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The Wee Thumbie, is the first pacifier designed expressly for use by very low birth weight babies.It is modeled after the size and shape of the preemie thumb, facilitating the important sucking behaviors normally learned in utero. The notched area allows space for CPAP tubing, mechanical ventilation, or tube feeding. The uniquely-shaped nipple of the Wee Thumbie helps to keep the pacifier in the baby's mouth. Its smaller-sized perioral guard keeps the pacifier centered and allows space for oral and nasal tubing.