Taking the Aversion Out of Bottle-Aversion: Step-by-Step Bottle (Re)Introduction

A return to work, a medical procedure, visits at Grandma’s, date nights, a shred of autonomy… there are countless reasons why a breastfeeding parent would need to introduce (or re-introduce) Baby to bottle. The problem: bottle-aversion is not uncommon and, man, it’s a pain!

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Two of my three children were bottle-averse. Like any sleep-deprived, anxious mom, there were times I worried and wondered if they’d ever accept a bottle. But, in time, they did accept the bottle. All it took was a step-by-step process of introduction. This same method has worked like a charm for friends, fellow pumping moms, and milk recipients with whom I’ve shared this.

If you have tried (re)introducing the bottle to your baby but it’s just not working, take a few steps back, regroup, talk yourself off of the anxiety ledge, then see if this process works for your bottle-averse babe. It’s worth a shot!

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STEP 1: CALL IN BACK-UP.

What you’ll need:

– A caregiver who is not the breastfeeder

What you’ll do:

Ideally the non-nursing parent or another caregiver would be the one to introduce Baby to bottle. Mom and her much-preferred breast buffet should not even be in the home during the introduction. Mom can go for a mini-stroll, nap in the car, sit on the front stoop… just not immediately available. Babies are smarter than we give them credit for. Heck, if someone handed you a plate of reheated leftovers while holding a tray of freshly made food, which would you pick?

Take the fresh meal out of the equation and make the leftovers (aka: pumped breastmilk) the only option. Of course if another caregiver is not available, the following steps can absolutely be employed by the breastfeeding parent; it just might require a bit more stamina.

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STEP 2: PUMP IT. WARM IT. DIP IT.

What you’ll need:

– 1oz freshly expressed breast milk

– 1 baby bottle with nipple

– 1 mug of warm (not hot) water

– Patience

What you’ll do:

When introducing the bottle to Baby, start with just 1oz of freshly pumped breast milk (we’re talking milk that is still at body temperature.) Limiting the introductory amount to 1oz lessens possible waste, because any pumping mom knows crying over spilled breast milk is totally acceptable. While pumping, submerge the bottle nipple in a mug of warm (not hot) water. This will help make the bottle nipple more like the warm, supple human nipple as opposed to a cool, rubbery manmade nipple. Just before feeding Baby the 1oz, remove the bottle nipple from the warming mug and dip the warmed nipple tip into the expressed breast milk. The fresh milk on the warm bottle nipple acts as a “MILK IN HERE!!” flashing arrow sign for Baby. Then try calmly feeding Baby the bottle. If it doesn’t work, relax. Redirect Baby’s attention briefly and give it another attempt or two, but never make the process stressful or unpleasant for Baby. We want this to be a comfortable, cozy, enticing experience.

Once your baby has grown to accept the freshly expressed milk in a bottle, move to step 3.

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STEP 3: CHILL IT. WARM IT. DIP IT.

What you’ll need:

– 1oz refrigerated breast milk (no more than a day old)

– 1 baby bottle with nipple

– 1 mug of warm (not hot) water

– Patience

What you’ll do:

Repeat the same process of warming and dipping the bottle nipple as noted above, but this time add 1oz of warmed, previously refrigerated expressed breast milk (aim for no more than a day old so that milk is still somewhat fresh.)

This transition may take a bit of patience, but keep at it. Be sure to maintain the goal of a positive, peaceful introduction though.

Once Baby accepts previously refrigerated breast milk in a bottle, move to step 4

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STEP 4: FREEZE IT. THAW IT. WARM IT. DIP IT.

What you’ll need:

– 1oz frozen breast milk

– 1 baby bottle with nipple

– 1 mug of warm (not hot) water

– Patience

What you’ll do:

Now that Baby has begun tolerating previously refrigerated milk, it’s time to try previously frozen milk. Pour 1oz of thawed, warmed, previously frozen breast milk into a bottle. Repeat the same bottle nipple warming and dipping from steps 2 and 3. Then, just as before, introduce the bottle to Baby in a comfortable, calm, peaceful manner.

This may take a few attempts. That’s ok. Be patient.

Once previously frozen milk is a go, move on to step 5.

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STEP 5: FREEZE IT. THAW IT. WARM IT. DON’T DIP IT.

What you’ll need:

– 1oz frozen breast milk

– 1 baby bottle with nipple

– 1 mug of warm (not hot) water

What you’ll do:

Since Baby now accepts frozen bottled breast milk, let’s take things up a notch. Let’s ditch the nipple dipping and see if Baby still goes for the milk.

Just as in step 4, you will thaw, warm, and bottle 1oz of previously frozen breast milk. WARM the bottle nipple in the mug of warm water but do not dip the nipple tip in the milk before serving Baby.

In all likelihood, this should be an easy test by comparison since, by now, Baby is aware that bottle nipples like lactating nipples are milk portals.

Once this step is successfully accomplished, move to step 6.

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STEP 6: FREEZE IT. THAW IT. SERVE IT.

What you’ll need:

– 1oz frozen breast milk

– 1 baby bottle with nipple

What you’ll do:

So by now Baby will take any kind of breast milk provided: straight from the tap, fresh and bottled, previously frozen and bottled. Now let’s see if we can ditch the nipple warming.

Thaw, warm, and bottle 1oz of previously frozen breast milk as you have in prior steps. Now, without any bottle nipple prep, see if Baby accepts the bottle. This should be a low-key endeavor, especially if dropping the nipple dipping was an easy undertaking.

Once this has been accomplished, move to step 7.

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STEP 7: TAKE A BOW!

Seriously. You did it!! Go you! Your baby is now able to gain sustenance from human and faux nipples. Congrats!

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