Why does my baby take so long to bottle feed

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. nine0013

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

References:

^{*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", RF, 10/02/2012 3} llli.org - The Baby Who Doesn't Nurse

llli.org - Introducing a Bottle to a Breastfed Baby

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Why does the baby always hang on the chest? ❤️ KIDY.eu

1. Not enough milk?
2. Temporary crises
3. What to do in temporary crises?

“My baby just hung on my chest. I know what to feed demand, but he demands endlessly. What to do?!" - is the most common question to lactation consultants. It turns out that the phrase "the baby is hanging on the chest" means different things for everyone. nine0003

It happens that mothers expect that the baby will ask for a breast every 3-4 hours, eat 15 minutes, and sleep the rest of the time. And the requirement of the breast once every 1. 5-2 hours, as most newborns do, is alarming. So: if a baby of the first months of life asks for a breast every hour or two and, having received it, eats up to half an hour, then this is not “hanging”, but the normal behavior of the baby. Over time, the baby will begin to ask for breasts less often, but for now you need to wait. For the mother's body, frequent feedings are also useful: they help a good contraction of the uterus, prevent the development of postpartum complications and regulate the total amount of lactation so that the mother does not experience milk stagnation. It happens differently: the baby asks for breasts in 2-3 hours, but, having received it, eats for an hour or even longer. This may be a variant of the norm, but the situation can be improved. Also, carefully look at the general state of affairs with feeding, if the child lives in the rhythm of “an hour I eat - an hour I rest” or spends more time on the chest during the day than without it. nine0003

Not enough milk?

Usually the first thing a mother thinks about is that if a newborn is constantly hanging on her chest, then she does not have enough milk. Absolutely not necessary! But you need to check this version. And only weight gain can reliably show this.

Do not rush to get upset, this can be fixed!

1. Have a lactation consultant look at your feeding. He will suggest ways to improve, assess whether supplementary feeding is needed and whether lactation should be stimulated. nine0036
2. If a consultant is not available, look for improved attachment to the breast. Often this is enough for the breast to begin to be better stimulated to produce milk, and the child to suck out this milk better.
3. If the baby has gained a kilogram or more in a month, then we are not talking about a lack of milk. Most likely, you can think about a temporary crisis ...

ATTENTION - this is a very important point!
Often mothers are asked to express milk, evaluate breast size, etc. for testing. But these are all very unreliable signs that are different for all women and they don’t talk about the amount of milk. In mothers, the breast reacts differently to pumping, the amount of glandular tissue is different for everyone (in a small breast it can be much more than in a large one, where adipose tissue predominates). The only thing you can really trust is how your baby grows and gains weight. nine0013 For the first 3 months of life, an increase that indicates a sufficient amount of milk - from 500 grams per month or more.

If a child gained 500-700 grams in a month, but he had to hang on his chest for hours, the mother needs to work on organizing breastfeeding, otherwise the situation usually worsens later. If your baby added less than 500 grams, then, alas, he really does not have enough milk.

Temporary crises

These are situations of a sharp increase in the attachment of babies to the breast or a sharp increase in the duration of feedings. Every nursing mother faces this, it’s just that someone understands what is happening, someone gets scared, and someone simply, out of ignorance, takes steps to stop breastfeeding.

Crises are caused by various reasons:

1. Crisis of adaptation when new circumstances appear in the baby's life . Usually adaptation crises: the second week of life, moving or going to work, travel. The baby is trying to calm down and regain confidence in her mother's support through more frequent attachments. The crisis can also be provoked by internal factors: for example, a child is preparing to fall ill, and through an increase in attachment, his body fights the disease with the healing elements of breast milk. Babies also tend to hang on their chests before any kind of developmental leap (usually new skills, such as crawling or walking). Mom's milk and attention give the baby the strength to conquer new heights. nine0036
2. Growth spurt crisis . These growth spurts are tied to certain periods of a baby's life: about three weeks, a month and a half, three months, six and nine. During such periods, many children actively grow. For such rapid growth, babies need more nutrition than usual, so they quickly empty their breasts, which gives mothers the impression of “missing milk”. There is actually milk in the chest, just on crisis days the child eats it much more energetically and is ready to constantly ask for breasts, to eat more and more. nine0036

1. The most seemingly obvious option to supplement with formula often becomes a “red flag” for the mother’s body: you don’t need so much milk, the child manages anyway. As a result, milk production really begins to decline rapidly.
2. In a crisis situation, it is important not to panic, but for a couple of days literally lie down with the baby in bed and patiently feed, shifting from one breast to another as it is empty. You can drink hot tea, use lactogons, but this is not enough without frequent feedings. And most importantly, crises are a very short-term phenomenon, they rarely last longer than 2-4 days! nine0036

What to change?

Let's go back to the most common situation with "chest hanging": the baby gains weight only slightly above the lower limit (500-700 g in the first three months of life or 400-500 g in the next three months). When, with such increases, the child is applied to the breast every 2-3 hours for about half an hour, this is expected. But if the feedings are more frequent and longer, then sucking is ineffective: the baby sucks out a portion of milk for a very long time, enough to eat.

What to do?

1. Adjust breastfeeding to the so-called “asymmetric” . When feeding, the breast should be captured deeper from below than from above: the main working parts of the baby's mouth (lower jaw and tongue) are located below, and stimulation from this side should be maximum. This method of application allows the baby to receive milk most efficiently and stimulate the breast to produce new milk.
   Bring the baby to the breast at such a height that the nipple is at the level of the spout. On the chest, form a crease with the nipple in the middle so that the thumb is on top of the crease and opposite the baby's nose, and the index and other fingers are below, parallel to the baby's lower lip. When a child feels a breast nearby, he reflexively opens his mouth and throws his head back; then the nipple, which was at the level of the nose, will be directly opposite the mouth. And at this moment, the fold from the chest must be directed into the child's mouth, trying to make the nipple point upwards into the sky. If everything is done correctly, then the baby’s head will be slightly tilted up when sucking, the chin will be tightly pressed to the chest, and the nose is either completely free or touches the chest only with the tip. If the chin does not touch the breast, but the nose is pressed into it, then this is just inefficient sucking, in which the baby has to suck for a very long time to eat, and even the nipples can be injured. nine0036
2. To increase the amount of milk received per feeding session and reduce the application time, make sure that the feeding is effective . It is a mistake to continue to keep the baby on the chest after he has already emptied it. If the baby has eaten the bulk of the milk from the breast and continues to suck, receiving drop by drop, a teaspoon in five minutes, then it is not surprising that he will not be particularly full after an hour. At the same time, if the mother simply transfers the child to another breast, in the same time the baby will receive a full, good portion of milk and eat much better! nine0013 “But I heard that the breast should not be changed often, otherwise the baby will not receive hindmilk,” mothers object. Alas, this recommendation has created a lot of problems where they could have been avoided: it only applies to situations of excess milk production. If lactation is so abundant that the baby has to swallow the lighter foremilk for a long time and actively before he gets to the fatter hindmilk, this makes sense. But if there is not much milk, then the child eats both the anterior portion and the fatter posterior portion, and after that continues to squeeze the last drops out of the breast for another half an hour, instead of receiving the second same portion from the other breast. ..
   Pay attention to the baby's sucking rhythm to help you navigate the timing of the breast change. Forward, more liquid milk flows freely, the baby swallows it quickly and actively. Then the rhythm of the sips slows down, for several sucking movements there is only one swallowing. When the baby has to make 3-4 sucks before swallowing, it means that he has reached fatter and thicker milk.
   A little more - and the rhythm is already five or six sucks per sip, the chest is almost empty. At this point, squeeze the breast at the base with one hand, which will squeeze the rest of the fatty hindmilk into the ducts. After the baby swallows a little more actively, but when his throat slows down again, it's time to change the chest. nine0036

Sometimes during times of crisis, it is necessary to transfer the baby from one breast to another several times during one feeding. But this is more effective and will give the child more benefit than keeping him all this time on one breast.

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