My daughter gives this product two frantically thrust hands-up. Give her a break, she is only 6 weeks old and this is all the coordination she could muster for this review. I have been using this product for approximately 5 weeks now. I breastfeed my newborn and haven’t had a problem with any nipple confusion as some moms report from the use of a pacifier. She was given both binky and breast immediately. In general she is pretty easy going, but seems already to have developed preferences about her “binkies.”