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N-nitrosamines and nitrosatable compounds in rubber nipples, pacifiers and other rubber and plastic commodities.

In 1983 and 1985, rubber teats and pacifiers from the Dutch market were analysed for N-nitrosamines (NA) and nitrosatable compounds (NC) by extraction with an artificial saliva test solution (24 h, 40 degrees C). NC were determined as NA (gas chromatography-thermal energy analysis) after nitrosation. In 1983, the total content of NA and NC varied from 4-40 micrograms/kg and 50-3700 micrograms/kg, respectively (18 samples). In 1985, NA and NC varied from 3-94 micrograms/kg and 26-5100 micrograms/kg, respectively (20 samples). According to Dutch legislation, teats may contain no more than 1 microgram/kg and 20 microgram/kg NA and NC. Of other rubber and plastic commodities analysed, balloons contained levels of up to 120 micrograms/kg and 2800 micrograms/kg NA and NC.

Cooking and Eating Utensils↗

Possible underestimation of nitrosatable amine levels in artificial saliva extracts of children's rubber pacifiers and baby-bottle teats.

Children's pacifiers and baby-bottle nipples from various countries were analysed for their content of N-nitrosamines and nitrosatable amines. Using a method involving extraction with artificial saliva, several nitrosamines including N-nitrosodi-n-butylamine (NDBA), N-nitrosodiethylamine (NDEA), N-nitrosodimethylamine (NDMA) and N-nitrosomorpholine (NMOR) were detected in addition to the three nitrosatable amines dibutylamine (DBA), diethylamine (DEA) and dimethylamine (DMA). Upon nitrosation in artificial saliva, these amines produced not only the related N-nitrosamines but also relatively high levels of the corresponding nitramines--N-nitrodibutylamine (NTDBA), N-nitrodiethylamine (NTDEA) and N-nitrodimethylamine (NTDMA). Thus, both N-nitramines and N-nitrosamines should be measured after nitrosation; otherwise, the method probably underestimates the quantities of nitrosatable amines present in artificial saliva extracts. Whether N-nitramines, some of which have been shown to be both mutagenic and carcinogenic, are formed in the saliva of babies exposed to these products remains to be confirmed.

Cooking and Eating Utensils↗

Early childhood pacifier use in relation to breastfeeding, SIDS, infection and dental malocclusion.

This information on best practice is based on a systematic review (Callaghan et al 2005) conducted by the Institute Nurses' Network (Telethon Institute of Child Health Research), Western Australian community and child health nurses and the Western Australian Centre for Evidence Based Nursing and Midwifery, a collaborating centre of the Joanna Briggs Institute. The primary references on which this information is based are available online via Blackwell Synergy: www.blackwell-synergy.com and to members of the institute via the web site: www.joannabriggs.edu.au

Benchmarking↗

[Using a pacifier].

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Gastroesophageal Reflux↗