Breastfeed weaning tips

Weaning: How To - La Leche League International

Are you feeling ready to wean completely? Sometimes just cutting back on the amount of times you breastfeed will make you feel better, breastfeeding can sometimes be overwhelming. Breastfeeding is a two-way street. If you resent it when you sit down to breastfeed, your child will pick up on this. If your baby is under a year (or older, sometimes), you will have to substitute a bottle feeding for a missed breastfeeding. An older baby may accept a drink from a cup, a nutritious snack, or just a distraction in the form of a game, a toy, or change of scene. Remember, the first supplemental feed, from a bottle, or of solid food, is the beginning of weaning. Weaning does not need to be all or nothing.

If weaning is your decision, it’s best for you and your baby to do it gradually, and with love. If you wean “cold turkey,” your breasts will likely become painfully engorged, and you might develop a breast infection. Your baby will probably fight the switch from your warm, soft breast to a plastic substitute. He might mourn the loss of “his” breasts.

If you must wean suddenly, see our Weaning: For Medical Reasons article for more information and helpful ideas.

Try first to substitute his least favorite feeding first. If the baby won’t accept the bottle from you, (he knows the breast is right around here somewhere) see if a support person can succeed. It may also be helpful to have you not in the room/home so baby cannot smell you. Let the baby have a few days (or weeks, if possible) between each time you substitute a breastfeeding session with a bottle. Express a little milk from your breasts, to your own comfort, if you become engorged. Don’t express a whole feeding’s worth of milk; just enough to take the pressure off. Your body will get the signal to make less milk over time, slowly. For help with the weaning process contact a La Leche League Leader.

To quote Dr. William Sears, “There is no set number of years you should nurse your baby.” If you and your child enjoy breastfeeding, there is no reason you need to stop. Both of you will continue to benefit from breastfeeding as long as you like. Many mothers choose to wean naturally, allowing the child to outgrow the need gradually, in his own time.

Breastfeeding an older toddler or child is different from breastfeeding an infant. Most mothers naturally begin to place some restrictions on nursing as their child grows. Sometimes, the mother of an older nursling may become frustrated by other parenting challenges, and think that breastfeeding is causing the difficulty. In fact, raising children is hard work, and the “problem” may be the result of the child’s developmental stage.

In that case, it’s very helpful to learn more about typical childhood behavior and needs. A good place to start is by attending La Leche League meetings. There you will meet mothers who have nursed their children including extended nursing mothers and are happy to share information and ideas with you. Find a group near you.

It is possible to wean during the day but only nurse at night as the nighttime feeding is usually the last to go. Or wean at night but still allow nursing during the day. It does not need to be all or nothing.

Generally, these strategies work best for daytime nursing.

• Breastfeed the child when he asks, and don’t offer when he doesn’t. This simple technique known as “don’t offer, don’t refuse” may help accelerate the weaning process when used with other methods.
• Change daily routines. Instead of heading home after picking him up from daycare, head to the grocery store or elsewhere instead. Try to avoid the “nursing chair” or other usual “nursing station” in your home as much as possible at the times when he usually would ask to nurse. Stand up as much as possible!
• If possible, get help from other family and household members. If he usually nurses upon waking, try getting up before him and have your partner or someone else do all the morning routine.
• Anticipate nursing sessions and offer substitutions and distractions. Try offering a snack or drink at that time. Take him to his favorite place at the usual nursing time. Other distractions: reading, bike rides, visits from friends, a new toy, walking/singing to the child.
• Shorten the length of nursings or see if he accepts a postponed nursing. Telling him he will be done when you are finishing singing a certain song, or counting to 20 may help with the transition. If he doesn’t understand the concept of waiting or of time, this may not be helpful.

The nap and bedtime nursings are often the last to go and can be more difficult.  La Leche League does not advocate for any sleep-training techniques that includes children being left to cry for long periods of time. Staying close to your little one to allow for quick attention before they are fully awake can also help with the overnight times.

• If the child is sleeping with you, you might consider moving him into his own bed or into bed with an older sibling. However, if the child resists the move, he might increase breastfeeding in order to preserve his feeling of closeness with you.
• Allowing another family members to help by taking over sleep-time routines.
• Offering a drink of water or snack if the child seems hungry or thirsty.
• Offering cuddles, hugs and music to replace nursing at night or for naptime.

If you decide to wean the nighttime feeding, make a bedtime routine not centered around breastfeeding. A good book or two will eventually become more important than a long session at the breast. Your child may agree to rest his head on your breast instead of feeding. Talk to your child about what’s going on ahead of time if you can as he may understand more than you expect.

If weaning is going too quickly for the child, he’ll usually let you know by his behavior. Increased tantrums, regressive behaviors, anxiety, increase in night waking, new fear of separation, and clinginess are all possible signs that weaning is going too quickly for your child. Illness and teething can also interfere with weaning and it might be necessary to take a break.

Your child may be old enough for you to simply explain to him that you feel it is time to wean. Many children his age or older can understand the concept of stopping nursing. Some mothers let the child pick a date, or choose one themselves, and call that the “weaning day” after which he will no longer nurse. Some mothers will then give the child a “weaning party” with supportive family and understanding friends to help celebrate the milestone. Perhaps the child will receive a special “weaning present.”

Some mothers allow the child to choose a coveted toy and buy it after weaning, or buy it before weaning and wrap it up on to be put on a shelf for when the weaning day or weaning party comes.

Obviously, these techniques will not work if the child is extremely resistant to weaning, but many mothers have used them with success. Remember that he will have a continued, perhaps even deepened, need for closeness with you. You can anticipate the child’s need for closeness and spend as much of her day as possible having “special time” with the child.

Weaning can be a difficult time both for mother and child. Mother’s often have many feelings including sadness, anxiety and despair. A La Leche League Leader or group can help you to feel less alone as you go through this big step. To learn more about weaning you can attend a local group or reach out to leader.

8 Tips For Weaning Your Baby

Managing weaning when you and your little one are ready.

Share this content

As a mom, you made the decision to give your baby the amazing benefits of breast milk. Just like every mom and every baby is different, every breastfeeding journey is different – and each journey begins and ends under unique circumstances. No matter what factors have gone into your decision to wean, know that it can be a very emotional time – you may feel relieved, sentimental, sad, or a combination of all these emotions. Feel proud of what you’ve accomplished, whether you breastfed for 2 weeks or 2 years. You gave your baby the best nutrition possible for as long as you could – and that’s an amazing thing. 

Whether you decide to let your child decide when to wean (baby-led weaning), or direct the process yourself (mother-led weaning), here are some tips for weaning to make the process easier on both you and baby.

1. Replace or distract

Try to anticipate when your little one will want to nurse and plan distractions or substitutions that he or she enjoys. For example, during a routine feeding time, offer your baby’s favorite snack or game instead.

2. Shorten or postpone

By adjusting the amount of time you spend nursing or by delaying it, you can gradually help your baby grow less interested in breastfeeding. If your little one asks to nurse, you can either say “not now, but later,” or “only for a few minutes.” The hope is that later they will get busy and forget about their desire to breastfeed, or they will grow more comfortable nursing for a shorter amount of time.

3. Proceed gradually

Going “cold turkey” can be challenging for your little one, emotionally draining for you, and may lead to uncomfortable and serious physical complications like plugged ducts and mastitis. One of the most helpful tips for weaning is to remove one feeding at a time, rather than all at once. For example, try removing the nap-time feeding first. When that’s okay, remove the morning nurse session. And if that goes well, tackle the night-time feeding.

4. Make time for cuddles

Many children nurse for comfort as well as nutrition, so as you’re weaning, make sure you’re still having some one-on-one cuddle time with a favorite book, or snuggled in a rocking chair.

5. It’s OK to say no

It’s important for your own sake to give yourself the freedom to say “no.” While you want to respect your child’s feelings and desires, you should also do what works for you. This is especially true when your little one gets a little older and has a tendency to pinch, roughhouse or otherwise be forceful with your breasts. If you want to say “no” to nursing, it doesn’t make you a bad mom!

6. You can be sad

It’s ok to feel a mix of emotions, and even a bit sad about the end of the special intimacy breastfeeding provides. Your breastfeeding journey is ending, but so many exciting adventures are ahead for you and your little one!

7. Plan for the unexpected

Sometimes an illness or injury forces separation from your baby, and brings about an abrupt weaning process. Having a supply of frozen breast milk on hand will help ease baby’s transition.

8. Relieve the pressure

​During the weaning process, as your body adjusts to making less milk, your breasts may feel full. To relieve fullness and engorgement, you can express milk – just enough to be comfortable. Some moms use ice packs or cabbage leaf compresses to offer  some relief.

The decision to wean is a personal one based on the relationship between you and your little one – and you know when the time is right. No matter when it happens, or how long your breastfeeding journey has been, celebrate your accomplishment!

Termination of breastfeeding | Stopping breastfeeding

When is it time to stop breastfeeding and what is the best way to do it? Read our article for useful practical tips on weaning.

Share this information

How long should breastfeeding continue? Three months? Six? Year? Or maybe a few years?

The World Health Organization (WHO) and other authorities recommend that infants be exclusively breastfed for the first six months and then continue to be breastfed along with other foods (complementary foods) for at least two years. nine0011 1

The fact is that breast milk is not just food. It is a natural sedative if the child is anxious or tired. In addition, milk contains immune-boosting components, the amount of which increases dramatically when the baby gets sick. ²

According to anthropologists, the natural age of a person to stop breastfeeding is even more than two years. Given factors such as tooth development, body weight, comparison with other primates, and historical evidence, some scientists believe that breastfeeding may last up to two to four years. A number of researchers even believe that our ancestors breastfed children up to six or seven years of age. nine0011 3

Today, more than 60% of mothers in developed countries start giving their babies formula or complementary foods before six months of age, ⁴ although WHO does not recommend this.

When is it time to stop breastfeeding?

Weaning means that you gradually stop breastfeeding your baby. Ideally, the first step in this process is the gradual introduction of complementary foods, starting at about six months of age. In this case, breastfeeding continues. The weaning process continues until the mother's milk has been completely replaced by other foods and drinks. nine0003

“After six months, the baby needs higher doses of certain nutrients, such as iron, zinc, vitamins B and D, that he cannot get from breast milk or from his own reserves,” says Sarah Beeson, health visitor from Great Britain.

“But solid food should at first only supplement the main diet with breast milk and gradually replace it. Mother's milk remains the main source of nutrition for the baby for many months to come.” nine0003

On average, a seven-month-old baby gets 93% of its calories from breast milk. And even between the 11th and 16th months, milk provides him with about half of the daily calorie intake. ⁵

“Sometimes moms think that breastmilk isn't that important once a baby has started solid foods, but the truth is, no matter how many months old a baby is, there's nothing better than your milk,” continues Sarah.

In fact, the process of finishing breastfeeding can take as long as mother and baby want. “When to stop breastfeeding is up to you,” says Sarah. The only thing that matters is what you think is right for you and your child.” nine0003

How to wean

Whenever you decide to start weaning your baby, it's best to do it gradually. An abrupt cessation of breastfeeding can lead to lactostasis, blockage of the milk ducts and mastitis, and in a child such a sudden change can adversely affect the state of the digestive and immune systems. In addition, it will be difficult for both of you psychologically.

When should I stop breastfeeding?

Sometimes mothers mistakenly believe that it is time to stop breastfeeding, when in fact there is no reason to. If you're returning to work, breastfeeding can be a great way to stay close to your baby during this difficult time for both of you. You can express milk at work, and morning and evening feeding sessions will give you the opportunity to spend time alone with your baby. If you need to leave without your baby, you can also express milk and bring or send it home. nine0003

If you get sick, this is not always a reason to stop breastfeeding. Read our advice in the article on breastfeeding when sick and consult with your healthcare professional.

Weaning up to six months

If you cannot continue breastfeeding until six months and want to try weaning your baby, start by replacing one feeding a day with a bottle of formula.

“It's best to start with midday feedings. Babies are very alert and able to smell breast milk nearby, so ask your partner or relative to give your baby a bottle when you're in the other room,” Sarah advises. nine0003

“Be hygienic when preparing meals. Be prepared for the fact that the baby will take fewer servings of expressed milk per day than if he was fed directly from the breast. Don't make him eat more milk than he wants."

You will probably feel that your breasts are fuller and more tender. This is due to the fact that your body is rebuilding to produce less milk. If this creates discomfort, try expressing some milk—just enough to relieve the discomfort without stimulating extra production. nine0003

When your body adjusts to the new volume - usually after a few days - replace with formula for one more meal a day. Continue this until you have changed all feedings and your baby is completely weaned.

“I had complications after my first birth, as a result I lost a lot of weight very quickly, and besides, I developed mastitis. Lactation was very weak, and at three months I was forced to stop breastfeeding,” recalls Jennifer, a mother of two from the UK, “I gradually replaced one feeding, so physically it was easy, but mentally it was hard for me.” nine0003

If you want to maintain closeness with your baby and all the health benefits of breastfeeding, but still need to cut down on breastfeeding, try partial weaning, replacing only a few feeds a day with formula.

Weaning after six months

Once your baby starts eating solid foods (about six months old), you will notice that breastfeeding naturally occurs less and less. For a year, it can be reduced to just a couple of times a day, and feedings will be replaced by full meals and healthy snacks. nine0003

Anyway, if you intend to continue to reduce breastfeeding, do it gradually, replacing one feeding at a time. Use formula milk if your baby is under 12 months old. With cow's milk, you should wait at least up to a year.

“When I decided to wean my son, I breastfed him three times a day and gave him other foods three times plus light snacks. Gradually, I replaced all breastfeedings with formula. By 11 months, we only had one nighttime breastfeed left,” says Ruth, a UK mom. nine0003

There are various ways to distract a child from changes in his diet. Some mothers suggest that instead of breastfeeding something to drink and eat together to maintain a sense of closeness. You can also change your daily routine, play your favorite game, or replace feeding with caresses - from you or from your partner. Some children take longer to get used to the new food, but in the end everything falls into place. If you are having difficulty weaning, ask your healthcare provider for advice. nine0003

Ending breastfeeding naturally

Ending breastfeeding can be guided by the baby's wishes. This is called baby-initiated weaning, or the natural termination of breastfeeding. Such a process is likely to be long and gradual. Month after month, feeding sessions will become shorter and less frequent, until one day the child completely loses interest in the breast.

“My daughter stopped breastfeeding on her own when she was four years old,” says Sarah, a mother from the UK. And once, when we were on vacation, she seemed to just forget about her breasts. Now, six months later, she sometimes still asks for breasts, but she already knows that there is no milk there. nine0003

You will have a huge amount of time for the body to adapt, so there should be no discomfort or swelling of the breast. However, you may find it difficult emotionally, so spend more time petting and bonding with your baby.

“Child-initiated termination of breastfeeding was right for me because I never gave my son formula or a bottle. I didn’t want to abruptly stop feeding and refuse him,” recalls Kelly, a mother from the UK, “He himself lost interest in breasts at the age of two and a half years. For us, it was the best scenario, although emotionally it was not very easy for me.” nine0003

What if you need to stop breastfeeding quickly?

It is best not to stop breastfeeding abruptly, but sometimes it is necessary for medical reasons or because you cannot be near the baby.

If you have been breastfeeding your baby up to this point, you will most likely have to express your milk to avoid breast swelling. Some mothers prefer to use a breast pump for this, others find it easier to express milk manually. You only need to pump a little, just to eliminate the discomfort, otherwise your body will take it as a signal to produce more milk. nine0003

At first, the breasts may swell and become tender, but this will pass. Breast milk contains a so-called feedback lactation inhibitor. When breastfeeding is stopped, this inhibitor tells your body to slow down milk production, but it can take days or even weeks for your breasts to rebuild.

Certain medications can relieve pain and should be discussed with your doctor. Always follow your pharmacist's instructions or directions, and consult your healthcare professional before taking any medication. nine0003

“I had to abruptly stop breastfeeding when my daughter was eight months old because she had to take strong painkillers,” says Peggy, a mother from Switzerland. “It was very difficult because the baby was constantly looking for a breast and crying. I held her tightly to me as I gave her a bottle. This calmed her, and after a month everything was all right.

Can I continue breastfeeding if I want to get pregnant again?

Breastfeeding is a natural contraceptive. However, this method is not the most reliable, especially after six months or if you are not exclusively breastfeeding. This means that you can get pregnant even while you are breastfeeding. nine0003

Pregnant and breastfeeding mothers sometimes receive conflicting advice about whether to stop breastfeeding. Consistent feeding of two children of different ages is of course possible, and with the advent of the second baby, your body will produce the kind of milk that both of them need.

It is not uncommon for an older child to refuse to breastfeed or skip feedings if the mother is pregnant. This may be due to changes in milk composition that occur during pregnancy. Milk can change the taste and become less sweet. nine0011 6 If your baby is under one year of age when he starts to stop breastfeeding, make sure he continues to gain weight.

Talk to your doctor if you want to continue breastfeeding during pregnancy, but have had a preterm birth or miscarriage, or have any bleeding in the past.

If you need medical help to conceive, certain drugs and procedures may not be suitable while you are breastfeeding. Discuss all possible options before deciding to stop breastfeeding. nine0003

And finally...

Whenever you decide to end breastfeeding, and whatever method you choose to do so, be kind to yourself and your baby. This is a huge change for both of you physically, hormonally, and emotionally, so proceed thoughtfully and carefully.

“Although my body responded normally to stopping breastfeeding, it was psychologically difficult for me. The thing that united us for so long is over, - Jane, a mother of two children from the USA, shares her impressions, - I worked long hours, five days a week, and breastfeeding made me feel that I occupy a special place in the lives of children. But when it stopped, we soon found other ways to be together.” nine0003

Literature

1 World Health Organization. [Internet] Health Topics: Breastfeeding: 2018 [Accessed: 02/08/2018]. Available from : http://www.who.int/topics/breastfeeding/en - World Health Organization. "Health Issues: Breastfeeding" [Internet]. Geneva, Switzerland: WHO; 2018 [Visit 02/08/2018]. Article linked: http://www.who.int/topics/breastfeeding/e

2 Hassiotou et al. Maternal and infant infections stimulate a rapid leukocyte response in breastmilk. Clin Transl Immunology. 2013;2(4): e 3. - Hassiot F. et al., "Infectious diseases of the mother and child stimulate a rapid leukocyte reaction in breast milk." Clean Transl Immunology. 2013;2(4):e3.

3 Dettwyler KA. When to wean: biological versus cultural perspectives. Clin Obstet Gynecol . 2004; 47(3)712-723. - Dettwiler KA, "Time to wean: weaning from a biological and cultural point of view". Klin Obstet Ginekol (Clinical obstetrics and gynecology). 2004; 47(3):712-723.

4 Victora CG Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. nine0131 2016;387(10017):475-490. - Victor S.J. et al., "Breastfeeding in the 21st century: epidemiology, mechanisms and long-term effects". Lancet 2016;387(10017):475-490.