Dr. Mona's Mom Blog

Introducing the bottle and bottle refusal

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Here are some tips to introducing a bottle and some tips if they refuse.

If you will need to introduce the bottle, you will want to introduce it when baby still has their primitive suck reflex (before 10 weeks). Otherwise, introducing the bottle when they are used to the breast can be more difficult.

You can be the one to introduce the bottle, however, sometimes baby will associate you with feeding at the breast. So, a partner or another caregiver can help. You can leave the home, but make sure that caregiver understands baby may refuse the bottle and to be patient and consistent with baby.

Note that if you are breastfeeding, the ideal time to introduce a bottle (again, if you will need to) would be before 10 weeks of age. The key is to start early and be consistent.

Tips when introducing the bottle:

  • If breastfeeding, working with a lactation consultant can help balance breast and bottle feeding. If solely feeding at breast, introducing the bottle after two weeks and before 10 weeks is ideal if you are planning on pumping milk in future. Waiting after 10 weeks can lead to more refusal.
  • Sometimes having the alternate caregiver wearing something that smells like you can help.
  • Have the caregiver feed in different locations around the house or in different positions. Sometimes they don’t want to be cradled how they are when feeding at the breast.
  • Don’t wait until the baby is very hungry (and angry). Try to offer it around normal feeding times or just before their normal feeding time.
  • You may need to trial various nipples/bottles. Use this guide as a reference on examples of nipples/bottles to use.
  • Dream feedings may be helpful here: offer the bottle when they are drowsy to get them used to the feel of the nipple in their mouth.

Be patient and consistent: Many times our stress and fear of bottle refusal is a vicious cycle that leads to more stress around feeding times and more refusal.

Understand that it’s normal and be patient with them and yourself.

For more content on infant feeding including an entire module about Infant Feeding Foundations, purchase and join The New Mom’s Survival Guide and community!

P.S. Checkout Episode 40 where I discuss more on infant feeding: “Infant Reflux and Constipation”!

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All information presented on this blog, my Instagram, and my podcast is for educational purposes and should not be taken as personal medical advice. These platforms are to educate and should not replace the medical judgment of a licensed healthcare provider who is evaluating a patient.

It is the responsibility of the guardian to seek appropriate medical attention when they are concerned about their child.

All opinions are my own and do not reflect the opinions of my employer or hospitals I may be affiliated with.