Infant Feeding Aversion: Causes and Solutions for Parents

More than a month of milk aversion?

Hello Doctor: My baby is currently over one month old and weighs 4.8 kg.
He is bottle-fed with breast milk five times a day, consuming about 130-140 cc each time.
However, for the past week, he has shown less interest in drinking milk.
He is fed at a fixed time of 11:30 PM, and usually wakes up between 5 AM and 7 AM.
During the first and second feedings after waking up, he often only drinks 70-80 cc, and sometimes even just 40 cc, then goes back to sleep.
Previously, he would finish his morning feedings and stay awake for a while.
Additionally, he now requires being comforted and walked around in order to drink slowly.
Is this a sign of milk aversion? If so, what should I do? Could there be any underlying health issues? If my baby continues to sleep, should I wake him up after a certain period to offer a feeding to make up for the small amounts he has consumed, or should I wait until the next feeding and offer more then? Thank you!

Ding Ding, 20~29 year old female. Ask Date: 2014/04/30

Dr. Xiao Kaiwen reply Pediatrics

As long as the child has normal activity levels and their height and weight are increasing appropriately, and they are not experiencing illnesses such as fever, throat inflammation, herpetic pharyngitis from enterovirus, or gastroenteritis with vomiting and diarrhea (some of which require examination by a pediatrician), it can be considered a benign period of milk refusal.
Generally, it is best to let it happen naturally; forcing the child to drink will only prolong the milk refusal period.
If the child reaches the age where they can eat solid foods, complementary foods can be introduced.
When the baby is sleeping, there is no need to wake them for a feeding; they can drink more at the next meal.

Reply Date: 2014/04/30

More Info

Feeding aversion in infants can be a concerning issue for parents, especially when it seems that their baby is not consuming enough milk or formula. In your case, your one-month-old baby is showing signs of reduced milk intake, which can be distressing. Let's explore the potential causes of this aversion and some strategies to address it.

Understanding Feeding Aversion
Feeding aversion can manifest in various ways, including refusal to drink from a bottle, decreased intake, or only consuming small amounts of milk. Several factors can contribute to this behavior:
1. Developmental Changes: Infants go through various developmental stages, and their feeding patterns can change. At around one month, babies may become more aware of their surroundings, leading to distractions during feeding times.

2. Physical Discomfort: If your baby is experiencing any discomfort, such as gas, reflux, or teething, this can lead to a reluctance to feed. It's essential to observe if your baby shows signs of discomfort during or after feeding.

3. Feeding Environment: The environment in which feeding occurs can significantly impact a baby's willingness to eat. If the environment is too noisy, bright, or chaotic, your baby may become distracted and less inclined to feed.

4. Parental Anxiety: Babies can pick up on their parents' stress or anxiety. If you are worried about your baby's feeding habits, this can create a tense atmosphere that may further discourage feeding.

Strategies to Address Feeding Aversion
1. Create a Calm Feeding Environment: Ensure that the feeding area is quiet and comfortable. Dim the lights, reduce noise, and eliminate distractions. Holding your baby close and maintaining eye contact can help them feel secure.

2. Experiment with Feeding Positions: Since you mentioned that your baby prefers to be held while feeding, try different positions that may be more comfortable for them. Some babies prefer to be cradled, while others may like to be more upright.

3. Establish a Routine: Babies thrive on routine. If your baby has a consistent feeding schedule, it may help them anticipate feeding times and be more willing to eat. However, be flexible and responsive to your baby's cues.

4. Monitor for Physical Issues: If you suspect that your baby may be experiencing discomfort, consult your pediatrician. They can assess for any underlying issues, such as reflux or allergies, that may be affecting your baby's feeding.

5. Encourage Feeding When Awake: If your baby tends to sleep through feeding times, gently wake them for a feed if it's been a while since their last meal. However, avoid forcing them to eat if they are not interested. Instead, offer the bottle or breast and see if they show any interest.

6. Gradual Introduction of Bottle Feeding: If your baby is primarily breastfed, they may be reluctant to take a bottle. Gradually introduce the bottle during a calm moment, allowing your baby to explore it without pressure.

7. Consult a Pediatrician: If feeding aversion persists or if you have concerns about your baby's weight gain or overall health, it's crucial to consult your pediatrician. They can provide tailored advice and rule out any medical issues.

Conclusion
Feeding aversion in infants can be a complex issue influenced by various factors. By creating a calm feeding environment, monitoring for physical discomfort, and establishing a routine, you can help encourage your baby to feed more effectively. Always consult with your pediatrician if you have concerns about your baby's feeding habits or overall health. Remember, every baby is unique, and finding the right approach may take time and patience.

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