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5 month old very Fussy feeder

QUESTION:
My son is now 5 months and 2 weeks. I am exclusively breastfeeding still but am hitting some major walls. He will still only drink from 1 breast apart from going to  bed at 6pm. That is the only time he will have a good feed. I have tried both feeding every 2 hours and also to stretch him 4 hourly to see if he will drink better but it makes no difference. He wakes every 2 hours at night, and has never slept through. I tried to start solids 1 week ago, but it seems he hats it. Spits it out, screams if I force the spoon in? I've even tried a bottle of formula. He refuses that too. Please help, I am exhausted, and need a few hours of sleep. What am I missing? 

ANSWER:
Kath Megaw (co-author of Feeding Sense)

Shame that sounds like quiet a challenge. Babies often favour one breast over the other and it is not uncommon for a baby to choose 1 breast exclusively at some feeds. The concerns for me are that his sleep is so poor and it appears he is hungry as he feeds so frequently at night. Without sitting down and having a proper consult it is difficult to make too many suggestions so the following are my recommendations and should they not prove helpful - I would encourage you to get some face to face advice.

1. Let dad try and give the bottle at the 10pm feed and then stretch him for 4 hours during the night. Give him a dummy and let dad do the stretching so that he can get the message that it is not feeding time.

2. It is a good idea to get going with solids in the mid morning try something other than rice cereal - try a fruit like pear or apple puree and do this by feeding him off your finger if he is not keen on the spoon. You can also try some sweet potato mid afternoon.

As mentioned their is a lot about your situation that I would need clarity on to make more specific suggestions - so if the above is not helpful then a face to face consult with a relevant professional would be a good idea!

Meg Faure (co-author Sense series) In addition to Kath's advice, i would see an OT to determine if there is a sensory basis to the short sleep cycles and associated feeding problems.