Pulling at the shirt can happen both with breastfeeding babies and formula feeding babies whenever they want milk. Use it as an opportunity to model the sign!
"I see that you want MILK."
"You're telling me you want MILK."
"Let's get you some MILK."
By using the sign, you're showing your baby a different way to let you know they're hungry. When your baby learns to sign this back to you, they'll feel so relieved that they have a way to communicate their hunger without crying, screaming, or pulling on you.
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I sign this to my boy when I am feeding him milk, still hasn’t caught on, hope he does soon!