Hands gently cradling a newborn baby's head.

What is the Milk Drop Method?

The Milk Drop Method is an evidence-based practice that improves feeding outcomes and has significantly shortened the length of stay for very premature infants. This intervention actively engages infants by placing droplets of milk on their lips, and based on the infant’s response, additional milk is offered.

As the infant begins to associate hunger with the enjoyment of eating, they are also practicing sucking, swallowing, and breathing – the adaptive motor skills critical for successful oral feeding.

Initially designed to support the neurodevelopment of oral feeding readiness in preterm infants, the Milk Drop Method has since been adopted for older infants in both neonatal and pediatric care settings.

Milk Drop Steps

A newborn baby receiving medical care with a feeding tube.

Step One:

Place a drop or two of milk on the infant’s upper lip or fingers to smell and taste the milk.

Close-up of a newborn baby with medical tape on the face.

Step Two:

Observe the infant’s response. If the infant is calm and stable, then gently offer a swab or pacifier.

Newborn baby with a pacifier resting peacefully.

Step Three:

If the infant accepts the swab or pacifier by opening their mouth or rooting, slowly offer more milk, a drop at a time, as the infant sucks.

Sleeping baby with a soft headband and gentle smile.

Step Four:

If the infant instead makes subtle mouth movements or just licks the milk, slowly offer more milk, one drop at a time, as the infant licks.

Newborn baby peacefully sleeping with a nasal tube for breathing support.

Step Five:

However, if the infant doesn’t respond, support the infant to rest.

Key Components: Milk Drop Method

A mother lovingly kisses her smiling baby.

Testimonials

Dad of 24 weeker-now 35 weeks

"I love to watch him take his milk
drops. His oxygen levels are at their best when he is getting those drops of milk."

Mother of 25 weeker now 32 weeks

 
"When my baby kangaroos
– she is not happy until she is cradled at my breast. I know that milk drops are a big part of this."

Mother of 27 week twins – home at 37 weeks

"My babies are coming home exclusively breastfeeding – just what I had hoped for."