Weaning
Weaning
Weaning
Weaning can come with a lot of mixed emotions. You may feel excited at the new
independence you and you baby can both enjoy, as well as some sadness as your baby
moves to another stage in her life. This is completely normal.
Breastfeeding as long as you can is the best thing for your baby. The Canadian
Paediatric Society recommends exclusive breastfeeding for the first 6 months of life,
and continued breastfeeding as long as it is comfortable for you and your baby, even
well into the toddler years.
Natural weaning or “child-led weaning” happens when your baby starts to accept
more—and different types—of solid foods while still breastfeeding on demand. With this
type of weaning, you watch your baby’s cues and wean at her pace. Babies who are
weaned naturally usually stop breastfeeding completely sometime between 2 and 4
years of age.
Planned weaning or “mother-led weaning” happens when mothers decide to start the
weaning process.
A “partial wean” means substituting one or more feedings with a cup or bottle and
breastfeeding at other times. This can work well if you are going back to work or
school, but still want to breastfeed. Early morning, evening and night feedings can
continue even if you are separated from your baby during the day.
When you and your baby are ready to wean, there are few things that can help to
make the experience a more positive one for both of you:
It’s easiest for you and your baby if weaning is gradual – over several weeks, months
or even longer. A sudden, abrupt wean should only be considered in extreme
circumstances.
Start by substituting one feed. When one feed is going well, substitute another feed,
and so on.
Continue this way, substituting one feed at a time. The pace is up to you and your
baby, but in general, the slower the better.
Someone else, such as your baby’s father, may need to offer a feed for your baby to
accept it. You can start with a liquid (such as expressed breast milk) in a bottle or
cup or a complementary food after about 6 months of age.
Follow your baby’s cues. She’ll tell you when she’s had enough.
Hold and cuddle your baby if you are feeding from a bottle. This extra closeness will
help both of you during the weaning process. Never prop a bottle. Bottle propping can
put your baby at risk for choking and causes early childhood caries.
Watch the cues you give to your baby. If you sit in the same chair you usually use
when you’re nursing, he’ll likely want to breastfeed.
Can’t I just stop breastfeeding?
If possible, avoid an abrupt wean, which can be uncomfortable for you and upsetting for
your baby.
If you have to take a medication, talk to your doctor. There are very few medications
that require you to stop breastfeeding.
If you are very sick, or if you and your baby have to be separated or a long time, try
some of the suggestions for caring for your breasts described below. If your breasts
get uncomfortable, express your milk to avoid blocked ducts, mastitis or a breast
abscess.
Babies who are sick should NOT be abruptly weaned. You can pump and store breast
milk until your baby can take it again.
What complementary foods can I give my baby?
At about 6 months, you’ll start to introduce solid foods into your baby’s diet. When
this happens, your baby will begin to take less breast milk.
Introduce solids one at a time and in small amounts at the beginning. Some babies get
very constipated if they are given too much solid food early on.
You can also offer your baby small amounts of water once or twice a day, usually after
6 months of age. Don't offer juice at this age. Too much juice can lead to dental
caries, obesity or even poor weight gain and diarrhea.
If you give your baby water, or alternate milks, offer it in a cup instead of a bottle.
Breastfed babies easily learn to drink from a cup as early as 6 months of age. You can
also try this with expressed breast milk.
Age
6 to 12 months
Breast milk
Iron-fortified infant formula
Begin introducing solid foods
12 to 18 months
Breast milk
Whole cow’s milk (3.25%)
18 to 24 months
Breast milk
Whole cow’s milk (3.25%).
2% milk is okay if your child is growing well and eating a variety of foods
2 to 5 years
Breast milk
2% milk
After 12 months of age, your baby should not take more than 16 to 24 ounces (500
mL to 720 mL) of milk per day. Otherwise, she’ll fill up and won’t want to eat
solid foods. Also, she may develop iron deficiency anemia. If your baby has a milk
allergy, talk to your doctor about what to use for substitute feedings.
For complete information on introducing solids into your baby’s diet, read our
information on feeding your baby in the first year.
My baby is refusing the breast. Does that mean he’s ready to wean?
No, it doesn’t necessarily mean your baby is ready to wean. Sometimes babies go on
a “nursing strike” and suddenly refuse to breastfeed. There can be many causes,
such as teething, an ear infection or other illness, the onset of your period, a change
in your diet, soap, or even deodorant.
Here are some tips to encourage your baby to start breastfeeding again:
Make feeding time special and quiet; try to limit distractions. Sometimes, as babies get
older, they are more interested in looking at the things happening around them then
focusing on nursing.
Cuddle and soothe your baby as much as possible.
Offer your breast when your baby is very sleepy or just waking up.
If possible, try using different nursing positions, alternate sides, or nurse in different
rooms.
If you can’t figure out the reason for your baby’s nursing strike, see your doctor or
talk to a lactation consultant. Don’t get frustrated or angry. Remember that a
nursing strike does not mean your baby is rejecting you.
If this happens, be sure to pump your milk so you don’t develop a blocked duct or
get engorged, and that you continue to produce enough breast milk for when your baby
is ready to nurse again.