I have just been speaking with a mum of a 3 and a half month old with a breast refusal problem that has me stumped, so I thought I would post it here for all you brilliant minds. This baby fed beautifully until one month ago, when he started refusing to feed except when he is semi-asleep. Mum cannot identify anything that changed at the time with her or baby, eg he didn't get a fright from anything, she's not on the Pill or anything else, no changes that she can identify, baby healthy according to her GP (family doc), etc. Baby is otherwise contented, not colicky or refluxy. She is finding it very stressful to keep fitting in his feeds when he is asleep. He was sleeping well at night, but she now has to try to keep feeding him at night to make sure he gets enough milk. His weight gain, wet nappies, etc are all down compared to the time before this all started, but are not yet critical, because of her efforts to keep feeding him. She doesn't know how long she can keep this up, and although very committed to breastfeeding is starting to consider bottle feeding. She was not receptive to the option of expressing and using a bottle. She has not yet tried giving him a feed by bottle - I suggested she try this while holding him as close to a breastfeeding position as possible, just to see if he fusses like he does at the breast. He loves his dummy when he is sleepy, although not so much at other times. He will happily nuzzle near the breast while sucking his dummy, but will protest loudly if mum tries to attach him to the breast for a feed. It's like he has a psychological aversion to breastfeeding. Has anyone heard of anything like this? Has anyone got any suggestions for this mum? TIA Joy Anderson IBCLC Perth Western Australia [log in to unmask]