How can you tell if your baby has nipple confusion? My lo was nursing well until the last few weeks. She is 4mos and will only nurse for 5-7min total time. She nurses about every 3hrs in the day ( since I have been all over try to keep her eating for the last week ) and 1-2x's at night. It's hard for me to tell how her diapers are. I'm pretty sure they are OK. I'm just wondering since I give her a pacifier if she may have some kind of nipple confusion.She will nurse those few mins and then act like she wants to continue to nurse, but will fuss until I give her the pacifer. Why won't she pacify on the breast? I really think she wants more but is too impatient for me to let down more that once. But if she is happy getting nothing from the pacifier, why not just pacify on the breast? I can't tell if her suck is correct... she will nurse on my left side for about 5 min and if I'm lucky I can get her to nurse on the right side for 1-2min....sometimes a bit longer. She does this thing...pushes my breast while she is nursing and this causes her to "pop off". Her "top" arm is pushing straight out. Also...what makes them prefer one side over the other? She never played favorites in the beginning. I sure hope my questions make sense.