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refusal

  • Be as patient and calm as you can, even though you may be feeling frustrated or impatient. Forcing your baby to feed is likely to make the situation worse. If he has just been refusing the breast and is upset, distract him by doing something completely different - a walk outdoors, looking at toys, singing a nursery rhyme. When he has settled down he may be eased on to the breast, or he may be happier just being cuddled.
  • Walk around with your baby in an upright position against your body with her head level with your nipple. Walk and feed simultaneously. You could try putting your baby in an Australian Breastfeeding Association baby sling but remember to have your bra undone so that her face is touching the skin of your breast and she can find your nipple. The sling will need to be worn lower than normal for this purpose.
  • Try a completely different feeding position: your baby tucked under your arm (twin style); or lying down on a bed next to your baby with no body contact - this is especially good if it is very hot, or your baby is sensing your tension; or lying down with your baby cuddled in close next to you.
  • Feeding your baby while you are both in the bath may help. You may want to have someone available to help you lift your baby in and out of the bath.
  • Try breastfeeding baby after his bath when he is warm and relaxed (if he likes baths).
  • You could try playing with your baby on the floor while you are bare from the waist up. After some time gradually offer your breast.
  • Anticipate your baby's waking time and lift her to feed while still sleepy - you may slip in extra night feeds this way.
  • Try to soothe baby with a dummy. Walking, singing and rocking while baby sucks the dummy may gradually soothe him so you can gently put your baby to the breast while removing the dummy. It may be necessary to start a very hungry baby sucking on a bottle with a small amount of expressed breastmilk, e.g. 30 ml, then gently replace it with the breast.
  • Some mothers, whose babies have become accustomed to a bottle, have found that putting ice wrapped in a flannel on the nipple or tickling the nipple and areola makes it easier for the baby to grasp. Alternatively, you may use a nipple shield to begin a feed, slipping if off quickly and putting your baby back to the breast once the milk is flowing and she is sucking happily.
  • Feed in a rocking chair.
  • Express some milk into your baby's open mouth to encourage him.
  • Spend five minutes or so before the feed massaging your baby's naked body to relax her, if she is receptive to this.
  • Try singing to your baby - he probably won't mind if it is the same few lines over and over.
  • Try playing some favourite relaxing background music.
  • Once you get your baby on to the breast, it may help to provide an instant milk reward. This can be done with a nursing supplementer. This allows baby to receive additional milk at the breast whilst stimulating your milk supply by his sucking. If your milk supply continues to be low or your let-down slow or your baby is a 'poor' sucker, you may like to discuss with an Australian Breastfeeding Association counsellor the possibility of using a supplementer.
Sleepy/Tired Supply Engorged Sore Attachment Problems Refusal Expressing Feeding 24/7 Can't Explain