Lansinoh Moms' Club

Nipple Confusion

Father feeding baby a bottle of breast milk

Baby “nipple confusion” is one of those terms that can seem intimidating to new parents.

But what is nipple confusion exactly, why is it bad, and how can it be avoided?

Baby nipple confusion is better defined as nipple preference, and it happens when a baby learns to prefer bottle feeding to breastfeeding. This can happen when baby has not had the opportunity to establish the correct mouth movements needed for breastfeeding and develops a preference for an artificial nipple.

When your baby first latches on to breastfeed, a series of shorter sucks are needed to trigger your body’s let down and get milk flowing. Most bottle nipples, on the other hand, drip out liquid when tipped over. It’s much easier for babies to get liquid that way than when they’re breastfeeding, which leads to nipple preference.

How do you avoid newborn nipple confusion? Experts recommend avoiding artificial nipples/bottles and pacifiers for the first four weeks of your baby's life in order to establish your milk supply and nursing routine. Using a nipple that is designed especially for a breastfed baby – like our NaturalWave® Nipple – will allow your baby to use these same sucking actions that have worked for them at the breast and therefore will not confuse baby when they return to the breast. It’s not how the nipple looks, but how the baby interacts with it that matters most.

There are also options besides the standard bottle and artificial nipple that may be worth considering. If you’re especially concerned about baby nipple confusion, you can have a caregiver use a cup to feed expressed breastmilk. This technique can be time-consuming and less popular in daycare settings when providers have multiple children to feed.

For moms who will be apart from their baby during a feeding, it is incredibly beneficial to find and use a nipple that will allow baby to return to the breast as seamlessly as possible so mom’s supply and the breastfeeding relationship is not interrupted. 


UP NEXT: Introducing bottle feeding to breastfed babies

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