Bottle-feeding problems and solutions | INSPQ (2024)

Bottle-feeding problems and solutions | INSPQ (1)

Bottle-feeding problems and solutions | INSPQ (2)You may need to wake your baby up to feed her if she sleeps a lot.

Photo: Marie-Ève Bolduc

Babies can sometimes have trouble feeding. Usually, the problem is temporary. The first thing to do is observe your baby. Try to get a feel for her temperament as well as her feeding and sleeping routine.

Your baby sleeps a lot

If your baby sleeps a lot, you probably wonder whether you should wake her to feed. Knowing what’s best isn’t always easy. You can follow her routine and let her sleep if she

  • Wakes up on her own to feed
  • Is an active and effective feeder
  • Pees at least 6 times and passes at least 3 stools a day
  • Is calm and seems satisfied after feeding
  • Has regained her birth weight and continues to put on weight

In this case, there is nothing to worry about. Babies each have their own routine that develops over time.

Some babies sleep so much they may skip some feedings, especially during the first 2 to 3 weeks. This means they will have a hard time getting all the milk they need. If your baby sleeps a lot and doesn’t show the signs described above, you need to stimulate her to drink more.

What to do?

  • Keep an eye out for signs that she’s sleeping lightly (she’s moving, making sucking motions, or moving her eyes beneath her eyelids) when it will be easier to wake her up.
  • Stimulate her: talk to her, massage her back, legs, arms, etc.
  • Leave her in an undershirt or diaper: babies drink less when they are warm.
  • See a professional if you’re worried or see no improvement after a few days.

Your baby drinks very slowly

Babies can’t always suck effectively at the start. This is more common among babies who were born a few weeks prematurely (between 35 and 37 weeks of pregnancy). Even full-term babies may need a few days or weeks to get the hang of things. This situation usually improves with time. Be patient: your baby is learning. Some babies, however, will continue to drink slowly even as they get older.

What to do?

  • Change to a faster nipple.
  • Stimulate your baby as she feeds by rubbing her feet and tickling her back and sides.
  • Run your finger under her chin and across her cheeks to stimulate her.
  • Change her diaper or change her position for a few minutes.

Your baby often chokes while drinking

If the nipple you are using flows too quickly and your baby has too much milk in her mouth, she may choke (i.e., she swallows noisily, coughs and spits up a little milk).

What to do?

  • Change to a slower nipple.
  • Take short feeding breaks.
  • Avoid laying your baby on her back during feeding since milk will flow into her mouth even when she’s not sucking. Try to feed her in a near-sitting position so that the bottle is tilted only slightly downward (just enough for the nipple to fill with milk and not air). Your baby will then be able to drink at her own pace.

Your baby regurgitates a lot

As long as your baby is happy and putting on weight, regurgitation (“spitting up”) is generally nothing to worry about (see Regurgitation).

Some babies drink very fast, and their stomachs expand too quickly. This makes it easier for them to regurgitate, especially if they are very active and start moving around right after feeding.

If milk is coming out of the bottle too quickly, your baby will drink too much just to satisfy her need to suck. If she regurgitates a lot, the nipple on the bottle may be too fast.

What to do?

If your baby is in good spirits and gaining weight, there’s nothing to worry about. You don’t need to do anything.

If regurgitation seems to be bothering her, watch her drink. If necessary, try these strategies:

  • Change to a slower nipple.
  • Take short feeding breaks.
  • Try to burp her more.
  • Avoid laying your baby on her back during feeding. Try to feed her in a near–sitting position so that milk will flow into her mouth more slowly.
  • Try to keep activity to a minimum right after feeding.

It’s best to see a doctor if your baby

  • Seems to be in pain
  • Projectile vomits several times a day
  • Wets fewer diapers
  • Isn’t putting on enough weight

Your baby refuses the bottle

Your baby normally breastfeeds, and you want to bottle‑feed her? If she has trouble bottle-feeding or refuses to altogether, see the tips on Combining breast and bottle.

Bottle-feeding problems and solutions | INSPQ (2024)

FAQs

Bottle-feeding problems and solutions | INSPQ? ›

The shape or structure of a baby's cheeks, mouth, tongue or jaw can impact their feedings. That's because these body parts affect how they're able to latch both to the bottle, as well as to the breast. For example: Thin cheeks with little to no fat pads make it hard for a baby to hold their tongue in place to feed.

Why is my baby so difficult to bottle feed? ›

The shape or structure of a baby's cheeks, mouth, tongue or jaw can impact their feedings. That's because these body parts affect how they're able to latch both to the bottle, as well as to the breast. For example: Thin cheeks with little to no fat pads make it hard for a baby to hold their tongue in place to feed.

What are the problems associated with bottle feeding among infants? ›

1. Misinterpreting Hunger. The most common and the most easily correctable problem related to bottle feeding is the misinterpretation of hunger by new moms. Babies tend to suck on their thumbs and other objects for various reasons other than being hungry.

How to fix clicking while bottle feeding? ›

If the flow rate is the cause of the clicking, strategies tailored for managing overactive letdowns, along with more upright & laidback feeding positions, should resolve the clicking.

Why is my baby so angry when bottle feeding? ›

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.

Why is my baby hungry but refusing the bottle? ›

Gastrointestinal issues, like reflux or constipation, could lead to a breastfed or formula-baby refusing the bottle. “Babies are smart, and if eating leads to feeling uncomfortable, they may begin to refuse the bottle or only eat a small amount to curb their hunger,” says Marquez.

How do you bottle feed a baby that refuses the bottle? ›

Here are some tips that have been helpful for some families, and hopefully will be helpful for yours, too.
  1. Try having someone other than mom offer the bottle. ...
  2. Try offering the bottle when the baby is not very hungry. ...
  3. Try feeding the baby in different positions. ...
  4. Try moving around while feeding the baby.

What is bottle feeding syndrome? ›

What is bottle-feeding caries syndrome? This is a condition where baby teeth are decayed in children between the ages of 2 and 4 years old. The main reason is due to the habit of bottle-feeding with products containing a lot of lactose for quite a long time.

When to stop bottle feeding? ›

Weaning off the bottle: when and why

If you're bottle-feeding your baby with either expressed breastmilk or infant formula, it's recommended that you wean your baby off the bottle by the time they're 12 months old. At this age, your baby can keep breastfeeding and/or drink from a cup instead.

Why is my baby spitting out milk during feeding? ›

Spitting up is a very common occurrence in healthy babies, and usually won't cause any issues in regards to the baby's growth or development. This often happens because the baby's digestive system is so immature, making it easier for their stomach contents to flow back up into the esophagus.

Why is my baby grunting while bottle feeding? ›

Why do newborn babies grunt? Usually, newborns grunt when they learn how to pass stool. However, newborn grunting can occasionally indicate a health issue, such as trapped mucus, gastroesophageal reflux, or irregular breathing.

Does it really matter if baby clicks while feeding? ›

These signs, together or individually, may suggest that your baby has not achieved a deep latch. A “click” indicates that your baby is breaking the seal on the breast. This causes your nipple to slip in your baby's mouth and often creates a sore nipple.

Why is my baby gulping and clicking? ›

The sounds of “gulping” and “clicking” can signify a poor vacuum is in place and the child is swallowing more air then milk. The infant's hands should be open and relax and eye contact maintained with the mother.

Why does my baby get angry when feeding? ›

Experts can't always pinpoint the exact reason it happens, but fussiness is especially common in the first few months of life, and also during evening feedings. Some babies fuss when they're having a growth spurt, or when they're struggling with a fast milk flow.

Why is my baby hungry but fighting the bottle? ›

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.

Why is my baby squirming and grunting while feeding? ›

Most of the time, your newborn's gurgling noises and squirms seem so sweet and helpless. But when they grunt, you may begin to worry that they're in pain or need help. Newborn grunting is usually related to digestion. Your baby is simply getting used to mother's milk or formula.

Why does my baby struggle when feeding? ›

Your baby is fussy or cries during or after feeding

Some possible causes: Your baby might be eating too much or not enough. Find out how much formula your baby needs. The bottle nipple is too big for your baby's mouth or the flow of formula is too slow or too fast.

Why am I having a hard time feeding my baby? ›

Poor feeding may also be caused by temporary illnesses, including ear infections and colds. These can make feeding uncomfortable for babies and will normally stop when the illness is treated. Other factors that may affect a baby's ability to feed are stress, pain from teething and medication side effects.

Why is my baby suddenly difficult to feed? ›

It could be from a cold, ear infection, stuffy nose, upset stomach, injury, teething, thrush, cold sore, or other reasons. Your baby is upset. Maybe there is a big change in nursing routine, you were apart for a long time, or your baby's environment is uncomfortable. Your baby is distracted.

Why does my baby take so long to bottle feed? ›

If you find your child is fussing on the bottle, taking much longer to finish a feed, falling asleep feeding or the teat is being sucked into the bottle then these would indicate they need to change teat size to allow a faster flow of milk.

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