Baby refusing bottle feeding
Why Do Babies Do It?
Written by WebMD Editorial Contributors
Reviewed by Dan Brennan, MD on March 17, 2021
In this Article
- Reasons Why Your Baby Might Refuse a Bottle
- Tips to Help Your Baby Take the Bottle
- Other Things to Keep in Mind
Most babies of all ages will accept a bottle. It can be a helpful way to make sure your baby gets fed on their regular schedule, even when you’re not around. If your baby starts to refuse a bottle or has trouble eating with a bottle, there is usually an underlying cause. With a little trial and error, you should be able to get to the bottom of it.
Reasons Why Your Baby Might Refuse a Bottle
There are a few different reasons why your baby might refuse a bottle. Usually, you can try a few things to get to the bottom of it and get them feeding again in no time.
Check the temperature. Check to see that the temperature of the milk is just right. Some babies prefer their milk cold while others like it better when it’s a little warmer.
Check for a block. The bottle's teat is the hole where the milk comes out of. Sometimes this becomes blocked. You can check this by holding the bottle upside down. The milk should flow rather quickly.
Check the size. Different teats can affect the flow of the milk. If your baby seems frustrated by the milk flow, try switching to a different size teat.
Check the expiration. Are you using baby formula? Check to make sure that it isn’t expired and hasn't been open for longer than recommended.
Can’t find anything wrong with the bottle or the milk? Check if it has something to do with your baby:
Are they sick? If your baby has a cold, ear infection, or throat infection it might be painful or uncomfortable for them to eat or drink. If you suspect they’re sick, have your doctor check on them.
Are they distracted? When you try to give your baby the bottle does it seem like their mind is elsewhere? Sometimes, even television can distract babies from feeding. Ensure you have a peaceful place where you can keep them connected to the moment.
Are they full? Have you recently introduced your baby to solid food? They may be too full for milk from the bottle.
Have they lost interest? Is your baby enjoying solid foods? They may just no longer want the bottle, and that’s okay.
Never try to force your baby to drink from their bottle. Instead, be patient and simply try again later.
Tips to Help Your Baby Take the Bottle
Reduce attachment. Some babies become very attached to the idea of nursing or taking the bottle only from their mother. Sometimes the mom needs to be in a different room or outside the house before the baby will take the bottle from someone else.
Try different positions. Babies tend to prefer drinking from a bottle in different positions than when they were breastfeeding. Try sitting them on your knee, propped up so they can look around the room.
Move around. It can help your baby take the bottle if you walk around the room. You might also gently bounce or sway while feeding them.
Let them latch onto the bottle nipple. Instead of placing the bottle directly into your baby’s mouth, place it near their lip and let them latch onto it. This simulates their natural action while they were breastfeeding.
Wrap the bottle. Many mothers will wrap a burping/spit-up cloth around the bottle. This reminds the baby of their mom and makes them feel safe to eat.
Try tasting or smelling your breastmilk. Sometimes the flavor of your breastmilk can change or have a “soapy” taste. This is often due to changes in your diet, especially if you start taking fish oil supplements. Things like this don’t make your breast milk unsafe. They may just make it bad to the taste.
Try something different. If your baby is refusing the bottle, try giving them your milk with a different vessel. You could try a sippy cup, a spoon, or even a regular cup. You can do this by holding your baby in an upright position on your lap. Bring the milk gently to their mouth, letting them drink at their own pace.
Other Things to Keep in Mind
If your baby is still refusing a bottle, don’t worry. Most babies will take one eventually.
If you have a routine with your baby where you feed them at the same time every day, it’s okay to change it up. Sometimes your baby may enjoy doing something else like cuddling, playing, or taking a ride in a stroller.
Whatever it takes, you and your baby will find what works to keep them fed and happy. After all, your baby loves you and knows that you are there to help them and make sure everything is okay.
Baby Refusing the Bottle? Try These Tips
If you’re having trouble bottle-feeding your infant, rest assured that you are far from alone. Around 25 percent of parents report feeding-related problems with their child at some point in their development.
If your baby has been breastfeeding, trying to introduce a bottle can also introduce some challenges. Likewise, changes to the formula or breast milk you’re giving them or the bottle you’re using can lead to difficulties even for experienced bottle-fed babies.
The American Academy of Pediatrics recommends delaying the introduction of foods other than breast milk until your baby is around 6 months old, suggesting exclusive breastfeeding before that time. However that’s not always realistic and you may find yourself introducing the bottle at any time during the first year.
Additionally, formula isn’t the only reason to use a bottle. Many breastfeeding parents want to incorporate bottle-feeding of breast milk for flexibility. The breastfeeding advocacy organization La Leche League suggests waiting until your breastfeeding baby is 3 to 4 weeks old before introducing a bottle.
Whenever you begin using bottles, it can be extremely frustrating trying to feed a baby who stubbornly refuses feeds. But with dedication, experimentation, patience, and love, you can eventually acclimate your baby to bottle-feeding.
Since babies can’t communicate clearly, parents and caregivers are left wondering and guessing why their baby refuses bottle-feeding. The following reasons are some of the most common things to look out for if your baby refuses the bottle:
- Your baby was recently weaned and wants to continue breastfeeding.
- Your baby isn’t hungry enough to want feeding.
- Your baby is feeling sick, colicky, or otherwise unwell enough to feed.
- Your baby is being held in an uncomfortable position.
- Your baby doesn’t like the temperature, flavor, or texture of the milk.
- Your baby doesn’t like the texture or feel of the bottle.
Depending on your previous experience with feeding you may be able to figure out the specific reasons why they’re refusing the bottle. Many times, knowing why they refuse can give you better insight into figuring out how to fix the problem.
Some of the most common and effective things you can try to help your baby accept bottle-feeding include:
- Slowly, consistently, and gradually transition from breastfeeding to bottle-feeding.
- Wait until your baby is sufficiently hungry before feeding.
- Try changing the bottle size and shape, the nipple, or other aspects of the bottle to see what your baby responds to.
- Experiment with the temperature of the milk or formula. Breast milk is lukewarm, so make sure the bottle isn’t too warm or cool.
- If your baby is teething, try changing the temperature of the milk (teething babies sometimes prefer cold milk), massaging their gums, or otherwise helping them with the pain of new teeth poking through.
- Hold your baby in a different feeding position and see what they respond to.
- Allow someone else to handle the feeding. This can be especially helpful during a transition from breastfeeding to bottle-feeding.
Before changing the formula you’re using you may want to talk to your pediatrician. There are different types of formula customized to different needs, but too many changes or certain types of formula can cause other challenges.
More tips to try
In addition to the list of possible remedies above, it is important to try to have a calm and consistent approach to bottle-feeding. Sometimes, your own frustrations with bottle-feeding can affect the infant and make it even harder for them to change.
In general, try to follow these behavioral tips for yourself when bottle-feeding a fussy baby:
- Maintain a comforting routine around mealtime.
- Avoid distractions, such as media, music, and toys when bottle-feeding.
- Feed your child at consistent time intervals of 3 to 4 hours.
- Stay calm and consistent. Don’t become angry, anxious, or overly excited with your feeding child.
- Limit mealtimes to 30 minutes.
- Try to avoid frustration during feeds. Consider having another caregiver offer the bottle if you need a break.
While it is normal for babies to sometimes refuse a bottle, there are some instances where chronic refusal to feed can be indicative of an eating disorder or an illness that requires medical attention.
About 1 to 5 percent of very young children have feeding disorder, which is characterized by an inability to consume an adequate amount of food, resulting in malnutrition.
Getting enough food is absolutely essential for a growing baby. If you think your baby is experiencing a feeding disorder making it difficult for them to gain weight, you should see a doctor immediately. Feeding disorders in early childhood are an important health issue.
In the short term, babies with feeding disorders will experience nutritional deficiency and weight loss (or inadequate weight gain), but in the long term, your baby can experience growth deficits, cognitive functioning problems, stunted neurodevelopment, and behavioral or emotional impairment.
Another time to talk to your baby’s doctor is if your baby refuses to eat due to an illness or pain. Call your doctor right away if in addition to refusing the bottle your baby is showing any of the following symptoms:
- constant crying
- difficulty breathing
Consult with a doctor to determine whether there are any illnesses or physiological issues you are unaware of that might play a part in your child’s fussy eating.
Feeding difficulties are common problems in infants and toddlers. Don’t be too worried if your baby is struggling with the transition to bottle-feeding.
There are many different approaches you can take to fixing the problem, and if you are nervous or worried about any of your child’s eating habits, contact your doctor immediately.
With consistency, determination, and lots of attention paid to your baby, you can help them overcome their obstacles and anxieties around bottle-feeding.
How to accustom a child to a bottle. Bottle feeding
Even if your baby is breastfed and you don't need to feed or supplement with formula, you still need to introduce your baby to the bottle. It will be needed when the baby needs to be given water, herbal tea for colic, or medication. Be prepared for the fact that acquaintance with a new thing may not go very smoothly.
Spring water Valio still, 1.5 l Read more
There are several reasons why a baby won't take a bottle.
Baby does not want to eat or drink
It simply doesn't occur to many anxious parents that the child is simply not hungry or thirsty at the moment. Do not forget also that the needs of a little person change - at 2 months the baby is not at all interested in the bottle, and at six months, after active games, he will drink from it with great pleasure.
Uncomfortable temperature fluid
The child is very sensitive to hot or cold drinks. He is used to mother's milk. This means that water, tea or medicine should be heated to a comfortable 36-37 degrees.
Dislike the pacifier
What the baby does not like in one or another nipple - the shape, the rate of fluid intake, the density of the material - is almost impossible to guess. All that's left is to experiment. Offer different types (fortunately, there are a lot of them on sale now - silicone, latex, standard round, flat and orthodontic), something your baby will definitely "taste". Often the baby refuses the bottle because the nipple is cool. Before feeding, it can be dipped in warm water. But if the baby is teething, it is better to cool the nipple on the contrary - it will soothe the tooth in the gums.
Child does not like formula or drink
You can experiment with the mixture and offer the baby something new. Try Valio Baby® - they are as close as possible to the composition of breast milk and, unlike many other mixtures, they are made not from powdered, but from fresh cow's milk. It, in turn, is thoroughly tested and exceeds the standards of the European Union and the requirements for premium milk in Russia.
How to teach your baby to bottle feed
Get to know the bottle little by little
First, just let the baby examine, touch the bottle. Let it be somewhere nearby more often and become a familiar subject for him. Feed/drink from it once a day at first, then offer more frequently.
Often a child refuses a bottle because of an uncomfortable position. Hold the baby as if you were breastfeeding him. Place the nipple at the level of your nipple. Be calm and relaxed.
Choose the right time
Giving a bottle to a well-fed child is a pointless exercise. However, if the baby is very hungry, the innovation will also not be to his liking. He will be naughty and demand his mother's breasts, and not a rubber nipple.
Ask for help
Sometimes it is easier for a baby to accept a bottle from the hands of a grandmother, nanny or dad. When there is no mother's breast in sight, which means asking for it is pointless.
Be very patient and unobtrusive
Move the pacifier over the baby's lips - it is likely that he will take it himself, following his instinct. If this does not happen, carefully insert the pacifier into the baby's mouth. Make sure he grabs her well. In the future, even when the baby is used to the bottle, do not leave him unattended - the baby may choke.
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Home ›› What to do when your baby refuses a bottle
any problems. If your breastfed baby refuses a bottle, don't worry. This is a common occurrence in many babies who are used to breastfeeding. Obviously, this can create certain difficulties for moms, especially if you need to return to work in the near future.
3 Philips Avent products to help you bottle feed:
So why is your baby refusing the bottle and crying? There are many ways to quickly and easily teach a breastfed baby to a bottle. Here are important tips on what to do when your baby refuses a bottle.
Is the baby refusing the bottle? Take a step back
If your baby cries while bottle feeding, the first thing to do is to start over and rethink your feeding approach and technique. Try the following steps when bottle feeding your baby: 
- Lift and tilt your baby's head forward. Before inserting the pacifier into the baby's mouth, make sure that the baby's head is raised and tilted over his body to avoid choking: so that the baby does not choke and have the opportunity to burp during bottle feeding.
- Insert the pacifier. Bring the pacifier to the baby's lips and gently guide it into the baby's mouth. In no case do not try to press the nipple on the baby's lips and try to push it into his mouth. After touching the pacifier to the baby's lips, wait for the baby to open his mouth and take the pacifier.
- Hold the bottle at an angle. Tilt the bottle at an angle so that the nipple is only half full. So the child can eat at his own pace.
- Let the baby burp during and after feeding. It can be useful for a child to burp not only after feeding, but also approximately in the middle of the process. This will help reduce gas or tummy discomfort that your baby may experience from swallowing too much air.
- Stop in time, do not overfeed the baby. If the baby begins to turn his head away from the bottle or closes his mouth, then he is full and you need to stop feeding.
- The flow of milk from the nipple to the baby may be weak or, on the contrary, too fast, so he is naughty and refuses the bottle. Try changing the nipple to a nipple with a different flow.
Other tips if your baby refuses the bottle
If you've followed the steps above and your baby still refuses the bottle, don't worry. There are other ways to help bottle feed your baby. Here are some simple tricks you can add to your bottle feeding process. 
1. Remind your child about mom.
Sometimes a child can be fed by someone other than his mother - dad, grandmother or, for example, a nanny. If your baby fusses while bottle feeding, try wrapping the bottle in something that smells like mommy, like a piece of clothing or some fabric. This will make it easier to feed the baby when the mother is not around.
2. Try to maintain body contact while bottle feeding.
Some babies need contact with their mother, so try bottle feeding while leaning against you. However, some babies are better at bottle feeding when they are in the exact opposite position than when they are breastfed. For example, there is a position with bent legs. Lay the child on your bent knees, facing you, pointing the child's legs towards your stomach. During feeding, the baby will be able to look at you and contact you in this way. If your baby refuses a bottle, experiment to see which works best.
3. Move while feeding.
Sometimes all it takes to get your baby to take the bottle is a little wiggle or walk. The next time your baby starts crying while bottle feeding, try moving around a little rhythmically to calm him down.
4. Try changing the milk temperature.
If the baby still does not want to take the bottle, check if the milk in the bottle is too hot or too cold. Before feeding, put some warm breast milk on the inside of your wrist to check the temperature. Milk should be warm, but if it seemed hot to you, just place the bottle for a short while under a stream of cold water.
Selecting the right bottle for your baby If you plan to combine bottle feeding with breastfeeding, it is advisable to choose bottles with a nipple that will have a wide base as the bottle will grip closer to the breast.Also pay attention to the fact that the nipple is firm and flexible, the child must make an effort to drink from the bottle, as well as from the breast. Give preference to nipples with an anti-colic valve that vents air out of the bottle.
Natural bottle allows you to combine breast and bottle feeding. 83.3% of babies switch from natural bottle to breastfeeding and back.*
If you choose a bottle for artificial feeding, traditional bottles are fine, but it is desirable that the nipple is made of a hypoallergenic material, such as silicone, has an anti-colic valve and did not stick together when bottle fed. In case your baby spit up often, then use special bottles with anti-colic and anti-reflux valve, which reduces the risk of spitting up and colic.
Bottle with unique AirFree valve reduces the risk of colic, gas and spitting up. With this bottle, you can feed your baby in an upright or semi-upright position to reduce spitting up. Due to the fact that the nipple is filled with milk and not air during feeding, the baby does not swallow air, which means that feeding will be more comfortable.
Both bottles are indispensable if you want to breastfeed, bottle feed or just bottle feed your baby.
“My baby refuses to breastfeed but bottle feeds – help!”
Sometimes a baby gets used to bottle feeding and refuses to breastfeed. Therefore, it is important to use bottles that are suitable for combining breastfeeding with bottle feeding. If, nevertheless, you are faced with the fact that the child refuses to take the breast, try using silicone nipple covers to make the transition from the bottle to the breast and back more imperceptible.
Remember that if you want to combine breastfeeding and bottle feeding, it is worth waiting at least a month before offering a bottle, so that you are lactating and have time to get used to each other and develop a breastfeeding regimen.
Breastfeed and bottle feed your baby with pleasure
Remember that it takes a while for your baby to get used to bottle feeding. This is completely normal. If you have to go to work, be sure to set aside enough time to bottle train your baby beforehand.
Remember that every child is different, so what works for one may not work for another. With a little time and patience, you will find out what works best for your baby when he refuses a bottle.
You will identify your child's unique needs. However, if your baby still refuses the bottle after all the steps above, check with your pediatrician.
Articles and tips from Philips Avent
*O.L. Lukoyanova, T.E. Borovik, I.A. Belyaeva, G.V. Yatsyk; NTsZD RAMS; 1st Moscow State Medical University THEM. Sechenova, "The use of modern technological methods to maintain successful breastfeeding", Russian Federation, 02.10.2012 3 llli.org - The Baby Who Doesn't Nurse
llli.org - Introducing a Bottle to a Breastfed Baby
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