The Baby Friendly Health Initiative (BFHI) Ten steps to successful breastfeeding step nine is to “give no artificial
teats or pacifiers to breastfeeding infants” [10]. Almost all the women in the sample who began breastfeeding
continued to breastfeed at day seven, despite a high proportion of bottle and teat use. Although bottle and teat
use, whether containing breast milk or non-breast milk is widely viewed as harmful to breastfeeding success, this
has been challenged in the literature [1,39,40]. In this study more than half the second-line strategies used
were BFHI preferred (non artificial teat).