Asphyxia due to pacifiers--case report and review of the literature

Forensic Sci Int. 2004 May 10;141(2-3):73-5. doi: 10.1016/j.forsciint.2003.12.019.


Pacifiers and bottle nipples entail the risk of asphyxia when they are swallowed, self-made or have become porous, or when used by older children whose teeth and chewing musculature have developed beyond the suckling stage. A further danger lies in the various devices used to tie the pacifier to the child, as they can cause strangulation. On the basis of this first case of a 2-year-old biting off a piece of her pacifier and fatally aspirating it, we point to the dangers and security requirements related to pacifiers and bottle nipples, and give a review of the related literature.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Asphyxia / etiology*
  • Child, Preschool
  • Equipment Safety
  • Female
  • Humans
  • Pacifiers / adverse effects*
  • Tooth, Deciduous