[1][2] Preventing nipple confusion requires avoiding bottles and pacifiers for the first few weeks after birth.
A breastfed infant regulates the suction required for the flow of milk from the breast by using small pauses to breathe and to swallow.
[5] When switched back to the breast, the infant faces sudden confusion regarding the lack of continuous flow that they got adapted to.
In case giving supplements to the infant is medically necessary, they can be given in ways that do not involve artificial nipples.
[8] The American College of Paediatrics recommends the use of pacifiers to prevent sudden infant death syndrome.
[6] For some special instances, the usage of a nipple shield can be considered to lure the infant back to breastfeeding.
[11] To switch to a bottle, a slow-flow nipple is recommended so that the infant has time to adapt to the new technique of feeding.