#asktheexpert My baby rejecting my breast feeding

Question

Accepted Answer

It can be concerning when your baby starts rejecting breastfeeding, but there are several reasons why this may happen. Here are some potential causes and solutions:

1. Nipple Confusion (if bottle or pacifier introduced)

If your baby has been given a bottle or pacifier, they might develop nipple confusion, as the flow of milk is different from the breast. If this is the case, try to return to breastfeeding exclusively for a while.

Solution: Offer the breast often and try to avoid bottles or pacifiers for a while. You can try cup feeding or syringe feeding if your baby is refusing the breast. 2. Teething

Teething can be uncomfortable for babies, which may make them reluctant to nurse.

Solution: Offer your baby a teething ring or a cool, wet washcloth to chew on before breastfeeding to relieve discomfort. Also, ensure that your nipples aren't sore due to teething bites, which may cause discomfort when your baby latches. 3. Overactive Letdown

If you have a strong milk flow (overactive letdown), your baby may become frustrated or overwhelmed by the amount of milk coming out, especially if they are choking or gagging.

Solution: Try breastfeeding in a laid-back position or reclined posture, which can slow down the flow of milk and make it easier for your baby to manage. 4. Sore Nipples

If you have sore or cracked nipples, your baby may associate breastfeeding with pain, leading to a rejection of the breast.

Solution: Treat sore nipples with nipple creams (lanolin or coconut oil) and take a break to allow your nipples to heal. Ensure that your baby is latching properly to avoid future soreness. 5. Distractions

As babies grow, they become more aware of their surroundings. During a growth spurt or around 3-4 months, babies can become distracted easily while breastfeeding, especially in noisy environments.

Solution: Create a calm and quiet environment for breastfeeding, reducing distractions like bright lights, noise, and other people. 6. Growth Spurts or Illness

Babies may refuse the breast if they are going through a growth spurt or are feeling unwell.

Solution: Be patient and offer the breast frequently. If your baby refuses to nurse, consider offering expressed milk in a bottle or syringe to ensure they get enough nutrition. If the refusal continues, consult your pediatrician. 7. Changes in Routine or Environment

Any changes in your baby's routine or environment can also lead to breastfeeding refusal. This could be something like being away from you, or a change in your milk's taste.

Solution: Stick to a routine and be patient. Comforting and reassuring your baby before offering the breast can also help. 8. Nipple Preference

Some babies develop a preference for one breast over the other, especially if one breast produces more milk than the other.

Solution: Try offering the less-preferred breast first when your baby is hungrier. You can also express milk from the other breast to ensure it's still stimulating milk production. 9. Stress or Anxiety

Stress from both the baby and the mother can interfere with breastfeeding. Babies are sensitive to their mother's emotions and may pick up on stress, making them less likely to nurse.

Solution: Try to relax before breastfeeding by deep breathing, listening to calming music, or ensuring you're in a comfortable and quiet setting. 10. Reflux or Colic

Some babies may have acid reflux or digestive discomfort, making breastfeeding painful.

Solution: Consult your pediatrician for guidance on reflux and how to manage it. Tips to Encourage Breastfeeding: Skin-to-skin contact: Spend time with your baby in just a diaper (or shirtless yourself) to encourage breastfeeding and bonding. Offer the breast when your baby is sleepy: Babies may be more willing to latch when they’re sleepy or not fully awake. Try different positions: Experiment with different breastfeeding positions to see if your baby prefers one over another. Patience: Be patient and offer the breast frequently, even if your baby initially refuses. Babies may eventually come back to the breast when they feel secure and hungry. When to Seek Help: If your baby continues to reject the breast for an extended period. If you're concerned about your baby’s weight gain or hydration. If you experience pain or discomfort while breastfeeding.

A lactation consultant or pediatrician can help you understand the root cause and guide you in overcoming any challenges.