8 Best Pacifiers For Preemie Baby in 2024

The fact that pacifiers provide a different alternative to the breast or bottle for an unhappy baby to suck on when they're not hungry, weary, or in need of a clean diaper explains why they're commonly associated with newborns. Pacifiers may also be a useful aid if your infant is delivered prematurely, according to specialists.

There are several ways that pacifiers can benefit premature babies, explains Anjuli Gans. The doctor at CHOP Karabots Pediatric Care Center is M.D. Opens a new window. One benefit is that it is soothing. Premature babies in the NICU are often in a loud, busy environment, she states. Some research has shown that pacifiers help regulate their heart rate and oxygen levels, which can help buffer the stress of that environment.

Here are some tips for picking the Best Pacifier for Preemie and all you need to know about picking one for your child.

How we selected the best pacifiers for preemies baby

Dr. Grans and Daniel Ganjian were interviewed. M.D., a physician at Providence Saint John's Health Center in Santa Monica, California, to learn about Purpose Of Pacifiers, pacifier safety and what to look for while purchasing. According to their guidelines, as well as the American Academy of Pediatrics (AAP) Opens a new window and the Consumer Product Safety Commission (CPSC), all pacifiers on this list:

  • Are made from a single, substantial piece of plastic
  • To make sure they won't be a choking threat, measure them to be at least 3.8 cm across.
  • Bring nothing with you that may be hazardous attachments.

Preemie pacifier factors to consider

Consider the following characteristics while looking for the Best Preemie Pacifier:

Shape of a nipple:

An orthodontic nipple is a feature of some pacifier manufacturers, designed to help promote your baby's dental development. It's possible that some manufacturers created their nipples to resemble the "real thing" in order to feel more at ease in the mouth of a nursing infant. In order to find out which brand their kid loves, many parents discover that they have to try a few different ones.

Their size:

Start small since not all pacifiers are created equal. Seek out pacifiers with the label "0+" or "0 to 6 months" for newborns, and if the brand has tiny size, keep an eye out for it.

Simple to clean:

Try to find pacifiers that are easily sterilizable. Options that are dishwasher safe are particularly handy you should be able to toss them in the same cleaning rack that you use to clean bottle components.

Do preemies require specialized pacifiers?

To put it succinctly, your infant will decide. As Dr. Gans puts it, some may and some may not. Depending on a baby's size, oral anatomy do they have a high arched palate or a tongue-tie? Or other medical conditions, they may do better with different shapes or sizes of pacifiers. Find out what qualities your youngster could require from your pediatrician if you're not sure.

As Dr. Ganjian points out, the most important thing is to choose a pacifier that fits your preemie's mouth. 0+ or 0 to 6 months is the label to look for when purchasing for a pacifier.

As long as the pacifier is small enough and baby is comfortable, then go for it, according to Dr. Ganjian. Experiment with a couple of them. Some people may adore one pacifier but detest another.

Can preemies use pacifiers to fall asleep?

Yes, preemies can Use Pacifier to sleep (in fact, giving one to them before bed or during a nap may help reduce the chance of SIDS), but it's important to always adhere to safe sleep recommendations.

Whether you're giving a pacifier to an older infant or a preterm, remember these AAP safety guidelines:

  • In the cradle, keep pacifiers loose. A pacifier should never be fastened to your child's hand, neck, cot, car seat, or stuffed animal. Extremely risky are pacifier clips and other similar attachments that might be used with a pacifier, such as ribbon, thread, cable, chain, twine, leather, or yarn.
  • Seek for single-piece Teethers. The AAP states that pacifiers made of a single, sturdy piece of plastic as opposed to several tiny pieces are the safest. Venting holes are also a good idea for pacifiers.
  • Verify the measurements. Pacifiers should be at least 3.8 cm across, according to the AAP, to guarantee that your youngster can't put them all in their mouth.
  • The bottle nipple and cap should never be used as pacifiers. They could break apart and put your child at risk of choking.
  • Regularly check the pacifiers your kids are using. Verify that the material isn't degrading or tearing, and replace it right away if it is.
  • Remember the size. To make sure your child is utilizing an age-appropriate product, replace your child's pacifier on a frequent basis if they continue to use one past the preemie or even toddler stages.

When can I introduce a pacifier to a preemie?

According to the AAP, if you're nursing, you should wait until breastfeeding is established (typically three or four weeks) before Introducing a Pacifier. If you're bottle-feeding, you can use a pacifier whenever you want.

8 Best Preemie Pacifier of All Time

1. Ryan & Rose Cutie Preemie Pacifier

Why we like the product?

The Ryan & Rose Preemie Pacifier Kit caters specifically to preterm newborns, offering two variants Preemie Stage 1 for infants over 35 weeks and Preemie Tiny with a smaller nipple suitable for those up to 35 weeks. Crafted with precision, both pacifiers feature two ventilation holes and a notched cover compatible with breathing tubes. Weighing a mere 0.6 ounces, they stand out as some of the lightest options. Parents appreciate the user-friendly design, including a convenient handle for caregivers to grasp the pacifier without touching the nipple directly. Despite its acclaim, it's essential to note that these pacifiers rank among the pricier options, priced at $7 each.

How we define it?

  • Material: Silicone
  • Sizes: Preemie Tiny, Preemie Stage 1
  • Weight: 0.6 ounces

Reason to Buy

  • Designed for premature babies
  • Shield with a notch to fit breathing tubes

Reason to Avoid

  • Not offered by many stores

2. Dr. Brown's HappyPaci

Why we like the product?

Similar to how well-liked their bottles are, Dr. Brown's pacifiers are also quite popular among parents of preterm newborns. These Best Pacifier for Newborn, made of lightweight silicone, resemble the well-known bottle nipple and are popular with babies who are used to Dr. Brown's feeding supplies. The pacifier's clever form reduces friction and improves airflow by gently curved away from the baby's nose and cheeks. The HappyPaci is the most affordable product on the list, with a price of only $2 per, so that's an added bonus.

How we define it?

  • Material: Silicone
  • Sizes: 0-6 months
  • Weight: 1.44 ounces

Reason to Buy

  • Reasonably priced
  • A bundle of many pacifiers
  • Easily accessible

Reason to Avoid

  • Parents have complained that the pacifiers felt heavy.

3. Nanobebe Baby Pacifiers

Why we like the product?

While the American Academy of Pediatrics advises against introducing a pacifier until breastfeeding is established, this Nanobébé pacifier is a great option when you're ready. It is Best Pacifier for Breastfeeding kids because of its nipple form and incredibly soft material, which are meant to resemble a breast as nearly as possible. A lot of premature parents report that their infant found it easy to utilize.

How we define it?

  • Material: Silicone
  • Sizes: 0-3 months, then 4-36 months
  • Weight: 1.44 ounces

Reason to Buy

  • Gentle
  • Reasonably priced
  • For improved air flow, open the side vents.

Reason to Avoid

  • Some parents claim they are actually tiny.

4. Tommee Tippee Ultra-Light Silicone Pacifier

Why we like the product?

Are you trying to find your preemie a lightweight pacifier? Tommee Tippee's choice is perfect; it weighs only 0.6 ounces, making it more affordable than Ryan & Rose. What to Anticipate Residents laud its airy atmosphere? The first stage has an orthodontic Pacifiers Do to Teeth development and is intended for preterm newborns. Its anti-static qualities, which stop dust formation, are an extra plus. Tommee Tippee provides the same pacifier in sizes up to 36 months, so if your baby grows to love it, it will grow with them. Parents like this consistency. For parents looking for durability and quality, it's a great option because it's lightweight, inexpensive, and versatile.

How we define it?

  • Material: Silicone
  • Sizes 0-6 months, 6-18 months, 18-36 months
  • Weight: 0.6 ounces

Reason to Buy

  • Reasonably priced
  • Light-weight
  • Large selection of sizes

Reason to Avoid

  • Some parents find it difficult to locate the transparent pacifiers at night.

5. Joovy SiliNoogie Pacifier

Why we like the product?

Few things are more annoying in the middle of the night than a misplaced paci in a completely dark nursery. The Joovy SiliNoogie is useful in this situation because: Its cool glow-in-the-dark color (be sure to choose "Night Glow" at checkout) makes it simpler to find in the event that it disappears in the night. The shape of the transparent, curving shield is a fantastic way to support babies who are switching from breast milk to bottle milk. It fits gently beneath your baby's nose. Parents also like that silicone is dishwasher safe and does not absorb flavors or smells.

How we define it?

  • Material: Silicone
  • Sizes 0+
  • Weight: 0.64 ounces

Reason to Buy

  • Safe in dishwasher
  • Pleasant to use

Reason to Avoid

  • Mostly not available in shops

6. Chicco NaturalFit Pacifier Clear Soft Silicone

Why we like the product?

With its inclined orthodontic nipple form, the Chicco NaturalFit was developed in collaboration with prominent European orthodontists to aid in the development of a baby's teeth and palate. The nipple also has a gum massaging ring for more comfortable sucking, and the small ridges and grooves fit flawlessly into your baby's natural tongue posture. As a consequence, even newborns benefit from increased flexibility and optimum mouth closure. Because of its intelligent design, many preemie parents report that the Chicco NaturalFit was one of the few Pacifier That Stays in Mouth during those early days.

How we define it?

  • Material: Silicone
  • Sizes: 0-6 months (then upgrade to 6-12 months)
  • Weight: 1.76 ounces

Reason to Buy

  • Gum massage ring for enhanced relaxation
  • Durable
  • Widely accessible

Reason to Avoid

  • Some parents believe they are too little.

7. Philips Avent Soothie

Why we like the product?

The Philips Avent Soothie was named Best Pacifiers in 2023.  The Soothie is supplied in numerous hospitals around the country due to its medical-grade silicone and seamless construction. There are few nooks and crannies, making it simple to clean (it's also dishwasher-safe), and parents praise its durability, saying it stands up well to repeated wear and tear. Indeed, many parents in the report that they began using the Soothie shortly after receiving it from the hospital and have never stopped.

How we define it?

  • Material: Silicone
  • Sizes: 0-3 months and 3-18 months
  • Weight: 1.05 ounces

Reason to Buy

  • Recommended by a doctor
  • Generally accessible
  • Excellent value

Reason to Avoid

  • The thickness may bother certain newborns.

8. Zoe b Organic Newborn Pacifier

Why we like the product?

This paci is perfect because it's made for babies whose gag reflexes are shorter. The rounded tip, which is handcrafted in Italy, is shaped like a mother's nipple and is a terrific way to get a newborn ready for nursing. It’s cozy, round shield stays in close proximity to your baby's face, providing comfort and encouraging continued nursing.

Preemies in the early stages of development can use the safe one-piece design, which is a little shorter than other pacifiers on the market.

How we define it?

  • Material: Silicone
  • Sizes: 0+ months
  • Weight: 1.06 ounces

Reason to Buy

  • 100% authentic natural rubber
  • With no BPA, phthalates, and nitrosamines
  • Won’t cause any markings on the infant's face
  • Mom-run business
  • Made by hand in Italy

Reason to Avoid

  • The material is not very flexible.

How to Wean Off Pacifiers

Recognizing the Need for a Transition

Weaning off Pacifiers is an important developmental milestone. As infants become older, giving up the pacifier habit becomes essential for speech development and oral health.

The strategy of gradual reduction

Start the weaning process gradually. Begin by restricting the use of pacifiers to certain times, such as bedtime or naps. With this gradual lowering, the youngster may adjust at a comfortable rate.

Encouragement that is constructive

Promote the child's independence and positive conduct. Reward and commend those who go a night or a period without using a pacifier. A youngster receives positive reinforcement and feels accomplished.

Participate in Honest Communication

Communicate with toddlers in an age-appropriate manner. Describe the change and emphasize that they are becoming into "big kids." Giving them a say in the choice makes them feel more in charge.

Establish a Goal Date

Decide when you want to completely stop using pacifiers. Make a countdown or calendar that the youngster can see to help them understand the process. Setting and achieving a goal helps them better comprehend the change.

How-To Guide on Sterilizing Pacifiers and How to Keep Pacifiers Safe�after sterilizing

How to Sterilize Pacifiers

It is essential to maintain the hygiene and cleanliness of pacifiers in order to protect infants from dangerous germs. One of the most important steps in keeping a baby-safe environment is sterilizing. It is advised to wash pacifiers in warm water with a tiny bit of soap before sterilizing them. After that, one has two options: boil the pacifiers in water for around five minutes, or follow the manufacturer's specified Sterilizing Pacifiers recommendations. To achieve complete sterilization, it is crucial to make sure that every part of the pacifier is submerged the entire way through this process.

How to Store Pacifiers after Sterilizing

Maintaining the integrity of disinfected pacifiers requires proper storage Store Pacifiers after Sterilizing in a dry, clean container to avoid infection.� A container that permits sufficient air circulation must be used in order to reduce the possibility of moisture accumulation, which can foster the growth of germs. Furthermore, choose a location for storage that is protected from direct sunlight because extended exposure might deteriorate the pacifier's material and hygiene. Pacifiers continue to be a secure and hygienic comfort item for babies thanks to this careful storage method, which enhances their general wellbeing.

How to Keep Pacifiers from Falling Out of Mouth

Prioritize pacifiers with stability characteristics and secure clasps to make sure your infant Keep Pacifiers from Falling out Of Mouth. Choosing a size that fits your infant snuggly can reduce the chance of the pacifier falling free. Think about utilizing holders or clips that may be attached to the baby's clothing for an extra degree of security. These add-ons lessen the possibility of misplacing or unintentional dropping by keeping the pacifier within easy reach and preventing it from slipping out. By taking these safety measures, parents and their children can use pacifiers with more ease and safety.


In conclusion, safety, size, and substance are important considerations when choosing the ideal pacifier for preemies. The site offers thorough advice on pacifier selection, stressing the value of following organizations' and medical professionals' safety recommendations. The Ryan & Rose Cutie Preemie Pacifier stands out for its specialized design and safety features among the top 7 pacifiers for preemies reviewed in this article. Common issues like weaning off pacifiers and sterilizing procedures are covered in the blog. All things considered, it is a useful tool that provides parents looking for the best pacifier to calm and soothe their premature babies with a thorough and educational guidance.

Frequently Asked Questions

A pacifier should never be used before nursing is well established. If you believe your infant need one at this early age speak with your physician or a lactation consultant. Premature or unwell newborns in the hospital are an exception. They may cozy up with one.
Research indicates that using a dummy for brief bursts of non nutritive sucking can Assist infants in self settling and self calming to conserve energy potentially leading to slightly quicker growth. Reduce the baby stress level when they have to undergo uncomfortable procedures such blood tests.
These pacifiers are designed to fit preemies sensitive oral anatomy which explains their reduced size. They are frequently used to comfort preterm newborns and aid with growth in neonatal intensive care units NICUs.
It is true that babies can snooze with pacifiers. In order to lower the risk of SIDS the American Academy of Pediatrics advises newborns to suckle during naps and at night. If you are nursing give it a good three weeks to develop the habit before introducing a pacifier to your child.
Size 1 0 months. Size 2 More than six months. Size 3 More than 18 months.
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