Why does my baby pull off while nursing?

Answered by John Hunt

There are several reasons why a baby may pull off the breast while nursing, and one common reason is a forceful let-down. Let me explain what that means.

During breastfeeding, when your baby starts sucking, it signals your body to release milk. This release of milk is known as let-down, and it happens because of the hormone oxytocin. Oxytocin causes the muscles around the milk ducts in your breasts to contract, pushing the milk out and into your baby’s mouth.

In some cases, the let-down can be overly forceful, meaning that the milk comes out too quickly and forcefully for your baby to handle. This can be frustrating for your little one as they may struggle to keep up with the fast flow of milk. As a result, they may pull off the breast, arch their back, or seem agitated during feeding.

A forceful let-down can also lead to other issues such as excessive gas or spitting up/vomiting. When your baby has to gulp down milk quickly to keep up with the flow, they may also swallow air, leading to gas. Additionally, the fast flow of milk can overwhelm their digestive system, causing them to spit up or even vomit.

If your baby is experiencing a forceful let-down, there are a few things you can try to help alleviate the issue. Firstly, you can try different nursing positions that allow gravity to work against the forceful flow. For example, reclining back while breastfeeding can help slow down the flow of milk. You can also try nursing with your baby’s head slightly elevated to reduce the force of the let-down.

Another technique you can use is called “laid-back breastfeeding.” This involves reclining back and allowing your baby to find their own comfortable position at the breast. This position can help your baby control the flow of milk better and reduce their frustration.

If your baby is still struggling with a forceful let-down despite these techniques, you can try expressing some milk before nursing. This can help reduce the initial force of the let-down, making it easier for your baby to handle. You can either hand express or use a breast pump for a few minutes before latching your baby onto the breast.

It’s important to remember that every baby is different, and what works for one may not work for another. So, it may take some trial and error to find the best approach for your baby. If you’re concerned about your baby’s feeding habits or if the issue persists, it’s always a good idea to reach out to a lactation consultant or your pediatrician for further guidance.

Babies may pull off the breast while nursing due to a forceful let-down. This can be frustrating for them as the milk comes out too quickly and forcefully. It can lead to issues like gas or spitting up/vomiting. However, there are techniques you can try to help alleviate the problem, such as different nursing positions, laid-back breastfeeding, or expressing milk before nursing. Remember to seek professional help if needed, and be patient as you find what works best for your baby.