Hi mam I have 4 months baby ahe is not accepting my milk why iam not understanding since 2 weeks she is only taking milk while she is in sleepy mood

Question

Accepted Answer

It can be concerning when your baby suddenly refuses to nurse or only accepts milk while drowsy, but this behavior is not uncommon, especially at around 4 months of age. There are several reasons why your baby might be acting this way:

1. Teething

Around 4 months, babies often start teething, which can make sucking uncomfortable. The pressure from nursing might be painful for your baby, causing them to refuse the breast. Babies may nurse more comfortably when they are drowsy or not fully aware of the discomfort.

2. Distraction

At 4 months, babies become more aware of their surroundings and can get easily distracted while nursing. They may have trouble focusing on feeding because they are curious about what's happening around them. This can lead to them refusing the breast when they're awake but accepting it when they're sleepy and less distracted.

3. Growth Spurts

Babies go through growth spurts around 3-4 months, which can temporarily affect their feeding patterns. They may nurse less frequently during the day but compensate by nursing more at night or while sleepy. This could be why they are only nursing when they are drowsy.

4. Reduced Milk Flow

If you are experiencing any issues with milk supply, your baby may have trouble getting enough milk during a regular feeding session. They may prefer nursing when they are sleepy because they are less demanding and might get more milk in that relaxed state. It’s a good idea to check if your milk supply is sufficient or if there’s a need for pumping or increasing your milk production.

5. Nipple Confusion

If your baby has been introduced to a bottle or pacifier, they may develop nipple confusion, making it harder for them to latch onto the breast. In this case, they might accept breast milk only when they are sleepy and less aware of the difference between the bottle and breast.

6. Comfort or Habit

Some babies associate breastfeeding with comfort, especially when they are sleepy or need to settle. They might not be as interested in feeding when they are fully awake because they are not as hungry or need to feed for comfort instead of nourishment.

7. Overactive Letdown

If you have an overactive letdown (a fast milk flow), your baby might feel overwhelmed by the flow of milk and refuse to nurse when fully awake. This could cause them to prefer feeding when they are drowsy and less sensitive to the flow.

8. Illness or Discomfort

If your baby is unwell, has a cold, or has any discomfort, they might refuse breastfeeding due to stuffy noses, ear infections, or other issues. Check if your baby is showing any other signs of illness.

Tips to Help:

1. Create a Calm Environment: Try to nurse in a quiet, dimly lit area to minimize distractions, especially if your baby is getting easily distracted.

2. Offer the Breast Before Sleep: If your baby accepts milk while drowsy, you can try offering the breast just before nap times or bedtime.

3. Check Your Milk Flow: If you suspect issues with milk flow or supply, consider expressing milk or seeking advice from a lactation consultant.

4. Be Patient: Growth spurts, teething, or developmental milestones can all affect feeding. Give your baby time to adjust to the changes.

5. Avoid Nipple Confusion: If you've introduced a bottle, try limiting it to encourage breastfeeding. You can also offer breastmilk in a cup or spoon if necessary.

If the issue persists or if you're concerned about your baby's feeding patterns, it’s always a good idea to consult with a pediatrician or lactation consultant for personalized guidance.