PregnancyNewbornInfantToddlerPreschoolerSchool AgeHealth & Medical
October 07, 2008 SEARCH drSpock 
Ask Our ExpertsMessage BoardsToolsConsumer AlertsTelevisionBooksA-Z Topics
DrSpock.com

Ask Our Experts



Dr. Robert Needlman
Specialist in pediatric behavior and development.
See full bio
See all questions answered by Dr. Needlman




Ask Dr. Needlman

Weaning Infant from Bottle and Pacifier at the Same Time
QUESTION
Dear Dr. Needlman,
I have a 12-month-old daughter. She is still on the bottle, as well as the pacifier. Everyone tells me that she is too old for such behavior. I give her a cup when she will take one, and that isn't often. She can' t fall asleep without her pacifier. What is an appropriate age to stop cold turkey? What steps should I take if I am not supposed to stop her cold turkey?

— First-Time Mom in Jackson, MS

ANSWER
April 10, 2001
Dear First-Time Mom,
It's probably best to make one change at a time. If your daughter is able to drink from a cup some of the time, she is able to do so all of the time. She holds out for the bottle because she likes it better. In my experience, stopping a bottle "cold turkey" is no big deal. A reasonable time to stop would be sometime in the next three months. If you simply get rid of all of the bottles from your home, there will be no more bottles. Almost always, a child is upset for a day or two, then gets over it and moves on. Here's a pitfall to avoid: saying you're taking away the bottles, then giving in because your child cries. If you mean it, do it and don't waver.

The pacifier is a different story. Pacifiers at night are much less of a problem than bottles, because they don't lead to dental cavities as milk bottles do. There is very little harm from a nighttime pacifier, and if you take it away there's a reasonably good chance that your daughter will turn to her thumb. Thumbsucking is not a disaster, either, but it may be more likely to lead to orthodontic problems in the long run (thumbs being bigger than pacifier nipples), and it may be a harder habit to stop. So, I'd leave the pacifier alone. When your daughter is ready to give it up, she will.

— by Robert Needlman, M.D., F.A.A.P.

OUR ADVERTISERS



OUR ADVERTISERS

About Us | Contact Us | Our Partners
Privacy Policy | Ethics | Advertising Policy | Terms of Service

© Copyright 2004 The Dr. Spock Company. All Rights Reserved.

THIS SITE DOES NOT PROVIDE MEDICAL ADVICE. The information drSpock.com provides is for educational purposes only and is not a substitute for professional medical advice. Always seek the advice of your health care professional if you have a specific health concern. Mention or advertisement of any product, service, or brand does not constitute endorsement, guarantee, or recommendation by The Dr. Spock Company. Please read our full Terms of Service.