Times Article
Breaking the breast habit
Dr Tanya Byron
Every week The Times clinical psychologist answers readers' questions
My son is 16 months old and is still having a feed from me at nap times, and if he wakes in the night he is breast-fed back to sleep. I know I made it tough for myself by letting him sleep with me and suckle most of the night, but I was so tired; I have other children, 4 and 6, to look after. I have tried giving him a dummy or a drink but he refuses both. Can you advise me, as it?s embarrassing to be breast-feeding a baby at his age.
Helen, 35
Please don?t feel embarrassed about breast-feeding your 16-month-old ? I have worked with mothers with a similar problem but with much older children. I understand why it has happened. Your day is spent dealing with your other children and then, feeling exhausted, you have that inner dialogue: nipple, or endure your son?s wailing? It?s the nipple every time, and I don?t blame you.
It sounds as if you want to end this cycle, so brace yourself and find the energy reserves to see through the end of breast-feeding. You can approach it in two ways: the all-or-nothing method, stopping all feeds; or gradually stopping one feed at a time. Naturally, option one is quicker.
If you are parenting with a partner you may want to rope him into this process, particularly during the night wakings. Whatever you decide, start wearing non-access clothing as some children will tug and pull at their mother?s clothing until they get to the nipple ? I worked with a five- year-old who was the Houdini of Lycra tops and industrial-strength bras. Wearing such clothing day and night helps your resolve that the breast is off the menu and also prevents a sneaky dawn raid when you are exhausted and your defences are down. For naptime and bedtime give your son a milky drink and a song and then into his cot and tell him it?s sleeping time and leave. He will protest because the only way he knows how to get to sleep is by feeding from you ? it is his sleep association. Now you have to teach him new ones. You can leave him to cry for a few minutes, go to him, then lie him down but say nothing and do not pick him up.
The less attention you give him, the quicker he?ll learn to settle himself. Leave the room and then repeat the process, increasing the re-entry time to as much as you can bear ? but don?t leave him crying too long. Alternatively, you could sit by the cot until he is asleep, but your presence may make him more upset. Repeat the process in the night. This will be tiring but if you persist this approach will work. If he gets out of his cot, return him with no fuss or attention and put him back down. You could also wear muslin in your bra for a while and tie it to the bars of his cot so your smell comforts him. If, when he stops feeding, your breasts become sore or engorged take a warm bath and alternately place very cold and very hot flannels over them. You could also hand express a little. Recently I supported the mother of a son aged 2 with this problem (on the breast constantly and in her bed all night); he was off the breast within two days because of her determination that it had to stop, her impenetrable clothing and her calm and consistent management of his demands.