It is quite usual for a newborn not to suck very vigorously or for very long during his first 24 to 36 hours. If this occurs later, however, there may be a problem that needs to be addressed. Breathing difficulties are the most likely cause of a baby’s having problems taking the breast. It may be that your breast is covering his nostrils; if so, gently pull the breast back from the baby’s face, just above the areola. If he seems to have a stuffy or blocked nose, consult your baby’s doctor.
If there is no obvious cause for your baby’s refusal to eat, he may simply be fretful. A baby who has been crying with hunger, or who has been changed or fussed over when he’s hungry, can become too distressed to take the breast. You will need to soothe him by holding him securely and talking or singing; there is no point in trying to feed him until he’s calmed down.
If there has been some delay in starting to breastfeed – as with a premature baby who has had to be fed by bottle – your baby may find it more difficult to take the breast, and you will have to be patient and persevering. Your pediatrician or lactation consultant will advice you if you need to give expressed milk from a bottle or special cup until the baby can take all she needs from the breast. Avoid supplementary bottles of formula if you can; giving expressed milk is a better alternative.
