Is Your Baby Experiencing a Milk Strike at Three Months? - Pediatrics

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Are you lactose intolerant?


This weekend, my baby turns three months old.
Since last weekend, the amount of milk he drinks each time has decreased by more than half compared to before.
He is exclusively breastfed, and previously, after feeding from both sides, I would feel a sense of relief from not being engorged anymore.
However, now he often stops feeding before finishing one side, and sometimes when I try to force him to continue, he cries loudly.
Is it possible for a baby to experience a nursing strike this early? Could this lead to malnutrition?

Candy, 20~29 year old female. Ask Date: 2010/08/03

Dr. Xiao Kaiwen reply Pediatrics


The period of milk aversion is considered benign when pathological causes (such as fever, pharyngitis, enterovirus pharyngitis, gastroenteritis, etc.) have been ruled out, and the child's activity level is normal with appropriate growth in height and weight.
Typically, the peak of milk aversion occurs around 6 months of age, which coincides with the introduction of solid foods, although some may experience it earlier.
Generally, milk aversion is benign and temporary, and it does not lead to malnutrition; it is best to let it pass naturally (or try some physical methods, such as offering smaller amounts more frequently to see if the total daily milk intake can be increased).
Only a small number of more severe cases may require medical intervention.
However, please consult your pediatrician to rule out any pathological causes of milk aversion.

Reply Date: 2010/08/03

More Info


It's quite common for parents to experience concerns when their three-month-old baby suddenly reduces their milk intake. This phenomenon can often be attributed to a temporary phase known as a "milk strike" or "nursing strike." While it can be alarming, especially for first-time parents, it's essential to understand that this behavior is usually normal and often resolves on its own.

At around three months, babies undergo various developmental changes. They become more aware of their surroundings and may be easily distracted during feeding times. This newfound awareness can lead to a decrease in their interest in feeding, which might explain why your baby is drinking less than before. Additionally, some babies may experience a natural decline in appetite as they grow and their feeding patterns evolve.

It's important to note that a milk strike does not necessarily indicate that your baby is experiencing nutritional deficiencies, especially if they are otherwise healthy, active, and meeting developmental milestones. As long as your baby is gaining weight appropriately and producing a sufficient number of wet diapers (typically around six to eight per day), they are likely getting enough nutrition. If you notice that your baby is still gaining weight and seems content between feedings, there is usually no cause for concern.

However, if your baby is refusing to feed and showing signs of distress, it may be worth considering a few strategies to encourage them to resume their regular feeding habits. Here are some suggestions:
1. Create a Calm Feeding Environment: Minimize distractions during feeding times. Find a quiet, comfortable space where your baby can focus on nursing without interruptions from noise or visual stimuli.

2. Offer Smaller, More Frequent Feedings: Instead of trying to get your baby to drink a full feeding at once, offer smaller amounts more frequently. This can help them feel less overwhelmed and more willing to feed.

3. Try Different Positions: Experiment with different breastfeeding positions to see if your baby prefers one over another. Sometimes a change in position can make feeding more comfortable and appealing.

4. Skin-to-Skin Contact: Engage in skin-to-skin contact with your baby. This can help stimulate their natural feeding instincts and create a sense of security and comfort.

5. Monitor for Signs of Hunger: Pay attention to your baby's hunger cues, such as rooting or sucking on their hands. Responding promptly to these signals can help encourage feeding.

6. Consult with a Pediatrician or Lactation Consultant: If your baby's milk intake continues to decline or if you have concerns about their nutrition, it's always a good idea to consult with a healthcare professional. They can provide personalized advice and support.

In conclusion, while a decrease in milk intake at three months can be concerning, it is often a temporary phase that many babies go through. By creating a supportive feeding environment and being responsive to your baby's needs, you can help them navigate this period. Always trust your instincts as a parent, and don't hesitate to seek professional guidance if you feel it's necessary. Your baby's health and well-being are the top priority, and with time, they will likely return to their regular feeding patterns.

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