Paul sought the expert advice of a lactation consultant to help get his baby to take a bottle.
What Can You Do If Your Baby Won't Take a Bottle?
If your baby won't take a bottle, you might try to:
- Assess the health of the baby's mouth for sores, thrush, and new teeth. A sick baby that isn't drinking milk needs to see the pediatrician immediately.
- For a healthy baby, place them in a baby carrier facing out.
- Take them for a walk.
- Gently pat them up and down to distract and calm them down.
- Place the bottle of warm mother's milk in the mouth.
- Keep walking as long as the baby is calm until they drink.
These steps relax the baby and hopefully trigger their natural reflex to suck. This is the number one recommended way and it worked for our daughter. Keep reading to learn more details and additional methods to help get a baby to drink from a bottle or sippy cup.
How We Got Our Baby to Take a Bottle
Having a breastfed baby take a bottle is incredibly convenient (with formula or breast milk), but it can be tricky. For the easiest transition, give breastfeeding babies (that have been breastfed from birth) a bottle no later than six weeks after they are born.
After the six-week period, most babies will want nothing to do with the bottle. But if you are attempting after this six-week marker, I can help. We gave our daughter a bottle at six weeks (she took it beautifully), then we didn't give her a bottle on a consistent basis after this. At about three months old, we tried again and she rejected the bottle.
We sought the expert advice of a lactation consultant and the best-selling author of The Nursing Mother's Companion, Kathleen Huggins, to learn how to get a baby to take a bottle. She gave us these tips on dealing with a baby that is rejecting a bottle and even a sippy cup. Here's what we did, and it worked!
Prepare a Bottle of Breast Milk or Formula for the Baby
For breastfeeding babies that won't take a bottle, it's best to use breast milk. However, if there isn't breast milk available or the mother's milk supply is limited, then use a bottle made with formula.
Prepare a bottle that is the same temperature as mother's milk. It's important to follow the guidelines for creating a bottle that is free of bacteria and germs so that they aren't inadvertently introduced to the baby's mouth.
How to Prepare a Bottle for Your Baby
- Wash your hands before touching the bottle.
- Make sure all bottle parts have been sterilized.
- Follow the instructions to create the bottle from formula or make sure the breast milk was properly pumped and stored before adding it to the bottle.
- Be sure to use a low flow bottle nipple, preferably a number 1. Some lactation experts recommend a nipple that most closely resembles the mother's nipple.
- Milk should be warm to the touch. Once warmed, shake the bottle for a consistent temperature. You can put a small amount of milk on the inside of your wrist to check the temperature. Do NOT microwave the milk as there can be parts of the milk that is extremely hot.
One of the few things worse than a baby that is refusing to eat is a sick one, so be sure that the bottle is prepared properly and the baby's mouth is healthy!
If your baby is refusing a bottle when it's placed in their mouth, check for thrush, sores, and blisters before proceeding. If any of these conditions exist, see your pediatrician.
Read More From Wehavekids
Method 1: Take the Baby for a Walk in a Baby Carrier Facing Out
Now that you have your bottle ready, it's time to get started. Let's go for a stroll!
- Take your baby for a casual walk. If your baby is upset, she will likely begin to calm down.
- Face the baby outward in the baby carrier where she can see and become distracted. This is especially important if the mother is taking the baby for a walk, and the baby really craves skin-to-skin contact while feeding. Having the baby's head facing the mother's breast on the walk should be avoided. It's best if someone other than the mother attempts these steps, as it can be more difficult for a mother to bottle feed a baby when the infant is used to breastfeeding from her.
- The Baby Bjorn is a great carrier because it frees up both of the hands of the person walking the baby. You will see why this is important in the next steps.
Using One Hand, Gently Pat the Baby From Underneath
- Using one of your free hands, reach under the baby and gently and slowly pat her on the bottom raising her up and down about an inch.
- Find an easy rhythm to your patting. This bouncing motion soothes and will likely distract her. Do this for at least a few minutes until the baby appears to be calm and relaxed.
- You can calmly talk or sing to your baby, too. You want your child to be calm and relaxed before you give them a bottle. A sleepy baby is fine, but, as most parents know, there is a fine line between being sleepy and overly tired and fussy. A crying child is unlikely to take the bottle. If your baby gets to this point, you will want to try again at another time so you both don't end up frustrated and unhappy.
Put the Bottle in Your Baby's Mouth and Hold Steady for Sucking
It is now time to get your baby to drink milk from the bottle.
- While your baby is calm and distracted, slip the bottle into her mouth with your free hand.
- Continue to pat her on the bottom to keep her moving up and down. It's very common for babies to let the bottle rest in their mouth for several moments. We are relying on the baby's natural sucking reflex. The idea is that she isn't thinking about eating—but with the fresh air from the walk, and the bouncing motion, her instinctive sucking reflex will kick in, and she will begin to bottle feed.
- Continue walking and patting the baby with the bottle in her mouth until she begins to drink.
If your baby doesn't drink the bottle right away or pushes it away, remove the bottle from her view and continue to walk and pat her. You can try again in a few minutes. Talk gently to her; this is supposed to be a positive experience. If you get frustrated or angry, she could equate those emotions with the bottle. If you feel yourself getting frustrated (which happens to even the most experienced parents and caregivers), try again another day.
Once a Baby Takes a Bottle, Continue to Give Them a Bottle Twice a Week
Once your baby starts taking a bottle, be sure to keep giving it to her at least twice a week. Like I stated earlier, our daughter took a bottle at six weeks, and we thought she wouldn't have any problems in the future . . . but that wasn't the case.
At three months, she wouldn't take the bottle and we had to seek the advice of the lactation consultant. After following these instructions, she once again began to drink from a bottle. However, there were numerous afternoons of us trying to give her a bottle and her refusing it—frustrating.
Method 2: Get Your Baby to Take a Bottle With Dream Feeding
Dream feeding is feeding the baby by bottle or breastfeeding after she has gone to bed at night but hasn't woken up for the first nighttime feeding. Dream feeding is done while the baby is mostly asleep.
Often, parents will dream feed a baby right before they go to bed to help their child sleep through the night and allow the parent a few more hours of uninterrupted sleep. The benefit of giving a baby a bottle during this dream feeding stage is that the baby is more likely to rely on the sucking reflex and isn't as aware of the circumstances. We tried this method as well and it worked... sometimes.
Here's how we did it. My wife would pick the baby up while she was asleep and begin nursing her. Then, after she had sufficiently latched on to the breast and was solidly breastfeeding, she stopped nursing by popping her off and quickly placing the bottle in the baby's mouth. If she started sucking, she would usually finish the bottle of milk.
Sometimes the baby is so tired, however, they will not take the bottle and will go back to sleep when they come off the breast.
Method 3: The Pacifier Technique for Introducing the Bottle to a Baby
Since my wife had success with getting our daughter to take a bottle by switching from breastfeeding to the bottle while dream feeding, I decided to try a similar technique that worked as well.
How to Trigger Your Baby's Sucking Reflex With a Pacifier
- I placed my daughter on my legs with my feet propped up so she was at a 45° angle.
- I gave her a pacifier for about five seconds—just long enough for her to stop crying and start sucking.
- I removed the pacifier from her mouth, and I switched to the bottle in less than half a second.
- Bingo! She was drinking like a champ from the bottle.
I think the key to having success with a bottle is capitalizing on the sucking reflex and not just giving the baby the bottle before they are sucking. The quick switch avoids nipple confusion (breast nipple vs. bottle nipple) because they're drinking before they realize the bottle has been switched in place of the breast. When we gave her the bottle first, she would just push the bottle nipple out of her mouth. By giving her a pacifier or distracting her first, she started the sucking reflex.
It was our experience that inspired me to create this guide. Please leave a comment below about your experience to help other people in similar situations.
Try Switching Out a Pacifier for a Bottle
Additional Tips for Making the Breast-to-Bottle Transition
- Try holding the baby (someone other than the mother) in a nursing position and giving her a bottle.
- Smile at your baby and talk to her in an encouraging way as you give them the bottle.
- Have mom leave the house. Babies can smell their mom and may be more willing to take the bottle if she's not around.
- Don't wait until your baby is extremely hungry or tired. Usually, this tactic won't work and will leave everyone upset and exhausted.
- Try different types of bottle nipples. Sometimes a baby will prefer one nipple over another.
- If you are frustrated and find yourself getting upset, STOP. Just try again at another time.
- Talk to your doctor or a lactation specialist if you continue to struggle to get your baby to take a bottle. There are wonderful, free resources like the La Leche League.
Talk to a Doctor or Lactation Consultant Beforehand
Giving a baby a bottle multiple times a day in the first weeks of their life can result in the baby not wanting to breastfeed and the mother's milk supply decreasing. Most bottle nipples dispense milk quicker than a breast and babies may prefer them.
I wouldn't advise giving a baby a bottle until you have talked to your doctor, the mother's milk has sufficiently come in, and the baby is comfortable nursing (around six weeks). After six weeks, one bottle every day or two is usually sufficient for the baby to continue taking the bottle for the next year.
Always talk to your pediatrician before giving your child a bottle or if you have any concerns.
Why Should I Give My Baby a Bottle?
There are multiple reasons you may want to give your child a bottle, but the baby's health must come first:
- Provide mom a bit of a break from breastfeeding and give her the chance to sleep!
- Give dad/grandma/grandpa/sibling another way to bond with baby.
- Mom is going back to work and the baby will be transitioning to child care.
- Mom is going away for a few days.
- Mom's milk production isn't sufficient for the health of the baby.
This content is accurate and true to the best of the author’s knowledge and is not meant to substitute for formal and individualized advice from a qualified professional.
Questions & Answers
Question: My child is 11 months old and refuses to drink milk formula?
Answer: Here are a few things to try if a baby is refusing to drink formula.
1. Freeze breastmilk and reheat it for a bottle.
2. Try a bigger nipple in a bottle to make it easier to suck.
3. Switch formulas.
4. See a lactation consultant or Pediatrician.
5. Burp the baby, change its diaper, distract them and then try and give them the bottle with formula.
Question: My child is eight months old and won't take a bottle or cup. I’m returning to work, what should I do?
Answer: We frequently hear how stressful it is when parents are returning to work, and a baby won’t take a bottle or cup. Most lactation experts recommend establishing breastfeeding before introducing a bottle to avoid nipple confusion at 4 to 6 weeks of age. If a bottle hasn’t been introduced, begin working on it four plus weeks before it’s mandatory that the baby drinks from a source other than the breast. The steps in this article are ideas to try, but a personal consultation with a lactation expert may be needed.
Question: My child is eight months old and refuses the bottle. My breast milk is not coming in very well, and I need to get her to take a bottle or cup. My friend tried, my husband has tried; what am I supposed to do?
Answer: We know it can be very frustrating when an infant won't take a bottle. For breastfeeding women with limited milk supply, a baby formula is an option. We recommend trying the steps in the article when the baby is well rested and comfortable. Pediatricians often have nursing hotlines available to call and get an assessment. It's recommended to contact your pediatrician or a lactation consultant.
Question: Two questions: We were told that the mother should never give bottle to avoid confusing the baby, what was your experience here? How often did you try these techniques while getting baby back on the bottle?
Answer: We definitely had more success without the mother trying and as long as the baby was happy and needed feeding, it was fine to try. As I remember it, we tried several times a day.
Question: My 9 month old baby won't take a cup or bottle, not even for water. She doesn't eat many solids despite being offered. She has been exclusively breastfed, but I go back to work in 3 months- what can I do? She bites the spouts and nipples on the bottle and cup, but doesn't even attempt to suck.
Answer: Some babies will play with the nipples before they attempt to suck. In this article, there are a number of techniques to try like dream feeding and switching in a bottle, going for a walk and distracting the baby while placing a bottle in the baby's mouth. Also try getting the baby to suck on the pacifier and then switching in the bottle.
However, if there is concern that your baby isn't getting the proper nutrition, please take them to the doctor.
Lastly, if you have several months to try and get the baby to drink from a bottle, try freshly pumped breastmilk. Babies can smell the milk and are used to a mother's milk temperature. Try giving a bottle to the baby right before she falls asleep, but not when she is fussy. Also, try multiple times a day.
There are also many nipple types to try on bottles. Experiment with other types. For all of our babies, they played with the nipples on bottles and cups before they began to suck, so that seems quite natural.
Question: We are desperately trying to get my 3-month-old to take the bottle, but she refuses. We were told to keep trying, but we’ve seen no progress. We’ve tried everything except taking her out in a front-facing carrier because we’ve heard it’s unsafe to carry newborns facing out til they’re six months. Do you have any advice on what we could do?
Answer: Young babies need head support, so instead of facing out, face her in. The concept is that the baby is moving, relaxed and the natural sucking reflex kicks in. When the baby is facing out, there is more to see and distract them, but if there are any safety concerns, adjust the technique to make sure the baby is well supported.
Question: I'm caring for a ten week old breastfed baby who hates every bottle he's ever met. He also refuses pacifiers. I've resorted to squirting milk in his mouth .5mL at a time. Tips?
Answer: Take him for a walk and when he's happy and distracted, try giving him the bottle or pacifier per the article's instructions. You can also try a clean finger to see if his sucking reflex starts.
Question: My 10 week old took a bottle up until 2 weeks ago. We introduced it around 2-3 weeks and she had been taking it fine when given. She is breastfed and I go back to work in a couple weeks. Any suggestions?
Answer: I hope the article helps. My suggestion is to try several ways to feed the baby and see what works for her. A lactation expert can also help with specific questions. Good luck. I know it's super frustrating when they refuse the bottle.
Question: My daughter is five-months-old and refuses pacifiers and bottles. I've been trying to give her bottles, but she just screams. I have very small nipples, and all the bottles and pacifiers are bigger than I am. Do you have any advice?
Answer: There are many different sizes and shapes of bottle nipples and pacifiers available, so experiment with them. That said, it may not be about the size. We’ve seen people get babies to suck on a pinky, so sometimes it’s just about finding something that soothes the baby.
Question: ls it possible to switch a 4.5 month old from breastfed to bottle-fed?
Answer: Yes, parents ween babies all the time. There is evidence to support feeding a baby breast milk until 12 months to get the full health value of mother’s milk. However, pumping and bottle-feeding is a very good option. If that’s not an option, baby formula is also an option.
Question: My baby is six and a half months old. I have been breastfeeding her ever since she was born. I will be returning to work in May, but I am worried that she won't take a bottle of breast milk. Is it too late for me to express some milk for her to try from a bottle? Will she be ok to have cow's milk? Is it best in a bottle or sippy cup?
Answer: At six months a baby should drink mother's milk or formula. She’s not ok to have cow’s milk until she’s over a year old. Her body isn’t ready to digest it.
She can drink mother’s milk or formula out of a bottle or a sippy cup. Go with what she prefers. Some babies skip bottles and go straight to a cup.
Question: My baby is 6 months old, I gave him breastmilk in a bottle here and there when he was younger so he usually takes the bottle. However, I tried giving him formula and he won’t take it. I also tried giving him breastmilk in a bottle and he won’t take that either. But if I put Pedialyte in he will drink it out the bottle. So does my baby have a problem with the bottle or with the formula?
Answer: Well, if he's drinking out of the bottle, he most likely has a problem with formula. It's obviously pretty important that he gets proper nutrition, so I'd keep working on it and ask your pediatrician about what liquids are OK to try in the formula. I don't think we tried anything sweet, so that's something else to try, although I'd be a bit worried if they only wanted juice or something like that out of a bottle.
Question: I managed to get my 3-month-old to take a bottle last night for a dream feed by starting with the breast and then switching over to a bottle. If I continue this, is it likely he will start to accept a bottle when awake? Similar to you he took a bottle with no problems when he was first introduced, but he was not given it consistently and now at three months is flat out refusing it.
Answer: Keep switching him to a bottle during dream feeds. If he's taking it, that's a good sign. During the day, have someone (other than you) try the walk and distract method described in the article. I think you are on your way!
Question: My baby girl is five months old. Occasionally, I used to give her a bottle, but for the last one & half months, she has suffered from a viral fever. So I stopped for a while. But at present, she is completely reluctant to take a bottle of milk. She is completely depending upon breast milk. I've tried Similac Comfort numerous times, but till date no improvement. How can I give her a bottle of milk?
Answer: It's really important to see a pediatrician if your baby is sick and won't take a bottle. Sometimes a baby won't take formula like Similac, but they will drink pumped breastmilk. Try pumping and feeding her breastmilk in a bottle. It can be challenging to get a baby to take a bottle, the distract and feed method in this article has worked for numerous people. We highly recommend trying it with a healthy baby.
Question: How many ounces should a baby drink when they start bottle feeding?
Answer: A couple of ounces is a good start. It's important to have enough milk in the bottle so that the nipple is totally full and the baby isn't sucking in air as it drinks.
Question: My son is two years old, and I have stopped breastfeeding him. I’m trying to give him formula from a bottle, but he is not taking it. What do I do?
Answer: First, ensure his mouth is healthy. Make sure nothing is hurting him. At two years old, he can also take a cup. Try a bit of juice to see if he will drink from that. It’s really important he gets fluids, so if he’s not drinking, he needs to go the pediatrician immediately.
Question: What if the baby won't nurse or take a bottle?
Answer: Baby’s need milk or formula for nutritional value and hydration. It’s super important and if they refuse to nurse or take a bottle, see a lactation consultant or your pediatrician immediately.
Cheri on June 30, 2020:
My baby is 6 months old and has only been breasted. I plan on leaving her for two days for a weekend away with my husband. She refuses to take a bottle or a sippy cup. What do I do?
Stephanie Purser from Australia on June 11, 2020:
Wow, I'm excited to share your article with my daughter's father and see if he will try your technique.
She is 9mo and only just takes a little water in a bottle. But has refused milk and formula.
Liesel on March 07, 2020:
So I have been going for walks with my 1 year old in his baby carrier, and he has been drinking expressed milk from the bottle, but max he has drank is 40ml. The questions I have are:
How did you transition from giving baby bottle in the carrier on walks to just giving it normally? How long did the process take?
I would like to just give formula, any tips for transitioning from expressed milk to formula?
Donna on October 01, 2019:
Oh my god! Thank you!!! Can finally get my three month old to take a bottle via his ergo baby during a walk. Can’t even tell you how grateful we are that I stumbled onto your page. No more tears.
Paul Edmondson (author) from Burlingame, CA on September 13, 2019:
I love hearing from people and greatly appreciate the comment @Shifra. So glad it helped. Best of luck returning to work.
Shifra on September 13, 2019:
Like Ashley, I never take the time to do comment on these suggestions. Agree agree. My daughter had to go back to work. It was pretty desperate. The outward facing carrier trick worked! (We also got a nipple with a faster flow but kept the same bottle.) The baby is soo happy. So are all the grown-ups! Thank you so much for the amazing tip!
Ashley on January 28, 2019:
I never take the time to do this but after many tears shed on both sides I read your article and tried the outward facing carrier trick to get my daughter to drink from a bottle and it worked! I have to return to work tomorrow and thought I was going to have to choose between quitting my job or starving my child. I am so grateful to you. Thanks so much for the amazing tips.
Sandeep on December 09, 2018:
My baby 3 months refusing to drink milk though bottle.
What i can do now.
Anu on August 29, 2018:
My baby is six months old. Initial months she used to feed from both breast and bottle. Once she suffered from oral thrush and she discontinued to drink from bottle. Now her thrush is gone but she is not dringkin from bottle and she drinks only from brest which is not sufficient. Please help?
Momneedshelpbad on August 12, 2018:
So I’m breastfeeding and back to work. I’ve been trying to get him to take the bottle weeks before I was due back to work. Now that I’m working he still refuses to take the bottle. He is so stubborn he will not eat nothing until I get home. I feel so bad I need help! I even tried to switch him to formula just so he can have something but he refuses. please someone help me. He is 4 months and people thinks he is 2 months. I’m scared I jus need to get him to eat more
Momneedshelpbad on August 12, 2018: