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Nursing Strike: Why Your Baby Suddenly Refuses the Breast and What to Do

By Breastfeeding Mom Editorial TeamUpdated 4 min read

Mother in a coral sweater holding her crying baby close and looking down at them

Your baby has been breastfeeding happily for months. Then, out of nowhere, they arch away, cry or turn their head every time you offer the breast. It can feel upsetting and even personal.

This sudden refusal is often called a nursing strike. It’s common, it’s usually temporary, and it rarely means your baby is ready to stop. Here’s how to work out what’s going on and gently get back to breastfeeding.

Nursing strike or weaning?

La Leche League International (LLLI) explains that babies who are ready to wean usually do it gradually, over weeks or months, by dropping one feed at a time. A sudden, complete refusal in a baby who was nursing well is far more likely to be a strike. La Leche League Canada adds that self-weaning in the first year is rare.

Nursing strike Natural weaning
How it starts Suddenly, often within a day Gradually, over weeks or months
Baby’s mood Upset, fussy, may cry at the breast Calm, just less interested
Duration Usually 2 to 4 days Ongoing, one feed at a time

If you do decide it’s the right time to stop, our guide on when to stop breastfeeding can help you think it through.

Common causes of a nursing strike

Sometimes you’ll never find the cause. These are the triggers La Leche League and NHS health teams list most often:

Pain or illness

  • Ear infection. Sucking and swallowing can hurt the ears.
  • Stuffy nose or cold. Your baby can’t breathe well while latched.
  • Teething or a sore mouth, including a mouth cut or oral thrush
  • Tummy ache

A scare at the breast

A baby who bites and hears a loud yell, or who is startled by a sudden noise during a feed, may be wary of the breast for a few days. Our guide to baby biting while breastfeeding covers calm ways to respond.

Changes in milk flow or supply

  • A fast let-down that makes your baby choke or pull off (see our guide to the let-down reflex)
  • Lower supply, for example with ovulation, pregnancy, some hormonal birth control or less frequent pumping when you’re apart
  • A fast-flowing bottle, which can make the breast seem slow by comparison

Changes around your baby

  • A new soap, deodorant, perfume or lotion that makes you smell different
  • A change in routine: going back to work, a new caregiver, travel, a move or visitors
  • Stress or tension in the home, which babies can sense
  • Being kept at the breast longer than they want

How to end a nursing strike

There’s no single trick. The aim is to make the breast feel safe and relaxed again. Try a few of these from LLLI, La Leche League Canada and the NHS:

  • Don’t force it. Offer the breast, and if your baby protests, stop and try again later.
  • Try when your baby is drowsy. Many babies latch more easily when they’re just waking, falling asleep or even asleep.
  • Use lots of skin-to-skin. Cuddle without pressure to feed. A warm bath together can help.
  • Change the scene. Try a quiet, dim room, a new position, or nursing while walking or rocking. Carrying your baby in a sling can help some babies settle near the breast.
  • Get the milk flowing first. Hand express or pump until your let-down starts, so your baby gets milk right away. Squirting a little milk into their mouth as they latch can help too.
  • Keep calm. Soft music, slow breathing and low lights help you both relax.
  • Treat the cause. If your baby seems unwell, tugs at an ear or has a blocked nose, see your pediatrician.

Protect your milk supply and feed your baby

While your baby is on strike, two things matter most: your baby still needs milk, and your breasts still need emptying.

  • Express as often as your baby usually nurses, by hand or with a pump. LLLI notes this protects your supply and helps prevent clogged ducts and mastitis.
  • Feed expressed milk by cup, spoon, syringe or paced bottle. If you use a bottle, choose a slow-flow nipple and use paced bottle feeding so the breast doesn’t feel slow in comparison.
  • Watch the diapers. Fewer wet diapers is one of the first signs your baby isn’t getting enough fluid.

If the strike doesn’t end

Most strikes last two to four days. Some last a couple of weeks. LLLI says that if refusal continues for weeks, it may signal the end of breastfeeding. That can bring real grief, and it’s okay to feel it.

If that happens, reduce expressing slowly rather than stopping suddenly, so you stay comfortable. A La Leche League leader or IBCLC can help you decide whether to keep trying or to wean gently.

When to call your pediatrician

Call your baby’s doctor right away if your baby:

  • Has fewer wet diapers than usual (HealthyChildren.org lists fewer than six a day as a sign of dehydration in infants), a dry mouth or no tears when crying
  • Is unusually sleepy, floppy or hard to wake
  • Has a fever, pulls at their ears, or seems to be in pain
  • Refuses all feeds, including by cup or bottle
  • Is losing weight

Also see your own doctor if you develop a red, painful area in your breast or a fever. For help getting back on track, our breastfeeding support page lists IBCLCs, La Leche League and helplines, and our Common challenges hub covers other breastfeeding problems.

Frequently asked questions

How long does a nursing strike last?

La Leche League International says most strikes are over within two to four days. Some last longer, up to a couple of weeks. If refusal goes on for weeks, it may mean breastfeeding is coming to an end.

Can teething cause a nursing strike?

Yes. La Leche League International lists teething pain among the common causes. Offering a teething ring between feeds and trying the breast when your baby is drowsy can help, and our guide to baby biting covers teething in more detail.

Should I give a bottle during a nursing strike?

Your baby needs to be fed, so use whatever method works. La Leche League suggests a cup, spoon or syringe, or paced bottle feeding with a slow-flow nipple, so the breast doesn't seem slow by comparison.

Is my baby rejecting me?

No. A strike is your baby's way of saying something is off, often pain, a stuffy nose or a scare. It's not about you or your bond, and with patience most babies return to the breast.

Sources

  1. La Leche League International: Nursing Strikeshttps://llli.org/breastfeeding-info/nursing-strikes/
  2. La Leche League Canada: Nursing Strikeshttps://www.lllc.ca/node/3582
  3. NHS Cambridgeshire and Peterborough Children's Health: Sudden breast refusal and nursing strikeshttps://cambspborochildrenshealth.nhs.uk/feeding-and-eating/breastfeeding/sudden-breast-refusal-and-nursing-strikes/
  4. HealthyChildren.org (AAP): Signs of Dehydration in Infants & Childrenhttps://www.healthychildren.org/English/health-issues/injuries-emergencies/Pages/dehydration.aspx

This guide is general information, not medical advice. For your own situation, talk to your doctor, midwife, pharmacist or an IBCLC lactation consultant. Read our medical disclaimer and find breastfeeding support near you.

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