Top 5 Pacifiers for Breastfeeding Success: A Guide

Does the thought of introducing a pacifier to your breastfed baby fill you with a mix of hope and anxiety? You’re not alone! Many parents worry if a pacifier will interfere with the beautiful bond and effective latch they’ve worked so hard to establish with breastfeeding. It’s a common hurdle in the early months: finding a soothing tool that supports, rather than sabotages, your nursing journey.

Navigating the world of baby soothers can feel like a maze. Should you choose orthodontic, silicone, or latex? Will it cause “nipple confusion”? These questions create real stress for parents wanting the best for their baby’s comfort and their breastfeeding success. Finding the right pacifier—one that promotes healthy oral development while still allowing for easy returns to the breast—is key.

This guide cuts through the confusion. We will explore the best pacifier features specifically designed for breastfed babies. You’ll learn exactly what to look for to minimize potential issues and maximize soothing benefits. Keep reading to discover how to confidently choose a pacifier that works *with* your breastfeeding relationship, not against it.

Top Pacifiers For Breastfeeding Recommendations

No. 1
Philips Avent Soothie Baby Pacifiers - 100% Silicone Pacifiers for Babies 0-3 Months, One-Piece Design, BPA-Free, Extra Durable, Green, 4 Pack, Model SCF190/41
  • Newborn pacifier 0-3 months supporting baby’s natural suckling need: designed to fulfill newborns' natural suckling reflex to self-soothe between feeds, while supporting oral development from day one
  • Helps establish feeding routines​: Soothie gently trains the muscles babies need for drinking, which helps switch latching and milk intake; you can confidently breastfeed and offer a pacifier
  • 100% medical grade silicone: made entirely from flexible medical grade silicone, specially created for newborns of 0-3 months; adheres to the American Academy of Pediatrics guidelines¹
  • Easier to clean, safer to use: one-piece design ensures bacteria have nowhere to hide; extra durable & made for hospital-strength sterilization − use a sterilizer or submerge in boiling water
  • Soothie's symmetrical, round nipple gently sits in baby's mouth, helping reduce pressure between the tongue and mouth; Philips Avent Soothie is independently accredited by the Oral Health Foundation
No. 2
NUK 100% Silicone Comfy Orthodontic Pacifiers, 0-6 Months, Pink Fashion, Timeless Collection, 5 Count
  • Shaped and sized for newborns
  • Breast-like nipple shape naturally fits baby's palate
  • NUK orthodontic nipple shape helps promote healthy oral development
  • 100% medical-grade silicone
  • Heart-shaped shield fits perfectly under baby’s nose for breathing
No. 3
NUK Timeless Comfy Pacifier | 100% Silicone, One-Piece Design | BPA-Free, Gentle on Baby’s Skin | 5-Pack, for 0-6M
  • Shaped and sized for newborns
  • Breast-like nipple shape naturally fits baby's palate
  • NUK orthodontic nipple shape helps promote healthy oral development
  • 100% medical-grade silicone
  • Heart-shaped shield fits perfectly under baby’s nose for breathing
No. 4
Nanobebe Baby Pacifiers 0-3 Month - Orthodontic, Curves Comfortably with Face Contour, Award Winning for Breastfeeding Babies, 100% Silicone, Perfect Baby Registry Gift 2pk,Grey
  • THE MOST COMFORTABLE FIT: 100% silicone provides mom like softness. The ergonomic shape curves comfortably around your baby’s face, nose and chin. Rests snugly on baby’s face to stay perfectly in place.
  • ONE-PIECE BABY SAFE SILICONE: Seamless, one-piece silicone design recommended by pediatricians. Adheres to the American Academy of Pediatrics guidelines for safe pacifiers. BPA and Phthalate-free.
  • AWARD-WINNING BEST PACIFIER FOR BREASTFED BABIES: Ultra-soft silicone, skin-like feel eliminates nipple confusion to calm and soothe your breastfeeding little one with ease. Loved by newborns from the very first moment.
  • EASY TO CLEAN: Sterilizer and dishwasher safe. One-piece construction makes cleaning a breeze.
  • NEW! STAGE 2 ACTIVE OPTION AVAILABLE: The Flexy Pacifier has a brand new STAGE 2 FLEXY ACTIVE PACIFIER variation that features open side vents to provide additional air flow and an ultra-lightweight construction for infants on the move (from crawling to walking and more).
No. 5
NUK for Nature™ Simply Natural Pacifier, 0-6M
  • This pacifier is designed to feel, fit, and flex like mom's breast
  • Shield and nipple are made from silicone for a soft feeling akin to skin-to-skin
  • The breast-like pacifier shield curves away from their face for a comfortable fit
  • The breast-like pacifier nipple is shaped to soothe baby and flexes like mom for a natural latch
  • Available in size 0-6 months
No. 6
Tommee Tippee Breast-Like Pacifier, 0-6 Months, Symmetrical Design, Natural Breast-Like Baglet, BPA-Free Binkies, Rose/Green/Cream, Pack of 4
  • Breast Like Nipple: Tommee Tippee's breast-like baby pacifier supports a natural latch and seamless transition from nursing to pacifier
  • Soft and Comforting Texture: The nipple's texture is designed to be soft and as close to the feeling of a mother's breast for your baby's comforting familiarity
  • Protects Baby's Skin: The comfortable fit of the pacifier features air holes to allow baby's skin to breathe and prevent skin irritation, rash and discomfort
  • Symmetrical Nipple Design: Our silicone pacifier is designed with a symmetrical nipple so it will always be right size up in baby's mouth for soothing comfort
  • BPA Free Pacifiers: Made from BPA free silicone with baby's safety in mind for newborn, baby and toddler ages
No. 7
Itzy Ritzy Natural Rubber Newborn Pacifiers (Set of 2) – Baby Pacifiers with Cherry-Shaped Nipple & Large Air Holes for Added Safety; Set of 2 Binkies in Blossom & Rosewood (Ages 0 – 6 Months)
  • NEWBORN PACIFIERS 0-6 MONTHS: Immerse your little one in comfort with our Natural Rubber Pacifiers. Specifically designed for babies aged 0-6 months, these feature a cherry-shaped nipple that closely mimics breastfeeding for a soothing experience.
  • CHIC STYLE & SAFETY: Each natural rubber pacifier includes a shield with large air holes that is accented with a cable-style handle, adding a touch of fashion while meeting ASTM safety standards. Our pacifiers are also BPA-free and PVC-free.
  • SET OF 2 INFANT PACIFIERS: Each pack includes 2 pacifiers in 2 coordinating shades. At Itzy Ritzy, we offer not just pacifiers but an essential accessory that complements your newborn baby essentials with both style and functionality.
  • BEST PACIFIER FOR BREASTFED BABIES: Mimic the comforting feel of breastfeeding. The natural rubber nipple provides a nurturing touch, making these pacifiers an ideal choice for newborns, for a seamless transition & soothing experience.
  • ITZY RITZY NEWBORN ESSENTIALS: Discover our trusted baby essentials. These chic pacifiers for babies aged 0-6 months meet safety standards while adding a stylish flair to your baby's accessories. Secure and essential for your little one's early stages.
No. 8
Nanobebe Baby Pacifiers 0-3 Month - Orthodontic, Curves Comfortably with Face Contour, Award Winning for Breastfeeding Babies, 100% Silicone, Baby Registry Gift 4pk, Sage/White
  • THE MOST COMFORTABLE FIT: 100% silicone provides mom like softness. The ergonomic shape curves comfortably around your baby’s face, nose and chin. Rests snugly on baby’s face to stay perfectly in place.
  • ONE-PIECE BABY SAFE SILICONE: Seamless, one-piece silicone design.
  • AWARD-WINNING BEST PACIFIER FOR BREASTFED BABIES: Ultra-soft silicone, skin-like feel eliminates nipple confusion to calm and soothe your breastfeeding little one with ease. Loved by newborns from the very first moment.
  • EASY TO CLEAN: Sterilizer and dishwasher safe. One-piece construction makes cleaning a breeze.
  • NEW! STAGE 2 ACTIVE OPTION AVAILABLE: The Flexy Pacifier has a brand new STAGE 2 FLEXY ACTIVE PACIFIER variation that features open side vents to provide additional air flow and an ultra-lightweight construction for infants on the move (from crawling to walking and more).

The Ultimate Buying Guide: Choosing the Right Pacifier for Breastfeeding Success

When your baby needs soothing, a pacifier can be a lifesaver. But if you are breastfeeding, choosing the right one is super important. You want a pacifier that helps your baby relax without messing up their latch on the breast. This guide will help you find the perfect soothing tool.

Key Features to Look For

Not all pacifiers are made the same. Look for these important features:

  • Orthodontic Shape: This design supports your baby’s natural palate and jaw development. It often looks flatter on the bottom.
  • Nipple Shape: Look for a nipple that mimics the shape of the breast during feeding. A symmetrical or orthodontic nipple is usually recommended.
  • Lightweight Shield: The shield is the hard part that rests against the baby’s lips. A lightweight shield prevents the pacifier from falling out too easily or causing strain on the baby’s mouth.
  • Airflow Holes: The shield must have holes. These holes allow air to circulate, preventing skin irritation or rashes around the baby’s mouth.
Important Materials: Safety First

The material of the nipple is crucial for safety and feel. Always choose materials that are free from harmful chemicals.

  • Silicone: This is the most common material. Silicone is durable, easy to clean, and doesn’t hold smells or tastes. It tends to be firmer.
  • Natural Rubber or Latex: This material is softer and more flexible, which some babies prefer because it feels more like the breast. However, some babies have latex allergies, so check carefully.

Tip: Check for the words “BPA-free” and “Phthalate-free” on the packaging. These are chemicals you want to avoid.

Factors That Improve or Reduce Quality

The quality of the pacifier affects how long it lasts and how safe it is for your baby.

What Improves Quality?
  • One-Piece Construction: Pacifiers made from a single piece of silicone or rubber are safer. They do not have seams where bacteria can hide or where parts can break off.
  • Durability Testing: Higher quality pacifiers withstand repeated sterilization (boiling or dishwasher cycles) without warping.
  • Appropriate Sizing: Good brands offer different sizes based on age (0-3 months, 3-6 months, etc.). Using the correct size ensures a proper fit in the mouth.
What Reduces Quality?
  • Hard Nipples: Very hard nipples can sometimes discourage the baby from opening their mouth wide enough for a proper breastfeeding latch.
  • Complex Designs: Pacifiers with many separate parts are harder to clean thoroughly, and the parts might break off over time.
User Experience and Use Cases

How a pacifier feels in the baby’s mouth makes a huge difference. When using a pacifier alongside breastfeeding, the goal is to prevent “nipple confusion.”

When to Introduce: Many lactation consultants suggest waiting until breastfeeding is well-established, usually around 3 to 4 weeks old. This ensures the baby masters the latch first.

The Breastfeeding Match: Look for pacifiers specifically marketed as “breastfeeding pacifiers.” These often have a very soft, flexible nipple base that compresses easily, mimicking the way the breast moves during suckling. This gentle compression helps maintain the correct tongue posture needed for nursing.

Soothing Use Case: Use the pacifier when your baby is fussy but not hungry. It helps them practice non-nutritive sucking (sucking without swallowing milk), which is calming.


10 Frequently Asked Questions (FAQ) About Breastfeeding Pacifiers

Q: Can pacifiers really cause nipple confusion?

A: Yes, they can, especially if introduced too early. Nipple confusion happens when the baby learns a different sucking technique for the bottle or pacifier than they need for the breast. Choose orthodontic shapes to reduce this risk.

Q: How often should I clean the pacifier?

A: You should clean it daily. Sterilize it thoroughly (by boiling or using a sterilizer) at least once a day, especially for newborns.

Q: When should I replace the pacifier?

A: Replace pacifiers every 4 to 6 weeks, even if they look fine. Silicone and rubber wear out from use and sterilization, and tiny cracks can trap germs.

Q: Is it okay if my baby falls asleep with the pacifier?

A: Yes, studies show that using a pacifier at naptime and bedtime may lower the risk of Sudden Infant Death Syndrome (SIDS). Once the baby is asleep, you can gently remove it, but it is safe to leave it in.

Q: Should I choose a hard or soft nipple for a breastfed baby?

A: Most experts recommend a softer, more pliable nipple for breastfed babies. This mimics the soft texture of the breast and encourages a wider mouth opening.

Q: What is the best size for a newborn?

A: Look for pacifiers labeled 0–3 months or Newborn size. These are smaller and lighter, fitting better in a tiny mouth.

Q: How do I know if the pacifier is hurting my baby’s latch?

A: Watch for signs. If your baby starts clicking or smacking while nursing, or if they refuse the breast after using the pacifier, the pacifier might be causing issues.

Q: Can I attach a clip to the pacifier?

A: Yes, clips are helpful so the pacifier doesn’t fall onto the floor. However, never attach the clip or ribbon to anything around the baby’s neck. This creates a strangulation hazard.

Q: What if my baby rejects all pacifiers?

A: Don’t worry! Not all babies like pacifiers. If your baby refuses them after several tries, it simply means they prefer other soothing methods, like cuddling or rocking.

Q: Are one-piece pacifiers better than multi-piece ones?

A: Yes. One-piece designs are safer because there are no small parts that can break off and become a choking hazard. They are also easier to keep clean.