Nibble Nursing

Dear Dr. Greene, I am a first time new mom. My precious baby is three weeks old and I have to go back to work when she is six weeks old. I have been trying to nurse my daughter, but it is not going well at all! She eats a little bit then goes to sleep. As soon as I put her down she wakes up and wants to nurse again. I can’t get anything done and I don’t get to sleep very much. I’m really afraid that I won’t be able to keep this up when I go back to work. Will it hurt her health too much if I change her over to a bottle?
Burlingame, California

Dr. Greene’s Answer:

The situation you are describing sounds very difficult. The fear of what life will be like after you have to go back to work is undoubtedly an added pressure. You are to be commended for continuing to this point! I can see how you would feel like giving up, but there are so many benefits from nursing that I encourage you to consider the following suggestions before deciding. Even in your situation, it is quite possible to turn nursing into a wonderful experience for you and your daughter!

Your daughter has fallen into a common pattern of “nibble nursing.” Because of this she never gets really full. It is only natural that she wakes up when you put her down because she is still hungry.

The way to solve this problem requires help, ideally from your daughter’s father, but if that is not possible, you will need the help of a loving, supportive family member or friend. Your support person may need to spend an entire day and night with you, though sometimes the pattern can be broken very quickly. The sooner you can arrange to do this the better.

If your daughter is nibbling frequently, you may not be currently producing enough milk to satisfy her. In order to increase your milk supply, you will need to begin pumping your breast milk after each day-time feeding. (You need to get as much rest as possible, so I do not recommend pumping at night.) When you pump, you are sending a signal to your body that it needs to make more milk to keep up with your baby’s needs. Miraculously, your body starts to produce more milk to meet the demand.

In order to break the pattern of nibble nursing, it is important that you do not feed your baby more often than every hour-and-a-half to two hours. By encouraging her to wait when she is hungry, she will be determined to eat more when she has the chance. As a result she will get full and be able to sleep for a longer period.

When she wakes up she will again be hungry and eat until she gets full. You can easily see how the habit of nibbling is broken. Sometimes the turnaround takes as little as one cycle!

If you do not yet make enough milk to satisfy her needs, you can use the milk you have pumped to supplement breast feeding. Preferably, have someone else give her a bottle immediately after nursing, to “top her off.”

It is very difficult for most mothers to hear their babies cry. If your daughter is used to eating on demand, she will not like being forced to wait. If she becomes fussy before the appropriate time for nursing, you may need to physically leave the room or the house so that you can maintain your commitment to not nursing her until the hour-and-a-half is up. This is another reason why you need a support person— to be present with her while you are gone. An additional benefit of waiting at least an hour-and-a-half from start time to start time of feedings is that it allows your body the time necessary to produce high quality milk.

I understand how overwhelming the situation feels right now. Sleep deprivation is a large part of that, so while your support person is there to help you, get as much rest as you can.

Even after your support person leaves you will need to continue to get lots of rest. Whenever your daughter takes a nap, do the same. You may feel like napping is being lazy, but it is not! It is very important for you to sleep when the baby is sleeping!!! By doing so you will have a more positive outlook on your situation and you will be able to produce more milk to meet your daughter’s needs.

This situation is only temporary. In most cases of this nature the resolution is quick and positive!!

Dr. Alan Greene

As a father of four himself, Dr. Greene has devoted himself to freely giving real answers to parents' real questions -- from questions about those all too common childhood conditions to those that address the most recent and rare pediatric illnesses. His answers combine cutting edge science, practical wisdom, warm empathy, and a deep respect for parents, children, and the environment. He is also an electrifying public speaker, and has personally touched many during his talks in North America, Europe, Asia, and the Middle East.

Dr. Greene is a graduate of Princeton University and the University of California at San Francisco. Upon completion of his pediatric residency program at Children's Hospital Medical Center of Northern California he served as Chief Resident. He entered primary care pediatrics in January 1993.

Dr. Greene is the Past President of The Organic Center and on the Board of Directors of Healthy Child Healthy World. He is a founding partner of the Collaborative on Health and the Environment. He also consults for the Environmental Working Group.

In 1995, he launched, cited by the AMA as “the pioneer physician Web site” on the Internet. His award-winning site has received over 80 million Unique Users from parents, concerned family members, students, and healthcare professionals. In addition to being the founder of, he is the Medical Director for HealthTap.

In 2010 Dr. Greene founded the WhiteOut Movement to change how babies in the United States are fed. In 2012 he founded TICC TOCC - Transitioning Immediate Cord Clamping To Optimal Cord Clamping. He is also the founder of KidGlyphs, a free iPhone app that provides a tool for young children to express themselves beyond their verbal skills while teaching them important language skills.

Dr. Greene is the Founding President of the Society for Participatory Medicine and has served as both President and Board Chair of Hi-Ethics (Health Internet Ethics. He is on the Board of Directors for Healthy Child Healthy World, The Lunchbox Project, and The Society for Participatory Medicine. He has also served as an advisor to URAC for both their inaugural and their updated health web site accreditation program. He is a founding member of the e-Patient Scholars Working Group, and a founding board member of the Center for Information Therapy.

Dr. Greene is a regular columnist for Parenting Magazine. He is also the Pediatric Expert for The People’s Pharmacy (as heard on NPR) and Healing Quest (seen on PBS stations). He was the original Pediatric Expert for both Yahoo! and iVillage.

Dr. Greene is the author of Feeding Baby Green (Wiley, 2009), Raising Baby Green (Wiley, 2007), From First Kicks to First Steps (McGraw-Hill, 2004), The Parent's Complete Guide to Ear Infections (People's Medical Society, 1997), and a co-author of The A.D.A.M. Illustrated Family Health Guide (A.D.A.M., Inc., 2004). He is the medical expert for three additional books, The Parent's Soup A-to-Z Guide to Your New Baby, (Contemporary Books, 1998) The Parent's Soup A-to-Z Guide to Your Toddler, (Contemporary Books, 1999), and The Mother of All Baby Books, (Hungry Minds, Inc., 2002).

Dr. Greene is a frequent keynote speaker at important events such as Health 2.0 2011 held in San Diego, CA, IFOAM 2008 (International Federation of Organic Agriculture Movements), held in Modena Italy, the first European Internet health conference, held in Maastricht, the first International eHealth Association Conference, held in Jeddah, and the largest e-Healthcare World Conference, held in Las Vegas, and the first Green Power Baby Shower, held in Hollywood. Dr. Greene also appears frequently on TV, radio, websites, and in newspapers and magazines around the world, including such venues as the TODAY Show, Good Morning America, Fox and Friends, The Dr. Oz Show, CNN, ABC, CBS, and NBC network news, NPR, The New York Times, The Wall Street Journal, USA Today, Time Magazine, Parade, Parenting, Child, Baby Talk, Working Mother, Better Home's & Gardens, and the Reader's Digest.

Dr. Greene loves to think about challenging ideas, he enjoys being where nothing manmade can be seen, and he wears green socks.

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  1. Marie

    What? At 3 weeks babies are often still just sleepy so instead of assuming you have low supply (very, VERY few women have low supply, especially so early on) and spending tons of time pumping and worrying, she should start by keeping the baby awake for a full feeding. Cold washcloth on feet, undress baby, whatever it takes. Additionally, anyone struggling with breast feeding should consider getting help from an International Board-Certified Lactation Consultant, who is especially qualified to help troubleshoot. The response above should be updated.

  2. Abdallah

    The most stay at home nursing creraer that I know of is being a visiting nurse. I did that for three years. As long as you work in small area most of the time you can finish early in the day and do the paperwork stuff at home. Many of the nurses I worked with had young children, and sent them to half day day care and were able to pick them up by lunch time after they saw all their patients in the morning. Ofcourse other VNA agencies may be different, but most are very family friendly and allow you manipulate your schedule as needed.

  3. Olubanke

    I like your response to this enquiry…it reflects your empathy and wealth of experience.


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