21 answers

Baby Preferring Formula over Expressed Milk

I'm reaching out to you all to see if anyone have had or have heard of this issue. I just realized that Jacob does not like to take my expressed milk in a bottle and he prefers formula over breast milk. However, he has no problem taking the breast milk directly from the breasts. The odd thing is that he's been exclusively on breast milk for the last 4 months so I'm not quite sure how he developed this preference.

He hasn't been eating that much for the past couple of weeks and has been fighting every time we bottle fed him. So, last Friday I tried feeding him formula and he practically inhaled all 5 oz in no time! I've been testing this theory out for the past few days and have come to the conclusion that he prefers the formula over the breast milk in the bottle. I tried mixing the formula with the breast milk and seems like he can taste the difference because he would take the combo more than the full breast milk but less than the full formula.

My pediatrician has never heard of this scenario so she doesn't really know what advice to give me. I went on-line to look for some remedies but I didn't really find much help there either. For those of you who have heard of my story, I've tried really really hard to increase my milk supply so I really don't want to give up breastfeeding him. I'm back at work so feeding him from the breast exclusively is not an option.

If any of you know of a solution or any remedies to this issue, please let me know!

Thanks,
H.

What can I do next?

Featured Answers

I was in child care, in the infant room for 2 years. We had a few infants that would not take breast milk from a bottle, and would only drink formula with us. It doesn't sound like you have anything to worry about. As long as the baby is getting the needed nutrients. Just keep breast feeding at home, and pump to keep up supplies.

The expressed breastmilk that you are giving him, has it been frozen or is it fresh? Maybe it gives a different taste that he isn't tolerating if it has been previously frozen. If it was my child I think I would give a formula combo of 3 parts formula, 1 part breastmilk and then very slowly increase the breastmilk ratio. Maybe if you do it subtle then he will be more willing to just take the breastmilk bottles. Good luck and don't give up!

More Answers

Have you tasted your pumped breast milk that you're offering your son through the bottle?

Some women have high lipase levels in their breast milk which can cause their breast milk to "turn" after it's been expressed. Lipase is a naturally occurring enzyme, but some women produce more than others. If you have high levels your milk would taste fine/normal coming out of your breast, but would likely taste really yucky about 4-6 hours after it's been expressed, even if you've refrigerated and stored it properly. The high lipase changes the taste of the breast milk once it's been expressed, causing it to take on a very metallic and/or plastic unpleasant taste.

If this is the case, you can correct the problem by scalding the milk right after you express it, which takes away the yucky taste and might be enough to make it appetizing again for your son.

Here's a link to a kellymom page that contains info about high lipase levels: http://www.kellymom.com/bf/pumping/lipase-expressedmilk.html

That's just one possibility, and the problem is more common than you would think. If your milk tastes fine even after 4-6 hours after you've expressed it, then your son may reject the expressed breast milk as a sort of protest - he may really want the breast milk the way he usually gets it - from the breast. That way he gets all the secondary benefits of feeling the safety and warmth of mama when he nurses, and a whole different kind of sucking then what he does with a bottle, and the milk is the perfect temperature coming out of mama! If he has another option (formula) for bottle feeding, he may take it, possibly not because he actually prefers the taste, but because he wants the breast milk the way that feels right to him. Having breast milk out of a bottle may call attention to what he's missing when he has it in a bottle instead of from the breast.

No matter what the reason, good for you for really trying to keep giving him breast milk! It offers so many benefits that formula doesn't, so I would try to prioritize the breast milk if at all possible!

3 moms found this helpful

My daughter loved formula over breast milk and it worked out fine cause I had to go back to work at 6 weeks. If you do not want him to have formula, do not give it to him. He will learn to drink your milk from a bottle eventually.

The expressed breastmilk that you are giving him, has it been frozen or is it fresh? Maybe it gives a different taste that he isn't tolerating if it has been previously frozen. If it was my child I think I would give a formula combo of 3 parts formula, 1 part breastmilk and then very slowly increase the breastmilk ratio. Maybe if you do it subtle then he will be more willing to just take the breastmilk bottles. Good luck and don't give up!

NEVER ever heard of this, but i wanted to say GOOD LUCK! I can understand you wanting only breastmilk for your baby. I wish I knew what to tell you, but I don't. Mine won't even take a bottle of EBM! My first son would barely take a bottle of EBM while I worked, but cluster fed in the evenings once I was home.

Both the taste and the texture of breast milk are a bit different than that of formula; this sudden new preference could be about either of these things. My daughter (now 27 months and still occasionally comfort nursing) would always take breast milk very reluctantly from a bottle; although we never introduced formula, when we began to introduce other liquids (diluted fresh juices, etc.) she always took them eagerly. I think part of her reluctance as an infant was that it felt out of place to her to not be actually at mommy's breast for breast milk!
Another suggestion I might make is to examine your diet. There are some obvious foods that might flavor your milk in a way your baby finds unpleasant, but there are also less obvious ones-- my daughter seems sensitive to foods in the fennel family, for instance, which includes all the "mother's milk" teas and many spices I use regularly in Indian cooking; she would also be less inclined to drink any milk I pumped after excersize or while under stress ( which was frequently when I was pumping, as a full time grad student).
I hope this is a bit helpful, and I wish you luck in figuring our exactly what your wee one is trying to tell you!
all the best,
S. (mommy of a 27 month old, a new baby due in August, Doula in training, and 4th year Oriental Medicine student)

Well I don't know if my little man preferred formula to breast milk, but I did start supplementing around 9 months or so. I had always pumped but he started rejecting bottles around that time so I took him to the dr and found out he had an ear infection. During that process I got out of the habit of pumping. I was talking to a friend and she told me that whenever she was out with her baby she just gave him formula and when at home she breastfed and she had no trouble keeping her supply for that. So that is what I did and it was so liberating! So if you are comfortable with giving him breastmilk at home and letting him have formula when you are working or out or whenever you need to, I think it is just fine. I know he is still really little but give yourself a break. You are a working mom and it is tough to pump and work, though I do know moms who kept it up for a while so it is not impossible:) As far as him preferring the milk, I think they just like the taste of formula. My son LOVED it! They can get a little picky as well, you know like one flavor comes through a nipple another through the breast etc. My son wouldn't take anything but juice in his sippy cup for the longest and would take milk only in a bottle. You put milk in that sippy cup and forget it! So it may just be something that he has decided on in his little baby brain:) If you are uncomfortable with supplementing with formula, then just keep offering the breast milk, they do adjust! But either way your little one is going to do just great!:)

Are you pregnant? Sometimes , the change in hormones changes its taste. Because you're working, perhaps the daily stresses of this are diminishing your supply and he doesn't like having to work for it. He likes the ease of bottle...but maybe doesn't like the taste of breast milk through plastic. Is it the same temperature as the formula when you feed him the breastmilk? I'm just taking stabs at this. Who knows what's going on in their little brains! :)

I think Ashli P might have something...would definitely check out her info.

Good Luck!

Hi -

I've never heard of this exact scenario but my sil had a terrible time getting her daughter to take the bottle at all. She had been breastfed for several months and then when they introduced the bottle she barely ate anything until my sil was available to nurse her again. What ended up working for them was just staying consistent in offering the bottle with expressed milk regularly. The baby went several weeks of barely eating during the day and then nursing a lot at night before she finally just decided that the bottle was the only thing that was going to be offered so she started eating. To apply this to your situation I would say stop offering formula. If the only option your son has is expressed milk in the bottle or nothing, he will NOT starve. He'll adjust and everything will be just fine once he gets used to it.

Good luck,
K.

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