Is it okay to give a four-month-old baby a pacifier?

Patient's question:

The baby is four months old. Since the baby was born, the nanny has been giving the baby a pacifier for comfort. Now the baby is accustomed to the habit and refuses to sleep without it, so I decided to wean the baby off the pacifier. However, the process has been very difficult. Every time I try to put the baby to sleep for a nap, it takes more than half an hour to calm them down. The baby primarily drinks formula, and I produce very little milk. I want to comfort the baby by letting them suck on a nipple, but there isn’t enough milk. My mother says it’s not good to do this. If the baby gets used to sucking on a nipple and then refuses the bottle, and I don’t have enough milk, it will harm the baby. The baby also doesn’t suck on their own hand very well. Oh, how troubled I am. How should I comfort her? Aren’t small babies supposed to dislike sucking? If I don’t let them, will it make them feel insecure from a young age? I really don’t know what to do.

Doctor's answer:

The baby is still very young, so it's best not to let it fall asleep with the nipple or pacifier. It's better for the baby to fall asleep naturally. If breastfeeding is insufficient and formula is the primary option, after the baby finishes eating, you can gently pat its back to promote sleep and enhance a sense of security. The above content is the complete answer to the question: "Can a four-month-old baby be given a pacifier, as recommended by the nanny from the hospital?" We hope the patient can soon overcome their illness and recover quickly.

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