A four month old could begin to take a cup or a sippy cup. This baby is probably not going to make this change without resistance. Smart baby, we always say, ok ok. . . But when there is no other way, gentle loving flexible persistence will work eventually. Try sitting the baby in the car seat or similar. It goes against one's grain not to hold a baby during feeding, but it worked for me and the little three month old I began babysitting over a year ago. I gave EBM in a sippy cup, because she would not take a bottle and I could tip enough in to wet the tongue and she would smack her lips and we could talk and smile. Lots of animated attention is a good distraction. Of course, I began the feeding before she was very hungry. Every now and then I would see if she would suck on a bottle. She developed an uncanny way of being able to suck all the air out of the bottle, collapsing the nipple, without taking more than half to an ounce at most of EBM in about 45 minutes. I remember a method of bottle feeding that Diane Weissinger (I hope I got the name right) told me about some years ago on Lactnet. This method allows the baby more control over how fast the bottle feeding and how much the baby takes. This baby seemed to know naturally how to take the bottle inn a similar way. It was interesting. After three sessions giving her a cup or bottle in the car seat, she began to let me hold her. She was very active, though--lots of squirming that I learned to roll with. I suggest moms or caregivers try other ways of holding the baby--maybe you have suggested she try them, too. Suggest mom talk with caregiver so that there is understanding all around. If mom has enough confidence in the caregiver she can leave the whole shebang to her two weeks from now and just enjoy the time she has left at home without having to struggle over teaching a new feeding method. Helping my little friend to learn a new feeding method (and learn to be away from her mom--hard to know which was more difficult or if it was both: yes) was a very emotionally draining experience for me, even if it did last only three days. I almost didn't make it, meaning I was on the verge of telling the mom that she couldn't leave her baby, but brought ear plugs to my babysitting gig instead (I didn't need to use them). I do want to say that I held the little one throughout her anguish (and my ears, and my heart). Diane, LLLL from VT