#asktheexperts my 12days old baby is suddenly refusing direct breast feeding and crying a lot if I try to feed him.what to doc?

Question

Accepted Answer

If your 12-day-old baby is suddenly refusing direct breastfeeding and crying a lot, it can be concerning. There are several potential reasons for this behavior, and it is important to address it promptly. Here are some common reasons and steps you can take:

### Possible Reasons:
1. **Latch Issues**: The baby might have difficulty latching properly, causing frustration and refusal to feed.
2. **Nipple Confusion**: If the baby has been given bottles or pacifiers, they might develop a preference for the different sucking mechanism.
3. **Breast Engorgement**: If your breasts are too full or engorged, it can be difficult for the baby to latch.
4. **Illness or Discomfort**: The baby might be feeling unwell or experiencing discomfort (e.g., gas, colic, ear infection).
5. **Fast or Slow Milk Flow**: The baby might be overwhelmed by a fast milk flow or frustrated by a slow flow.

### Steps to Take:
1. **Stay Calm**: Babies can sense stress. Staying calm can help soothe the baby.
2. **Check Latch**: Ensure that the baby is latching properly. You can consult a lactation consultant for guidance.
3. **Skin-to-Skin Contact**: Spend time with your baby in skin-to-skin contact to encourage breastfeeding.
4. **Breast Compression**: Try compressing your breast to help with milk flow.
5. **Express Milk**: If the baby continues to refuse breastfeeding, you can express milk and feed it with a spoon, cup, or bottle temporarily.

### When to See a Doctor:
- If the baby has fewer wet diapers than usual (indicating possible dehydration).
- If the baby is losing weight or not gaining weight as expected.
- If you notice signs of illness or infection.
- If the refusal to breastfeed continues despite trying the above steps.

### Consulting a Professional:
- **Pediatrician**: They can check for any medical issues that might be causing discomfort or refusal to feed.
- **Lactation Consultant**: A lactation consultant can provide specialized support to address breastfeeding challenges and ensure the baby is feeding effectively.

Promptly addressing the issue with professional help can ensure that your baby receives the necessary nutrition and comfort.