over time.
What age should I consider weaning my baby off the Pacifier?
The process of removing your child from the pacifier is a private choice that is different with each child. The majority of specialists suggest that a child should be taken off the pacifier at between 2-4 years(3), which is why some advise that it is better to initiate this process when the baby attains 1 year to lessen its complexity before solid habits are formed.
It is essential to take into consideration the individual needs of your child and their habits when deciding on the perfect time to start the process of weaning. Gradually reducing the use of pacifiers between nap time and bedtime could facilitate the transition and smoother process for both you and your kid.
Consult with your pediatrician to focus on providing specific guidance that is tailored to the particular developmental stage of your child and personal needs, assuring an easy transition from pacifiers when the moment is appropriate.
The Benefits Of Sleeping With A Pacifier
- Pacifiers can calm and soothe babies who are crying, assisting them in sleeping.
- Utilizing a pacifier while sleeping could reduce the chance of developing sudden infant death syndrome (SIDS).
- Pacifiers are a great way to bring some relief and distraction to children during medical procedures, such as blood tests or vaccinations.
- The pacifier’s sucking method is preferable to thumb sucking to aid in future dental development since the use of pacifiers can be monitored and put on hold.
How Long Should a Baby Sleep With a Pacifier?

Although pacifiers can help calm babies and put them to sleep, dentists recommend discontinuing their use at about six months of age to ward off dental problems. For example, The American Academy of Pediatrics recommends that pacifiers be used when babies are sleeping or napping during the first year because this might decrease SIDS risk.
It is crucial to consider each baby’s preferences and needs when determining the length of time they can use a pacifier in their sleep. Some children will naturally let go of it sooner, while others may want it longer. Parents can use alternative methods like gently rocking or softly humming lullabies as they gradually detach their child from the dummy.
Parents need to observe their baby’s pacifier habit and seek professional advice on how to stop them from using it at bedtime or nap time safely through their pediatrician.
When to Remove Pacifiers During Sleep?
A decision on the appropriate time to remove pacifiers during sleep depends on a number of factors peculiar to each child. Advise weaning babies from pacifiers between 6 and 12 months so as to prevent prolonged dependency and potential dental issues. To determine the right time for your baby’s pacifier removal, one needs to look at their sleeping patterns.
If your infant wakes up often when their Pacifier falls out, it might suggest that he is depending on it in order to fall asleep. Such children can be eased away from using pacifiers during sleep over time, thereby teaching them self-soothing skills. Pediatrics consultation offers valuable insights and personalized advice that takes into account the specific needs of your child at their developmental stage.
Parents can help their infants adapt to sleeping without pacifiers by introducing changes gradually and offering support while also promoting lasting healthy sleeping habits by doing.
How can I help my baby sleep without a pacifier?
There are many ways to benefit your child’s sleep without the use of a baby pacifier. One option is to create an energizing routine for bedtime that doesn’t include pacifiers. It could consist of gently rocking or even a warm bath before it is time to go to bed.
It is also possible to gradually reduce the time that your baby is using the pacifier at night till they don’t require it. Another option is to provide assurance and comfort to your child during the night without relying on the pacifier. It might take some patience and time; however, with perseverance, your child will be able to fall asleep without a Pacifier.
Tips for safely using a pacifier during sleep
Pacifiers are a great aid in helping infants self-soothe and sleep. It’s crucial to use them properly and safely. Here are some tips for using a pacifier during sleep:
- Choosing the Right Pacifier: This is a crucial step as it directly affects your baby’s safety and comfort. Opt for pacifiers specifically designed for sleep, featuring a symmetrical nipple and ventilation holes to reduce suffocation risks.
- Keep the Pacifier Clean: To prevent bacteria from growing, clean the Pacifier with warm, soapy water. Avoid washing it with your saliva, as this might contain bacteria that could hurt your child.
- Check for Damage Regularly: Check the Pacifier regularly for indications of Damage like tears or cracks. Pacifiers that are damaged can be dangerous to children and need to be replaced as soon as possible.
- Start Weaning Off the Pacifier After 6 Months: Start weaning your baby off pacifiers at the age of six months because prolonged use could cause dental issues and an increased risk of developing Ear infections.
- Promptly Respond to Disruptions: This is key to maintaining your baby’s sleep routine. If the Pacifier goes out during sleep and your baby wakes and starts crying, respond quickly to get them back to sleep without using the Pacifier as the sole source of comfort.
- Monitor Your Baby While Using a Pacifier: Keep a close eye on your baby, especially when he is asleep. If they sleep with it and then scream, there is no need to put it back in their mouth.
- Encourage Self-Soothing: Promote self-soothing by introducing alternative comfort objects like a lovey or blanket to help transition away from pacifiers during sleep.
What are The Side Effects of Using a Pacifier For Too Long?
While pacifiers can be helpful in comforting babies and helping them fall asleep, long-term use can cause more issues. Here are some of the side effects associated with using a pacifier for too long:
Dental Issues
The development of dental problems is one of the most commonly known risks of using too much pacifier. When a pacifier is sucked for a long time, particularly after two years old, the teeth can be affected, leading to alignment-related problems such as crossbite, overbite, and others in orthodontics.
Ear Infections
Studies have found a connection between the use of pacifiers and an increased risk of developing ear infections. The continuous sucking could hinder the functioning of the Eustachian tubes, which link the middle ear at the rear of your throat. This makes it more likely for bacteria to get into the middle ear, causing infections.
Speech and Language Development
A few studies suggest that overuse of pacifiers may be related to a slightly higher risk of developing speech delays. Pacifiers could limit a baby’s chances to talk and play in the world of sounds. These are vital for the development of a child’s language (4).
Nipple Confusion
Introducing pacifiers to breastfed babies too soon might disrupt breastfeeding by causing nipple confusion. This is so because the sucking action required for a pacifier differs from that of a nipple, which may make it hard to latch on the breast.
Note, That it’s essential to keep in mind that these adverse symptoms are most often caused by prolonged use of pacifiers, usually beyond the ages of 2 to 4 years old. If you’re concerned regarding your child’s use of a pacifier, ask your pediatrician or a pediatric dentist to get advice tailored to your needs.
FAQs
Can a newborn sleep with pacifier?
Yes, it is safe for a newborn to sleep with a pacifier as it can help reduce the risk of sudden infant death syndrome (SIDS).
What Can I Use In Place of a Pacifier?
There are several alternatives to using a pacifier, such as offering a clean finger to suck, using a teething toy, relaxing with music or white noise, or gently rocking or tickling comfortingly.
Are pacifiers safe for newborns?
Yes, pacifiers are generally considered safe for newborns. They can help to soothe and comfort babies and reduce the risk of SIDS (Sudden Infant Death Syndrome).
When do babies start using pacifiers?
Babies can start using pacifiers from birth, as they have a natural sucking reflex.
Does using a pacifier affect baby’s sleep?
Using a pacifier can help some babies sleep by providing comfort and soothing sensations.
Does a Pacifier Help Baby With Gas?
A pacifier can sometimes help a baby with gas by providing comfort and distraction, which can help the baby relax and pass gas more easily.
Conclusion
The decision to remove the pacifier while your baby sleeps depends on weighing the benefits and risks and considering your baby’s individual needs. While oral pacifiers can provide significant soothing benefits and reduce the risk of SIDS, long-term use can lead to dental problems and dependence. Consulting with a pediatrician and observing how your child responds can help you make the best decision for your family.