A pacifier is a form of an artificial nipple on which the baby or child sucks. Fluids do no pass through the pacifier, rather, the action of sucking on the nipple is thought to soothe or calm the baby, quieting the baby, and even alleviating the burning and itching of the gums during teething.
Pacifiers generally have three parts: the nipple; the guard, which rests on the baby's lips; and the ring attached at the center of the guard. Artificial nipples are always made of a material that closely simulates a mother's nipple. It is usually of latex or silicone and is occasionally of hard plastic. The guard is firmly attached to the nipple and prevents ingestion of the nipple by the child. Increasingly, pacifier manufacturers believe that the nipple and mouth guard should be of one material and molded together so that the two do not have to be fused during the manufacturing process. There is evidence that when the pacifier is made of two pieces it is at greater risk for failing at that juncture and creating a potential choking hazard. This guard must have holes in it to ensure that in the event of ingesting the guard the holes permit air to pass through to the windpipe. Finally, the ring at the center of the guard must be present in order to pull the pacifier forcibly from the mouth in the event of ingestion.
Manufacturers of pacifiers must comply with extensive government regulations developed to prevent pacifier failures from choking infants and young children. Pacifiers made in the United States must undergo testing to ensure that they comply with these regulations. Even with these regulations pacifiers are occasionally recalled because of product failure. Manufacturers must test each new pacifier design extensively before production, and then keep compliance reports on hand in the event that the information is requested at any time.
The early history of pacifiers is inextricably bound to the development and use of the baby rattle. The two were often attached to both amuse and assuage a crying baby. Rattles were used for centuries by primitive adults for ceremonial and musical or dance use and could be of sticks, teeth, shells or pods. In addition, primitive man used rattles with bells to ward off evil spirits and even children wore bells. Romans gave children peony wood bead necklaces that were pulled into the baby's mouth for teething and to ward off illness. Such soothing bead necklaces were used for many centuries. Some rattles were constructed with a handle that had inserted into it a smooth piece of stone or bone that was used for the baby to suck upon and teethe. This end of the rattle was known as the gum stick and could be made of rock crystal, ivory, agate, carnelian, mother-of-pearl, bone, or coral, all of which felt cool upon the gums.
Coral was one of the most effective materials thought to protect children from spirits as well as witchcraft, enchantment, and epilepsy. Coral necklaces were given to babies at birth for this reason. (In some cultures a coral necklace is still an appropriate baby gift.) It did not take long to combine the coral and rattling bells into a single baby toy that was often referred to as coral and bells. These devices had a branch of coral at one end and a metal shank with bells attached at the other end. The coral was sucked on, and being fairly soft and knobby, could soothe the baby and rub against sore gums as the bells sounded and warded off evil spirits. Fairly expensive coral and bells were generally crafted by silver or goldsmiths and offered for sale in the Colonies by 1700. Sticks of cane sugar or candy were given to babies to suck upon as well. Less expensive rattles used for sucking included gum sticks of wood with small vegetable gourds or wicker or willow rattles that could be put into the mouth. The baby's own fingers or fists have been the pacifier of choice for many babies as well.
When the sap from rubber trees was viably used in manufacture of household products by the middle of the nineteenth century, nipples for nursing bottles and simple soothers were devised. In the twentieth century, with better refinement of rubber and associated materials, many companies entered into the pacifier market. Hard plastics and silicone molders produced the product without much regulation. However, the United States Consumer Product and Safety Commission soon saw catastrophic failure with unregulated two-piece and hard plastic pacifiers and has since extensively regulated the industry.
Pacifiers are manufactured from a soft, pliable material that closely resembles a mother's nipple. Increasingly, doctors and safety experts are urging manufacturers to produce pacifiers as a single unit, of one material, that cannot separate and pose a choking hazard. Thus, the product is preferably molded from a single material. In 2001, pacifiers are primarily constructed from either latex or silicone, although other soft plastics can be used in their manufacture. Unfortunately, manufacturers are finding that softening these other plastics requires chemical additives that have proven to be harmful to small children, and pacifiers have been recalled by the federal government not for failures of construction but because harmful additives were used in the processing of the raw materials.
Latex is technically referred to as natural rubber latex and is produced by the rubber tree Hevea brasiliensis. The milky latex from this tree is harvested by tapping the tree. The sap oozes from the tree when it is scored, then collected and processed for manufacture of thousands of household products. Most of the latex trees tapped for sap are in Southeast Asia and South America. Chemicals are added to raw latex to increase elasticity and strength. Proteins are found in this natural material that have caused severe allergic reactions in some consumers. Most manufacturers are either eliminating latex from their products lines as a result, or are treating the latex to counteract the effect of these proteins on consumers. In addition, latex does not survive repeated "boil and cool tests" in which the product is boiled, cooled, and then assessed for its ability to retain shape and perform successfully. Latex disintegrates more quickly than other substances during these tests. This is of concern as pacifiers cannot be repeatedly boiled or washed for sterilization without risk of disintegration.
The raw material of choice for American pacifiers is silicone, more expensive than latex but of superior performance. Silicones are synthetic polymers that are relatively chemically inert, stable at high temperatures, and resist oxidation. Thus, silicone is able to survive the boil and cool cycle far better than latex and therefore superior for products requiring sterilization. Some pacifier manufacturers buy silicone that is "certified," meaning it is of a superior grade for use.
The design of pacifiers is an extremely important part of its manufacture. The pacifier manufacturer's director of research gathers information that assists with schematic design. He or she looks for the latest information on babies' upper and lower mouth configuration, the role of the tongue in sucking, and how a mother's nipple works and feels during nursing. Some consult directly with medical professionals about what they believe babies need in a pacifier. When the information is gathered, the research department works with the manufacturing department to produce a pacifier that conforms to recommendations made as a result of research.
Of paramount importance is the research department's responsibility to stay on top of the United States Consumer Product Safety Commission's Requirements for Pacifiers. These guidelines spell out precisely the standards to which the manufacturer must comply. As of 2001, the "pacifier rule," as it is referred to, requires that: the mouth guard not be so small or flexible that it can be sucked into a baby's mouth; that a pacifier have no handles or other protrusions that might force the pacifier into a baby's mouth if he or she should fall on it face first; pacifiers are labeled to warn caregivers not to tie the pacifier around the child's neck; and that the pacifier not come apart into smaller parts when vigorously tested. It is the manufacturer's responsibility to design all new pacifiers with these guidelines in mind. Testing of the product is also specified in these guidelines.
The manufacturing process for pacifiers is very simple. Since most are made of one-piece construction, the preferred method for safety's sake, the production occurs in one stage using liquid injection molding. Liquid injection molding was derived from metal die casting, but unlike molten metals, polymers have a high viscosity and cannot be poured into a mold. Instead, a large force must be used to inject the polymer into a hollow mold. A great deal of melt, the name given to molten polymers, must be forced into the cavity as there is some shrinkage upon cooling.
- First, the pellets of polymer must be melted at very high temperatures, usually 360-420°F (182-216°C). Pellets are fed from a hopper into a machine that liquefies the pellets. The polymer is now molten and ready for injection.
- Next, the melt is rammed into the mold at very high speed and under intense pressure, approximately 300-700 psi. The melt fills the mold, then a bit more melt is added in order to compensate for the contraction due to cooling and solidification of the polymer.
- Once the polymer has cooled, it is separated from the mold. This solidified part is simply ejected from the mold automatically, and the melt and injection cycle is ready to begin again. Each cycle takes between 10 and 100 seconds depending on the time it takes the polymer to cool and set.
- The one-piece pacifier is then inspected and packaged for shipment. Pacifiers are not considered sterile when packaged but are considered clean.
Perhaps the most important part of quality control happens at the very beginning and very end of the manufacturing process. First, the materials acquired for use in the product are often certified for cleanliness and to ensure that no unsafe chemicals are present. Then, prototypes are extensively tested to ensure the product complies to specifications set forth by the United States Consumer Product and Safety Commission. This federal agency specifies tests and how they are to be conducted. Testing that must be performed includes the "pull test" in which intense pressure is used to pull on the nipple to see how hard it is for the baby to ingest the nipple. Ten pounds (4.5 kg) of pressure are exerted for a period of time. Also, measurements for the size of the product are meticulously checked and rechecked. In addition, choke holes in the mouth guard must be a certain diameter according to the commission; the factory must check the size of the holes after production to ensure the holes have not changed in size or shape after manufacturing or with extensive mold use. Boiling tests are conducted to determine whether the material can withstand repeated use and whether the configuration changes after boiling and cooling. Some companies contract with an independent laboratory to conduct these tests. Results of these tests are generally held by the company in the event that anyone challenges the safety of the product.
When making silicone pacifiers there is little waste as the raw material is so expensive that the company seeks to re-use all flash or waste. In a mold with multiple cavities, the melt flows to each cavity using runners, which are long channels. The runners sometimes contain bits of polymer referred to as flash. If the runners are allowed to cool and solidify, the runners are separated from the part and must then be reground and transformed into pellets for reheating and melting. In hot runner molds, the runners are reheated and flow back into the system automatically. While the hot runner system virtually eliminates all waste, the mold system is very expensive.
Manufacturing pacifiers as a single unit device is the primary trend for the future. This design is preferred because it is less likely to pose a choking hazard for the child. Improvements in the types of raw materials used are also being researched. It is important that the rubber or plastic materials that become the pacifier do not contain harmful chemicals that could be transferred to the infant as it sucks on it.
Orthodontic problems often occur in children who use pacifiers for long periods of time and after they have developed their primary teeth. Research and development workers analyze the structure of children's mouths and their sucking patterns in order to develop pacifiers that will minimize the long-term effects of pacifier use.
Where to Learn More
Weiss, Harry B. American Baby Rattles. Trenton, NJ: 1941.
"Requirements for Pacifiers, 16 C.F.R. Part 1511." U.S. Product and Safety Commission Web Page. December 2001. <http://www.cpsc.gov>.
Oral interview with Paul Dailey, Director of Research and Development of Children's Medical Ventures, Inc. Norwell, MA. July 2001.
The oral behaviors of infancy, thumb sucking, and the sucking of pacifiers (or dummies, as they are called in British Commonwealth countries), have been noted for centuries. It appears that mothers have always been aware that sucking provides comfort, sleep, and pleasure to babies. Sucking rags were described in the sixteenth century. These were later replaced with teething rings and corals, and increasingly with the rubber pacifier after 1900. A number of fifteenth-century Italian paintings depict thumb sucking, and thumb sucking and blanket attachment are the characteristics of the Linus character in the contemporary cartoon Peanuts. For most of this time, such oral behaviors have been seen as distinctive of infancy and a source of comfort and pleasure for both the child and parent. But this benign view changed in the late nineteenth century and in the early decades of the twentieth century. Members of the medical profession began to exhibit marked hostility to these infantile habits and in 1926 they influenced the French Chamber of Deputies to carry a motion prohibiting the sale of the sucette (pacifier).
This change in attitude was associated with two beliefs: one, that this type of infantile sucking was a threat to the health and development of babies and posed a risk of both infection and damage to the teeth and jaws, and two, that sucking provided the infant with a pleasure that was inherently sexual. These ideas were formed against a background of a medical and societal interest in child behavior and its implications for specifically hereditary degeneration, but also for a possible general societal degeneration manifested by poverty, declining industries, and, in the United Kingdom, poor performance in the Boer War (1899–1902). The analysis of child behavior was in turn influenced by theories of infant sexuality and its implications for the moral development of the child and the subsequent adult.
These oral behaviors are unique to infancy and had previously been judged to be normal in that context, but this changed with the new emphasis on potential consequences for the adult whom the child would become. Such common habits could now be defined as abnormal in order to prevent future pathology. Popular belief therefore made a transition from seeing sucking as a comfort and a sign of health to a medical problem, which had to be corrected to produce normal adults.
Thus in the late nineteenth century thumb sucking and associated oral behaviors emerged in the literature of the diseases of children as pathology: a pathology of ugly dental malformation and worrying infant sexual behavior. The issue was first mentioned in 1878 by an American physician, Thomas Chandler, as a cause of mouth and tooth deformities. Other authors subsequently associated such facial deformities with negative moral development. A German pediatrician, S. Lindner, introduced a sexual element, associating it with masturbation. His writings were cited by Sigmund Freud, who identified thumb sucking as the classic example of his idea of infant autoeroticism and as a manifestation of infant sexuality. In pediatric texts, masturbation and thumb sucking became grouped together first under injurious habits of infancy and subsequently within functional neurological diseases. A number of aspects were repeatedly emphasized: the dangers for future neurological development; the pleasure a child derived from it, and the laxity shown toward it by parents, nurses, and some physicians. The medical profession was urged to reeducate parents and make them see the habit for the danger physicians believed it posed.
These attitudes persisted in the first third of the twentieth century. Treatment was directed at breaking the habit through destruction of the pacifier and diversion techniques for thumb sucking, including cotton mittens and sleeves pinned or sewed down over the hand. Over the remaining part of the century, however, the attitude gradually changed so that sucking behavior was seen increasingly as a common and harmless activity of infancy and early childhood. Indeed it was often identified as a necessary part of development and the thumb or pacifier a transitional object, a psychoanalytical concept relating to the transition from inner reality to external life. At the same time, residual ambivalent attitudes can still be detected in medical and child-rearing texts. In essence, the representation of such infant behaviors has at any one time reflected the prevailing view of child rearing, child sexuality, and child development.
See also: Child Development, History of the Concept of; Child Psychology.
Gale, Catherine, and Christopher Martyn. 1995. "Dummies and the Health of Hertfordshire Infants, 1911–1930." Social History of Medicine 8: 231–255.
Gillis, Jonathan. 1996. "Bad Habits and Pernicious Results: Thumb Sucking and the Discipline of Late-Nineteenth Century Paediatrics." Medical History 40: 55–73.
Levin, S. 1971. "Dummies." South African Medical Journal 45: 237–240.