Why won’t my newborn baby latch? Looking at the reasons behind latch challenges

Struggling to get your baby to breastfeed? You’re not failing — Here’s what might be going on
If you’ve just had your baby and breastfeeding isn’t going to plan, you’re not alone—and you’re certainly not doing anything wrong. At Lullabies, I meet countless new mums across Dubai and beyond who expected breastfeeding to 'just work'… only to find that latching feels anything but easy. So if your newborn is struggling to latch—or refusing the breast altogether—take a deep breath. There are reasons, and more importantly, there is support.
Let’s gently explore why your baby might not be latching—and how to move forward.
First things first: What is a “latch”?
Latching is the process of your baby attaching to the breast in a way that allows them to draw out milk efficiently and comfortably.
A good latch:
- Doesn’t hurt your nipples
- Allows baby to take in both nipple and part of the areola
- Promotes effective milk transfer
- Often leads to audible swallowing and steady sucking
But what happens when that latch just isn’t happening?
Common reasons your baby might not latch
1. Inverted or flat nipples
Inverted or flat nipples can make it harder for your baby to get a good grip—especially in those first few days when they're still figuring things out.
Nipple shields, hand expressing, or pumping before a feed may help.
2. Prematurity or NICU admission
Babies born early often have underdeveloped sucking reflexes and may start out feeding via NG tube or bottle, which affects oral coordination. NICU babies may also associate feeding with stress or separation.
Gentle skin-to-skin, paced bottle feeding, and non-nutritive suckling can support the transition.
3. Birth trauma or difficult delivery
If labour was fast, assisted (forceps or vacuum), or stressful, your baby might be a little overwhelmed or physically uncomfortable.
Craniosacral therapy or infant massage can help release tension.
4. Tongue tie or oral restrictions
A tongue tie or lip tie can make latching painful, shallow, or ineffective. This is a common cause of latch issues, often underdiagnosed in early days.
An assessment by a trained lactation consultant or tongue tie specialist is key.
5. Fast letdown or overactive milk flow
Some babies struggle when milk comes out too quickly—causing choking, pulling off the breast, or fussiness during feeds.
Try laid-back breastfeeding positions to slow flow, or express a little before latching.
6. Small for dates or low birth weight
Tiny babies tire quickly. Even if they latch initially, they may not be able to sustain a full feed at the breast.
Frequent short feeds, top-ups, and weight checks can help bridge the gap.
7. Jaundice or sleepiness
Newborns with jaundice can be very sleepy and too drowsy to feed properly.
Gentle waking techniques like skin-to-skin and breast compressions during feeds can help keep baby alert and feeding.
8. Mum’s positioning or technique
Sometimes, it’s not about baby at all—it’s just that you’ve never done this before, and your positioning may need tweaking.
That’s where a lactation consultant can help—small changes can make a huge difference.
When you’ve tried everything… and it’s still not working
This is where many mums start to spiral and worry:
“Why won’t my baby breastfeed?”
“What if I’m doing something wrong?”
“Is it because of the birth?”
And sometimes, yes—a traumatic birth, NICU admission, or separation after delivery can interfere with early feeding cues and instinctive behaviours. If your baby won’t latch after a traumatic birth, or you’re still reeling emotionally from the experience, a birth debrief may help you make sense of things and find healing.
You are not failing — And you are not alone
Latch issues don’t mean you’re broken. They don’t mean your baby is rejecting you. They mean you’re both learning—and sometimes, you need some gentle, personalised support. At Lullabies, I offer:
In-home and virtual lactation support sessions
Help with nipple shields, expressing, and combo feeding
Advice on when to introduce bottles or cup feeding
Birth debriefs and emotional support for parents navigating complex starts
Final thoughts
If your newborn isn’t latching, please know:
It’s not your fault.
There are many reasons why it might be happening.
And there are ways forward—with love, patience and support.
Feeding your baby is about connection—not perfection. If you're having difficulty feeding your baby, contact a lactation consultant for support. Let’s help you find a way that feels calm, informed, and right for your family.
Important information
There is constant research in this field to ensure the safety of our children and guidelines and recommendations are updated regularly. Please remember that this article is a summary only of current guidance and check the links listed for more in-depth information. It is not intended to be an exhaustive list, only to be used as guidance. Your own country may also have their own guidance. If in any doubt about any aspect of your baby/child's care, please consult with your paediatrician.