My baby screams when i try to feed her
Bottle Feeding Problems - Why Your Baby Squirms, Appears Uncomfortable – Baby Care Advice
When your baby squirms, appears uncomfortable during a feed, fusses, cries or refuses a bottle, seemingly fights the bottle despite being hungry, it can be challenge to figure out the cause. The timing and type of behavior she exhibits provides vital clues.
Signs of bottle-feeding problemsDoes your baby display troubled behavior in relation to bottle-feeding, such as….
- Refuses a bottle
- Turning away from the bottle.
- Refusing to close her mouth around the nipple.
- Holding nipple in the mouth but not sucking.
- Taking only a small amount and then refusing more.
- Screaming when placed into a feeding position or at the sight of the bottle.
- Milk pouring out of baby's mouth.
- Feeding too quickly.
- Feeding too slowly.
- Falling asleep before the feed is completed.
- Coughing and spluttering when feeding.
- Not consuming as much milk as expected.
- Wanting more milk than expected.
- Throwing up large amounts of milk.
Then there may be steps you can take to remedy the situation and get your baby to calmly and happily take a bottle.
Behavioral reasons‘Behavioral’ means baby’s behavior is in response to the circumstances rather than a physical cause. Behavioral reasons are the most common of all reasons for infant feeding problems. There are numerous behavioral reasons for a baby to experience feeding problems and/or display problematic feeding behavior. Common reasons include:
1. Misinterpreting baby's cues as signs of hunger Does baby at times refuse feeds?Does she take only a little and not want more?
Babies are in an oral stage of develop. Sucking is the primary way babies soothe. They also learn by sucking and mouthing objects. Many babies have a strong desire to suck for reasons that extend beyond hunger, such as tiredness, boredom, discomfort and soothing. There may be times when you mistake your baby’s desire to suck for these reasons as hunger.
Newborn babies have an active sucking reflex. This means a newborn baby may accept a feed even when she’s not hungry, and she might guzzle down the bottle because she cannot choose to not suck when her sucking reflex is triggered. Once her sucking reflex has disappeared (usually by 3 months of age) she will willingly take only the amount she wants to take.
If you have mistakenly interpret her fussing or desire to such as hunger and offer her a feed, she might take a little and refuse the rest, or she refuse from the start. If you try to make her drink more than she wants, she will understandably get upset and fuss, cry and pull back from the bottle.
WHAT TO DO- See Hungry baby for more reasons why babies often appear
- See Infant reflexes
In around one third of consultations I have had with parents regarding an infant feeding problem, I found that parents were trying to make their baby drink more than he or she needed. In some cases, this was because of errors made their health professionals. They either failed to adjust calculations as baby matured or failed to consider baby as an individual. As a result, overestimated baby’s milk requirements.
If you think your baby is not drinking enough milk (breast milk or infant formula) you’re naturally going to feel concerned. If your concern translates into trying to pressure her to drink more than she wants or needs (gently or otherwise), you’re going to upset her. So it is very important for your peace of mind and your baby’s enjoyment at feeding times that you have realistic expectations about how much she needs.
WHAT TO DO- See How much milk does baby need for standard estimations for age and weight, and reason why a baby might take more or less than recommended.
- Follow your baby's feeding cues. Don't try to make her take more when she indicates she has had enough.
Sleeping and feeding are closely related when it comes to the needs of babies. Both are equally important to a baby's health, growth and development and feelings of wellbeing. You are no doubt aware that if your baby does not feed well she might not sleep well. But are you aware that the opposite is equally true. If she’s not getting enough sleep this has the potential to negatively impact on her feeding.
Physical fatigue can cause baby to fuss during feeds or falling asleep before the feed is completed. If you have a hungry/tired baby on your hands, tiredness will usually win out.
WHAT TO DO- Ensure baby gets enough sleep.
- Feed her before she becomes too tired.
- Aim to establish a flexible feeding and sleep routine to minimize the risk of feeding and sleep times clashing.
If your baby is often irritable and not sleeping enough, (see Overtired baby for signs and symptoms) you might find that resolving any underlying sleeping problem will cause feeding difficulties to spontaneously resolve once she receives adequate sleep.
- See our sleep section.
- Download or order a paperback copy of my infant sleep book Your Sleepless Baby: The Rescue Guide. There you will find comprehensive information on the reasons and solutions to various infant sleeping problems.
Babies over the age of 4 months can easily become distracted while feeding. They are often much more interested in the activities going on around them than they are in feeding.
WHAT TO DOFeed your baby in a quiet environment away from noise and distractions of other children.
5. Feeding managementSome feeding problems can be related to what may appear like insignificant details but which can make feeding difficult or uncomfortable for a baby. For example, how you hold your baby will affect her ability to feed from a bottle. If her head is too far forward or too far back or her neck is twisted this can make it difficult for her to suck or swallow.
WHAT TO DOSee How to bottle-fed a baby
6. Feeding aversionDoes your baby refuse to feed even when hungry?Does she scream at the sight of a bottle or when placed into a feeding position?Have you resorted to trying to feed her while asleep?A baby can develop an aversion to feeding when past feeding experiences have taught her that feeding is unpleasant, stressful or painful. Typically, baby is diagnosed with reflux and/or milk protein allergy or intolerance to explain her aversive feeding behavior. However, a behavioral feeding aversion (related to feeding management rather than a physical cause) is a far more common cause of infant feeding aversion.
A feeding aversion is the most complex of all infant feeding problems. An effective solution relies heavily on accurate identification of the cause.
WHAT TO DOSee Feeding aversion for more information. Or purchase or download a copy of 'Your Baby's Bottle-Feeding Aversion: Reasons and Solutions'.
7. Feeding equipmentDoes your baby gag, cough or splutter during feed?Does baby make clicking sounds while feeding?It could be the nipple is too long, too short, too fast or too slow.
The most important piece of feeding equipment is the nipple. The nipple needs to be the right size and speed for your baby's size, age and sucking ability. If the nipple is too long, too short, too fast or too slow for your baby, she may experience feeding difficulties and express her frustration by fuss or crying.
WHAT TO DO- See Feeding equipment for more information on choosing a feeding nipple.
- Experiment with nipples of different lengths, shapes and speed.
It's possible her feeding difficulties could be due to the nipple ring being screwed on too tight.
In order to maintain a neutral balance in air pressure within the bottle air needs to be able to enter the bottle to replace the void left by the milk the baby is removing. If the bottle is vented, this is achieved via the venting system. However, in the case of a non-vented bottle, the only ways air can enter the bottle are between the nipple ring and the rim of the bottle and through the holes at the end of the nipple. While sucking, a baby will maintain a seal over the holes at the end of the nipple with her tongue and prevent air entry in this way. If the nipple ring is screwed down tightly this also prevents air entry.
If air is prevented from entering the bottle, this causes a negative pressure to build in the bottle. As the pressure builds, baby need to work harder and harder to extract further milk, until such time and the air pressure is returned to normal. The effort required to suck against the negative pressure can cause a newborn baby to tire and fall asleep before completing the feed. An older baby may simply give up or express her frustration.
WHAT TO DOThe nipple collapsing (not all will) or stopping to burp baby allows air to enter through the holes and neutralize the pressure. But you don’t want to wait for this to resolve the problem. By then baby is already tiring or getting frustrated. See ‘Collapsing nipple’ for ways to manage this problem.
9. Feeding patternsIs your baby often take only small amounts, refuse more, but then wants to feed again an hour or two later?Some babies develop a grazing or snacking feeding pattern where they will only drink small amounts of formula at a time and then want to be feed frequently, possibly every hour or two. Although this will not cause any problems for a baby, provided she drinks enough formula in total over a 24 hour period, it can become very tiring for parents to keep up with her constant demands for feeding.
WHAT TO DO- Try to encourage your baby to take as much milk as possible within 45 minutes. But don't try to make her feed if she doesn't want to. Stop sooner if she does not want to continue.
- Ensure baby gets plenty of sleep.
- Avoid allowing baby to fall asleep while feeding.
- Support your baby to extend the time between feeds, by offering a little water, a pacifier, a nap, playing with her, or taking her for a walk. Aim to encourage her to wait at least 3 hours from time you started her previous feed, but only if it's reasonable to do so without distressing her. If necessary extend the time between feeds gradually. As your baby gets used to going longer periods between feeds she will gradually take larger amounts at each feed.
Unless your baby was born prematurely or is very small for her age, developmentally she no longer requires feeding during the night beyond the age 6 months. If nighttime feeding continues past this age its not going to harm her but it could have a negative effect on her appetite and feeding patterns during the day.
Your baby only needs a certain number of calories in her day (24 hours) to provide for her growth and energy needs. If after the age of 6 months she continues to receive calories from nighttime feeds this will dampen her appetite during the day and she will not need to drink as much formula during daytime feeds. You might find she is content to go for long periods of time between feeds (which is usually what would happen at night). She might fuss or refuse some of her daytime bottles when they are offered simply because she's not hungry at the time. Or she might graze during the day.
Nighttime feeding will cause your baby no harm, so if you're happy to continue feeding her during the night there's no reason to change a thing. However, it is important that you don't expect her to consume as much milk during the day as she may have otherwise taken if she did not feed at night.
Many babies will give up night time feedings on their own accord, but others will continue to wake and demand feeds overnight for months and possibly years while parents continue to provide feeds at night. Usually the reason babies continues to demand night feeds beyond the age of 6 months is because they have learned to rely on feeding as a way to fall asleep, or because their internal body clock gets turned around - where the baby has decreased appetite during the day because of the continued night feeds and as a consequence of small feeds during the day the baby wakes hungry during the night. Body clock problems can easily become a cyclical pattern that will continue over the long term unless parents take steps to change the situation. Healthy, thriving babies who continue to demand feedings at night beyond the age of 6 months often require guidance and support from parents to cease feeding at night and turn their body clock around to a normal day-night feeding pattern.
WHAT TO DOAim to cease overnight feeds after 6 months of age. However, before attempting to do this it's important to address any feeding to sleep issues your baby might have. She would need to learn to fall asleep in a different way before you will be able to successfully encourage her to cease night feeds.
11. Starting solids earlyHave you started giving your baby solids before the age of 4 months?Have you been advised to start solids early?6 months is the recommended age for starting solid foods. Although a small number of babies may benefit from solids prior to this age, it's generally not recommended to start a baby on solid foods before the age of 4 months. An early start on solids has the potential to cause bottle feeding problems because solid foods may decrease the baby's appetite for milk (breast milk or formula).
WHAT TO DO- If your baby is less than 6 months old, either cease or reduce the amount of solids you offer to see if this helps to improve the situation.
- See our article on starting solids.
If solids are offered prior to bottle feeds, either directly before or mid way between feeds, when it's time for your baby's bottle feed she might be feeling full from the solids, in which case she's probably not going to take much milk from her bottle.
WHAT TO DO- For babies 4 - 9 months (when milk is still the most important food) offer solids 15 - 20 minutes after bottle feeds.
- For babies 9 - 12 months (when solids are becoming increasingly more important to a baby's diet) offer solids shortly before or shortly after her bottle, whichever you find works best. Babies at this age are often down to 3 bottles per day plus 3 main meals and 1 or 2 snacks.
In these early stages of learning to eat solids (4 - 7 months) solids are not needed to add value to a baby's nutritional intake, rather they are offered primarily to provide learning experiences. The baby is exposed to new food proteins that help prime her immune system. She gets to discover new tastes and textures and become accustomed to eating from a spoon. It is at this age that babies are most willing to accept new tastes. So variety rather than quantity is what solids are about.
Many babies, particularly very young babies, experience difficulty self-regulating their dietary intake. Some babies will continue to eat solid foods for as long their parents keep offering. Some babies will prefer eating solids compared to drinking formula. However, too much solids and not enough milk is not a balance diet for a baby. It may be necessary for parents to limit the amount of solids they offer in order to encourage their baby to have a greater appetite for milk feeds.
WHAT TO DOSee our article on estimating how much milk your baby needs to make sure she's getting enough.
14. Weaning difficultiesDoes your breastfed baby refuse bottle-feeds?Does your baby have a breast preference?While some breastfed babies willing accept milk from a bottle many will not, at least not straight away.
Difficulty weaning from breast to bottle is rarely resolved by finding the 'right' feeding nipple. (All feeding nipples will feel equally foreign to a breastfed baby. ) Nor does a solution lie in finding a formula with the 'right' taste. All formula will taste strange to a breastfed baby). The difficulty associated with weaning to a bottle most often lies in the fact that bottle-feeding requires a very different sucking action to breastfeeding. While breastfeeding the movement of your baby's tongue milks the breast, where as bottle-feeding requires a sucking action. A baby who has been exclusively breastfed beyond the age of 3 months will often refuse milk from a bottle because it "doesn't feel right" and she doesn't know how to suck from a bottle.
It takes time and practice before a breastfed baby learns how to suck on a bottle.
WHAT TO DO- Try offering expressed breast milk in a bottle initially. (Don't be too optimistic and put too much in to start with. It would be a shame to waste it).
- A soft flexible nipple often works better.
NOTE: Many breast fed babies will refuse to accept a bottle while they are still being breastfed at times. They will simply wait until a breastfeed is offered. For these babies it will be the case of breastfeeding or bottle-feeding, but not both.
How we can help your baby take a bottle- Your Baby's Bottle-feeding Aversion book
- Baby Care Advice consultation
- Rowena Bennett's Online Bottle-Feeding Aversion Program
In my book, ‘Your baby’s Bottle-feeding Aversion’, I have described physical and behavioral reasons for babies to develop an aversion to bottle-feeding. How to identify the cause and the solutions to match. Included are step-by-step instructions on how to regain your baby’s trust and resolve a feeding aversion caused or reinforced by repeated pressure to feed.
While the book was written for bottle-fed babies, many nursing mothers have found that applying the same strategies has also helped them to successfully resolve a breastfeeding aversion.
You might find that reading this book is all you need to do to understand the steps you need to take to resolve your baby’s feeding aversion and get him back to the point of enjoying eating until satisfied.
Baby Care Advice ConsultationsIf you would like an individualized assessment of all reasons for infant feeding problems, not just feeding aversion, we also provide a consultation service. Baby Care Advice consultants have extensive experience in pinpointing the cause of feeding aversion and other behavioral feeding problems such as those related to equipment and the parent’s feeding practices. (For more on what’s included in a consultation).
By Rowena Bennett, RN, RM, CHN, MHN, IBCLC.
Copyright www.babycareadvice.com 2021. All rights reserved. Permission from the author must be obtained to reproduce all or any part of this article.
Rowena's Online Bottle-Feeding Aversion ProgramSix time-saving modules to help your family enjoy feeding again with Rowena's step-by-step plan. Enjoy additional tools to manage anxiety, troubleshoot any issues, introduce new carers, how to manage illness/teething and much more.
- Module 1: Understanding feeding aversions
- Module 2: Identify the cause
- Module 3: Prepare for success
- Module 4: How to resolve your baby's bottle-feeding aversion
- Module 5: What to expect
- Module 6: Troubleshooting
- BONUS: Guided meditations
Why is my Baby Crying When Feeding?
Babies can’t talk to you to get your attention, so instead, they cry!
Most of the time, crying is totally normal and most newborns cry for around two to three hours a day. But crying when feeding can be challenging and frustrating for everyone involved.
Your baby may be crying while being bottle or breastfed for several reasons. Let’s run through what these reasons are and how you can help soothe your little one during feeds.
Some babies cry and become unsettled as they feed. The following could be causing their upset:
They have reflux
Crying and becoming fussy when feeding may be a sign of a common condition where babies bring their milk back up after feeds. This is known as reflux and usually starts before your baby is eight weeks old. It should clear up by the age of one year.
They need to be changed
Sometimes it’s as simple as popping on a fresh diaper before feed time. Some babies just don’t like to feed if they’re wearing a dirty diaper.
They’re not as hungry as you thought
If your baby cried mid-way through a feed, they might just be full up. Paced feeding may help as it gives them the chance to check in on their appetite.
They’re tired
Tiredness can cause a baby to become fussy during a feed, and they may even fall asleep before their feed is done. To stop tiredness from disrupting their feeds, try to feed them before they become too tired and be flexible with your feeding and sleeping routine.
They’re going through a growth spurt
Little ones go through many developmental steps during the first weeks and months of their life. These can sometimes make them a little fussy and unsettled during feeds. Similarly, teething and feeling unwell can also disturb their feeds.
They’re distracted
Once they start to become aware of what’s going on around them, little ones become very curious, and their mind (and eyes) can wander during feeds. To help them focus on their feed, try to give them their milk in a quiet environment that’s free from loud noises and distractions.
They need a different teat
If you’re bottle feeding, your baby may be crying during a feed because the flow of the nipple you’re using is too fast or too slow and they’re not getting enough milk. Double check that the teat you’re using is correct for your baby's age and sucking ability.
You’re going from breast to bottle
It's recommended that parents wait until their baby is comfortable with breastfeeding before bringing a bottle into the mix. But once you do introduce a bottle into your feeding routine – either by combination feeding or exclusively bottle feeding – it can take your baby a while to get used to the change.
They’re uncomfortable
No one wants to be uncomfortable during mealtimes and if you’re breastfeeding, you may find that your baby stops crying when feeding if you adjust your breastfeeding position. Check that your baby’s head and neck are aligned, and that their neck, shoulders, and back are supported.
If your baby is bottle-fed, it may help to sit them upright during feeds. This reduces the amount of air they swallow and therefore lowers the chance of uncomfortable trapped wind. If you think your baby may have trapped wind, take time to burp then often during feeds and give an anti-colic bottle a go.
If you’re wondering about which feeding position is right for you and your baby, or are concerned about them crying during a feed, you should ask your doctor or health visitor for help and support.
Tips on how to soothe a crying baby
Crying is a way for a child to communicate, but despite its naturalness, it is not out of place to try to calm a crying baby. It is logical that parents will have a question: “How to calm the child?” This may seem like a daunting task at times, but understanding the reasons will help you learn how to soothe a crying baby. Remember: you are doing great. We just want to give you some useful tips to help ease your worries.
If you have any questions or concerns about your baby's crying, seek medical advice. Sometimes crying can be a sign of an existing medical condition, so it's best to pay attention to any additional symptoms right away.
Why your baby is crying
Baby crying is not only natural but also expected, especially during the first three months of life. Babies usually cry for an hour every day for the first few weeks. At about six weeks old, your baby may cry for up to two hours a day, and from eight weeks on, again for about one hour a day. However, remember that all babies are different and cry differently! 1
Crying is a way of saying something is wrong. When it comes to learning how to soothe a crying baby, it's important to understand what exactly is causing her anxiety. Your baby may cry if: 1
- he is hungry;
- the baby is troubled by belching or bloating;
- need a diaper change;
- he wants to sleep;
- wants to be picked up or rocked;
- baby is hot or cold;
- baby has colic;
- feels uncomfortable: wants to roll over, presses on the diaper or clothes, or is disturbed by tight swaddling;
- the baby is teething.
If your baby cries for more than three hours a day and more than three days a week, he may be suffering from colic. However, this is not a reason to panic, and there are several ways to soothe a child with colic. Find out here about colic, its symptoms, and how to soothe a baby with colic.
If you think reflux (regurgitation) may be the cause of your crying, you can learn more about the different types of reflux and how to manage it here.
Be sure to contact your child's doctor if your baby seems ill or has the following symptoms in addition to excessive crying: 1
- fever;
- shortness of breath or cough;
- vomiting;
- diarrhea;
- rash;
- crying worse when the child is picked up or moved;
- increased irritability or lethargy.
How to soothe a crying baby
Once you have ruled out some potential causes of crying, you will have a better idea of how to soothe your baby. The most important thing to remember is not to get upset and stay as calm as possible.
Here are some tips and tricks on how to calm your baby: 2
1. Swaddle your baby.
One of the most useful techniques to soothe a crying baby is swaddling. When doing this, make sure that you do not cover the child's head and do not overheat him. Don't swaddle your baby too tight: swaddling too tightly can interfere with your baby's natural body position, breathing, and blood circulation: your baby may not like it, causing him to cry. Don't swaddle your baby when he starts to roll over, which usually happens around four months of age.
2. Hold the child in your arms and comfort.
When your baby is crying, it's natural for you to want to pick him up. And when your newborn cries for no reason, he probably wants to be picked up. If you're trying to calm your baby at night, try keeping him upright or in a rocking chair until he falls asleep. Any gentle strokes or vibrations can be very soothing. You can also give your baby an ultra soft pacifier, which is recommended for soothing newborns. This pacifier will help your baby feel comfortable and safe.
Otorhinolaryngologist (ENT)
Clinic "Mother and Child" Kuntsevo,
I want to eat!
Most often, the baby cries because he wants to eat. And to understand that he is hungry is the easiest way. At first, the baby shows concern, smacks his lips, turns his head to his mother's hand, stroking his cheek, tries to put his own fist in his mouth. All this means that there is very little time left before the hungry cry. Noticing such signs, you should not wait: feed the baby on demand. Otherwise, starting to cry, he will have to spend a lot of energy trying to calm down, and therefore, he will eat less and the next time he will get hungry again too soon. In general, for children who are breastfed, during the first month of life there is no clear feeding regimen. A newborn can be applied to the breast up to 10-12 times a day.
I want to sleep!
The next reason for screaming is, oddly enough, the desire to sleep. Many parents think that a baby can fall asleep anytime, anywhere, and even in almost any position. No, it's not like that - he needs help. How do you know if your baby wants to sleep? It's easy to guess. At first, he will behave restlessly, cry, push out the pacifier, rub his eyes, yawn. And then he starts crying. Here, too, it is necessary to try to calm the child as quickly as possible so that he does not disperse in crying, otherwise it will be more difficult for him to fall asleep. Rituals will help: you can shake the baby, sing a song, put it in the usual sleeping place.
I'm wet!
Crying can be a signal that the baby is uncomfortable: for example, his diaper is wet. Cold and wet, they irritate the skin, so he screams: “Mom, dad, change me quickly!” Crying about this is whimpering, incessant, although it sounds either stronger or weaker, it may be accompanied by hiccups, as the child freezes in wet diapers. If the diaper is changed, and the baby is warmer to cover, he will calm down. If the child is not in diapers, but in reusable diapers, you should not relax either: they can leak or get wet inside. So, the baby is also wet and cold. If the child sleeps in one diaper all night, then he may be disturbed by a greatly increased diaper volume. And of course, children do not like to be in dirty diapers (diapers): feces quickly irritate delicate skin.
I'm hot!
If the baby is hot, he will also cry about it. He will begin to whimper, scatter his arms and legs, his skin will turn red, a small red rash (prickly heat) may appear under his clothes. At the same time, the temperature of the baby sometimes even rises to 37.5 ° C. This is what saves here: the child must be undressed (and removed diapers, especially disposable ones), wiped with a towel moistened with water at room temperature, and allowed to lie in the air for several minutes. Then you need to dress the baby, but in other, clean clothes. In the fight against overheating and prickly heat, a reasonable amount of clothing and a comfortable room temperature - no higher than 24-25 ° C will help, first of all.
I'm uncomfortable!
The reason for the inconvenience can be any: the child may cry when the temperature changes, when changing clothes, changing the diaper or wiping his bottom with a damp cloth. Newborns feel more comfortable when they are dressed or wrapped in diapers, because the touch of air on the skin is not always pleasant for them. In addition, children often do not like to be changed, especially if it is winter and you have to wear a lot of clothes. There is only one way out: learn to act as quickly as possible, causing the crumbs a minimum of inconvenience.
A few words about clothes. It is better not to buy clothes with fasteners on the back and coarse seams inside - the baby may not like it. And sometimes even the slightest thread or hair caught between the clothes and the skin of the baby causes him great inconvenience.
I want attention!
Attention and tactile sensations are very important for a child. He loves to see the faces of his mom and dad, hear their voices, communicate with them. But so far, the baby cannot ask his parents to take him in his arms, read him a fairy tale, sing a song, play - but this does not mean at all that he does not need it. Therefore, crying, the baby wants to be paid attention to, requires communication. Do not worry that the baby will get used to the hands too much. While he is so small, he needs to feel a sense of security - it is this that will later help him gain confidence in his abilities. Well, different cradles, deck chairs, playpens, child seats will only help mom and dad free their hands and at the same time place their beloved child next to them.
Once you learn to understand your baby's "language", you will see that the reasons for crying vary from case to case. A little time and patience - and very soon you will understand what the child wants, already from the first seconds of his discontent.
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