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The flat symmetric orthodontic shape is designed to support the natural movement of the mouth muscles; inspired by Medela's 60 years of expertise on the natural suckling behavior of breastfed babies. It's a one-piece, BPA-free pacifier is ergonomically designed to allow the baby to smell mom’s comforting scent. It features to maximize airflow and comfort for babies on their skin. Comes with self-cleaning case. Just add water and put in the microwave for 3 minutes to steam-clean