Is It OK to Use Sippy Cups?

Emily Oster

5 min Read Emily Oster

Emily Oster

Is It OK to Use Sippy Cups?

What a speech pathologist has to say

Emily Oster

5 min Read

I was recently reviewing some of my pre-pandemic newsletter notes, reflecting on a time when I thought I’d mostly write about topics like juice and baby sunscreen. But one jumped out at me. My notes say: “sippy cups – just use straw?” And I wondered, what did I really mean there?

For the uninitiated, sippy cup image below. It’s a commonly used transitional drinking cup for toddlers. There’s the bottle or breast and, then, the next step is the sippy. I, myself, have owned many a sippy cup.

An image of a green sippy cup with an orange handle and blue spout.

However: the internet is a cautionary tale. Take the article: “Why Your Toddler’s Sippy Cup Should Come with a Warning Label” or, even better, “The Hidden Dangers of Baby Bottles, Pacifiers and Sippy Cups.” Despite the fact that every other parent seems to be using these products, maybe you should skip them?

First, what is the value of the sippy cup? Why not just have your child us a regular cup right away? In short, spills. Kids are not great at using cups and they routinely knock them over. Sippy cups cannot spill (much) and certainly if you want something to carry around when you’re out in the stroller, you do not want to have an open cup. Unless your kid is a wizard, you’ll have an empty cup and a wet kid.

On the flip side, what’s the worry? Basically, it’s twofold. First, there is the problem of cavities. If you fill your child’s sippy with juice or soda, and then they are constantly sucking on it, there is a lot of opportunity for sugar to get in their teeth. The best way to avoid this is to only use sippy cups for water. In general, the recommendation is for kids to have only milk and water. I can get into this another time, but even if you think an occasional orange juice is not going to send your child down the road to delinquency, you might as well keep it out of the sippy, where it will make things gummy and hard to clean.

The other concern is that use of a sippy cup will interfere with mouth development, related to either ability to eat other foods or speech. This concern is rooted in the mechanics of how swallowing develops. Infants swallow using a “suckle-swallow” pattern where the tongue moved liquid or food from the front to the back of the mouth. Around a year, a more adult swallowing pattern develops, where the tongue tip moves to the top of the mouth and then food is propelled with a tongue wave into the back of the mouth.

This adult swallowing pattern is important for eating foods with different textures, and for developing speech (not language – this has nothing to do with understanding, but the mechanisms of producing understandable speech).

Why would a sippy cup matter here? The mechanics of using a sippy cup involve using the suckle-swallow pattern common in infancy, not the more adult swallow pattern. The idea is that if you use a sippy cup too much, it could impede this development. A similar problem could arise with prolonged pacifier use.

These facts about the mechanics of drinking with a sippy cup and the general swallowing patterns are simply true. Evidence from children with Down Syndrome has linked use of pacifiers and bottle feeding (both of which also encourage the infant swallowing pattern) to feeding issues. And speech pathologists who work with children with speech or swallowing issues do point to the possible links with sippy cups.

Having said this: we do not have any large scale data linking sippy cup usage to speech or swallowing difficulties. That is to say, if you were looking for a study which showed that children who use sippy cups are more likely to lisp, or less likely to eat a variety of foods, you would not find it. Moreover, millions and millions of children use sippy cups and for the most part they have typically developing speech and swallowing patterns. If the effect of sippy cups was very large, it seems likely we’d see it more directly.

In the end, there may be mechanical reasons to think that using a sippy cup all the time may not be ideal, and if your child does have problems swallowing, it seems possible it is something to look at it. But the evidence does not, to me, seem strong enough to shun use of sippy cups all together. And they are a convenient way to keep kids hydrated, which is also important. As usual, there is no perfect solution.

I will say that with our second kid we moved right to straw cups. I would liked to say it was because of science, but actually it was because of my family’s intense desire to simplify our stuff. By the time Finn was old enough for a cup, we had a lot of straw cups for Penelope (like this Safe Sippy or these Take and Toss cups which are I guess meant to be disposable but which I have had for about 8 years). The idea of then also having separate cups for Finn felt annoying.

Straws also have the advantage that if you forget your kid’s cup, you can usually find a straw. And straw usage enables further transitions. We now have moved the entire family, including Jesse and I, to Nalegene bottles, which we identify with Name Bubbles labels. It’s only slightly awkward when people at work ask me why my water bottle has a giant sticker with my name on it.

Huge thanks on this post to Speech Language Pathologist Sara Toogood.

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According to the data we have, parents should sleep in the same room as a baby for as long as it works for them! Sharing a room with a child may have negative impacts on both child and adult sleep. We should give families more help in navigating these trade-offs and making the decisions that work best for them.

#emilyoster #parentdata #roomsharing #sids #parentingguide

The AAP’s guidelines recommend sleeping in the same room as your baby “ideally for the first six months.” However, the risk of SIDS is dramatically lower after four months, and the evidence in favor of the protective effect of room sharing is quite weak (both overall and even more so after four months). There is also growing evidence that infants who sleep in their own room by four months sleep better at four months, better at nine months, and even better at 30 months.

With this in mind, it’s worth asking why this recommendation continues at all — or at least why the AAP doesn’t push it back to four months. They say decreased arousals from sleep are linked to SIDS, which could mean that babies sleeping in their own room is risky. But this link is extremely indirect, and they do not show direct evidence to support it.

According to the data we have, parents should sleep in the same room as a baby for as long as it works for them! Sharing a room with a child may have negative impacts on both child and adult sleep. We should give families more help in navigating these trade-offs and making the decisions that work best for them.

#emilyoster #parentdata #roomsharing #sids #parentingguide
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Watch the full segment at the link in my bio 🔗

#tamronhall #tamronhallshow #emilyoster #parentingsupport #workingparents

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Watch the full segment at the link in my bio 🔗

#tamronhall #tamronhallshow #emilyoster #parentingsupport #workingparents
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Listen and subscribe to ParentData with Emily Oster in your favorite podcast app 🎧

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Listen and subscribe to ParentData with Emily Oster in your favorite podcast app 🎧

#emilyoster #parentdata #parentdatapodcast #parentingpodcast #householdtips #fairplay #invisiblelabor
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Comment “Link” for a DM to an article with everything you need to know about prenatal vitamins.

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Vitamins are just vitamins. Any prenatal vitamin that contains these is enough.

Comment “Link” for a DM to an article with everything you need to know about prenatal vitamins.

#emilyoster #parentdata #prenatalvitamins #pregnancydiet #pregnancytips
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#emilyoster #parentdata #hotflash #perimenopause #womenshealth

The first edition of Hot Flash is out now! Comment “Link” for a DM to learn more about the late-reproductive stage.

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#emilyoster #parentdata #hotflash #perimenopause #womenshealth
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Listen and subscribe to ParentData with Emily Oster in your favorite podcast app 🎧

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Listen and subscribe to ParentData with Emily Oster in your favorite podcast app 🎧

#parentdata #parentdatapodcast #emilyoster #emilynagoski #comeasyouare #cometogether #longtermrelationship #intimacy #relationships
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Comment “Link” for a DM to an article on another common formula question: should you throw away old formula powder?

#emilyoster #parentdata #babyformula #babyfeeding #parentingstruggles

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Comment “Link” for a DM to an article on another common formula question: should you throw away old formula powder?

#emilyoster #parentdata #babyformula #babyfeeding #parentingstruggles
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Comment ”link” for a DM to learn more about tongue ties 🔗

Breastfeeding is often difficult, especially at the start. For babies with tongue ties, many infants (and their moms) struggle to get the hang of a good latch. This can lead to painful nipples and to inefficient feeding, and then low weight gain.

So what does the data say about the increasingly common practice of cutting tongue-ties in infants to improve breastfeeding success? Several weeks ago, @nytimes published a long and quite scary article on this topic.

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#parentdata #emilyoster #tonguetie #tonguetiebabies #breastfeedingsupport

Comment ”link” for a DM to learn more about tongue ties 🔗

Breastfeeding is often difficult, especially at the start. For babies with tongue ties, many infants (and their moms) struggle to get the hang of a good latch. This can lead to painful nipples and to inefficient feeding, and then low weight gain.

So what does the data say about the increasingly common practice of cutting tongue-ties in infants to improve breastfeeding success? Several weeks ago, @nytimes published a long and quite scary article on this topic.

After diving into the data, here is what I found. There is limited evidence that frenotomy procedures improve breastfeeding efficacy and the harms of the procedure are minimal. Many women do report that it alleviates pain and helps them with breastfeeding. However, it should not be a first-line treatment for breastfeeding problems.

#parentdata #emilyoster #tonguetie #tonguetiebabies #breastfeedingsupport
...

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I’m here to remind you to take a deep breath and trust yourself. I’ll be here to support you along the way. 

Thank you to everyone who submitted videos, including:
@sarah.consoli
@jess_lynn627
@nicolevandenwills
@thedrblair
@ncbenedict29
@haleycimini
@iamkellysnodgrass
@calesse_smith
@garnet__gordon
@jencoopgaiser87
@danigirl18c
@jamielundergreen
@carly_comber
@thecelebratingmama
@emilyannbynum
@eeliz413

#emilyoster #parentdata #parentingadvice #parentingsupport #parentingquotes

Tag a friend who needs to hear this 💛 For many choices in parenting, there is no one right answer. We can use research and data to make informed decisions, but ultimately, it won’t tell you what to do. Only you can decide what will be best for your kids and your family.

I’m here to remind you to take a deep breath and trust yourself. I’ll be here to support you along the way.

Thank you to everyone who submitted videos, including:
@sarah.consoli
@jess_lynn627
@nicolevandenwills
@thedrblair
@ncbenedict29
@haleycimini
@iamkellysnodgrass
@calesse_smith
@garnet__gordon
@jencoopgaiser87
@danigirl18c
@jamielundergreen
@carly_comber
@thecelebratingmama
@emilyannbynum
@eeliz413

#emilyoster #parentdata #parentingadvice #parentingsupport #parentingquotes
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#emilyoster #parentdata #happynewyear2024 #panicheadline #datadriven

Congratulations on making it through another year of panic headlines! We’ve had some doozies this year, like aspartame causing cancer and the perils of white noise, but these headlines are very often based on poor data. Correlation does not equal causation. There will certainly be more panic headlines in 2024, but ParentData is here to debunk them for you.

#emilyoster #parentdata #happynewyear2024 #panicheadline #datadriven
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