A pacifier is provided with an enlarged guard to rest against a premature baby's lips, and a nipple with a base, a narrow neck, and a bulbous tip. A hole is provided in the guard, and communicates with an open channel or pathway formed on the exterior surface of the nipple base. Milk drops from a syringe or other source can be introduced through the hole to the channel, and then flow into the baby's mouth. This introduction of milk along the pacifier into the premature infant's mouth helps the premature infant to learn sucking and swallowing, even while being fed through a nasal tube.
The apparatus and process described, allows the premature infant to continue the enjoyable in utero experience of sucking and swallowing that is halted upon birth. In particular the infant is afforded the opportunity to practice tasting, sucking, and swallowing on an individualized basis. This oral enjoyment and practice allow for positive association with feedings and provides a sensory-motor experience that may lead to earlier suck, swallow, breathe (SSB) synchrony. The process engages the esophagus and cardiac sphincter to function while the infant is still being fed through the feeding rube. Ultimately, the apparatus and process may also result in earlier weaning from feeding tubes, the reduction of feeding difficulties, and earlier discharge home.