Weaning: How to Prevent Problems
Weaning is the replacement of bottle or breast-feedings with
drinking from a cup and eating solid foods. Weaning occurs easily
and smoothly unless the breast or bottle has become overly
important to the child.
If you have a choice, it is best to wait until your baby is at
least 6 months old before you wean from the breast. Your baby's
digestive system is better able to tolerate a change in food after
this age.
If you stop breast-feeding before 9 months of age, switch to
bottle-feeding first. You should still introduce your child to a
cup at about 6 months of age, but wait to fully wean your baby to
a cup until he is at least 9 months old. If you stop
breast-feeding after 9 months, you may be able to wean your baby
directly to a cup.
Preventing Problems
Children normally show less interest in breast and bottle feedings
between 6 and 12 months of age if they are also taking cup and
spoon feedings. Many children start weaning themselves by 12
months. After the age of 12 to 18 months, the parent often has to
start the weaning, but the child will be receptive. After 18
months of age, the child usually resists weaning because she has
become overly attached to the breast or bottle.
If your child shows a lack of interest in the breast or bottle at
any time after 6 months of age, start to phase out these nipple
feedings. You can tell that your baby is ready to begin weaning
when she throws the bottle down, takes only a few ounces of milk
and then stops, chews on the nipple rather than sucking it,
refuses the breast, or nurses for only a few minutes and then
wants to play.
The following steps encourage early natural weaning at 9 to
12 months:
- Keep bottle feedings to 4 times a day or less after your child
reaches 6 months of age.
Some breast-fed babies may need 5 feedings a day until 9
months of age.
- Give older infants their daytime feedings at mealtime with
solids.
Once your child is having just 4 formula or breast-feedings a
day, be sure 3 of them are given at mealtime with solids
rather than as part of the ritual before naps. Your child can
have the fourth feeding before he goes to bed at night.
- After your baby is 4 weeks old and breast-feeding is well
established, offer him a bottle of expressed breast milk or
water once a day.
This experience will help your baby get used to a bottle so
you can occasionally leave him with a baby sitter. This step
is especially important if you will be returning to work or
school. The longer you wait to introduce the bottle after your
baby is 4 weeks old, the more strongly your infant will
initially reject it. If you wait until 2 months of age, it may
take several weeks for your baby to accept the bottle. Once
your baby accepts bottle feedings, continue to offer them 3
times a week so your baby will continue to accept them.
- Hold your child for discomfort or stress instead of nursing
her.
You can comfort your child and foster a strong sense of
security and trust without nursing every time she is upset and
not hungry. If you always nurse your child in such situations,
your child may learn to eat whenever she is upset. She may
also be unable to separate being held from nursing, and you
may become an "indispensable mother."
- Don't let the bottle or breast substitute for a pacifier.
Learn to recognize when your baby just needs to suck. At these
times, instead of offering your child food, encourage him to
suck on a pacifier or thumb. Feeding your baby every time he
needs to suck can lead to obesity.
- Don't let the bottle or breast become a security object at
bedtime.
Your child should be able to go to sleep at night without
having a breast or bottle in her mouth. She needs to learn how
to put herself to sleep. If she doesn't, she will develop
sleep problems that require the parents' presence during the
night.
- Don't let a bottle become a daytime toy.
Don't let your child carry a bottle around as a companion
during the day. This habit may keep him from engaging in more
stimulating activities.
- Don't let your child hold the bottle or take it to bed.
Your child should think of the bottle as something that
belongs to you; hence, she won't protest giving it up because
it never belonged to her in the first place.
- Offer your child formula or breast milk in a cup by 6 months
of age.
For the first few months your child will probably accept the
cup only after he has drunk some from the bottle or breast.
However, by 9 months of age your child should be offered some
formula or breast milk from a cup before breast or bottle
feedings.
Wean a baby younger than 6 months to a bottle and not to a
cup. Babies cannot drink well enough from a cup at this age to
get enough nourishment.
- Help your baby become interested in foods other than formula
or breast milk.
Introduce solids with a spoon by 4 months of age to
formula-fed babies and by 6 months to breast-fed infants.
Finger foods can be introduced between 9 and 10 months of age
or whenever your child develops a pincer grasp. As soon as
your child can use finger foods, include her at the table with
the family during mealtime. She will probably become
interested in the foods that she sees you eating and will ask
for them. As a result, she will become more interested in
having other foods as well as formula or breast milk.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by
RelayHealth.
Last modified: 2006-02-27
Last reviewed: 2008-06-09
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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