Feeding Twins and Multiples: Expert Tips From an IBCLC

Terressa Patterson RN BSN MS IBCLC
In partnership with Dr. Brown's Company

Breastfeeding multiples can feel daunting, but is entirely possible with the right techniques, information, and support. Your body is designed to meet the demand of your babies. The more milk they remove through nursing or pumping, the more milk you will produce. Many mothers successfully breastfeed twins and triplets and some even produce enough milk to donate.

Tips for Breastfeeding Multiples:

  • Feed simultaneously: Tandem feeding can save time and energy. A twin nursing pillow or specially designed breastfeeding cushion can help position both babies comfortably. Simultaneous feeding also helps keep both babies on the same feeding schedule, which is a lifesaver for your rest and routine.
  • Alternate breasts: Switching babies between breasts at each feeding ensures both breasts receive equal stimulation and prevents one baby from preferring a specific side. It also helps maintain an even milk supply and reduces the risk of uneven engorgement or blocked ducts.
  • Experiment with positions: Each baby may prefer a different position, so have fun trying a mix of holds. Popular positions for twins include the football hold for both babies, a combination of cradle and football, or laid-back breastfeeding. Adjust based on your comfort and what works best for your babies.
  • Add pumping sessions: If your babies are premature, unable to latch, or need supplementing, pumping can maintain or boost your milk supply. A hospital-grade double electric pump can be helpful to save time. Pumping can also help you build a freezer stash for times when tandem feeding is not possible or when someone else needs to feed the babies.
  • Rotate feeding methods: It is safe to mix breastfeeding with bottle feeding (using expressed milk or formula) if needed. This can allow you some rest while a partner or caregiver feeds one baby.
  • Ask for help: Breastfeeding multiples is a team effort! Partners, family members, or friends can assist with burping, diaper changes, or keeping one baby calm while you feed the other. Having a support system in place can reduce stress and give you more time to focus on feeding.
  • Prioritize rest and hydration: Caring for multiples can be physically and emotionally exhausting, and fatigue can affect milk supply. Make sure you are eating well, staying hydrated, and resting whenever possible. Short naps during the day can make a huge difference.

Emotional Support and Self-Care

Breastfeeding can sometimes feel overwhelming, especially in the early days. Many mothers worry about whether they are producing enough milk, achieving the "perfect" latch, or meeting their baby's needs. It is important to remind yourself that breastfeeding does not have to be perfect to be successful. Whether you are exclusively nursing, supplementing, pumping, or doing a combination, what matters most is that your baby (or babies) is fed, loved, and cared for.

Joining a local or online breastfeeding support group can be incredibly helpful. Connecting with other mothers who share similar experiences can provide encouragement, tips, and a sense of community. For mothers of multiples, support groups specifically for parents of twins or more can be a great resource for advice tailored to your unique journey.

Remember to celebrate your wins—big or small. Every ounce of milk you provide, every feeding you manage, and every challenge you navigate is an accomplishment worth recognizing. Breastfeeding is a learning process for both you and your baby, and your love, effort, and care are what truly define your success as a mother.

DISCLAIMER: THIS CONTENT DOES NOT PROVIDE MEDICAL ADVICE
The information contained is for informational purposes only and is NOT intended to be a substitute for professional medical advice, diagnosis, or treatment. You should not rely solely on this information. Always seek the advice of your healthcare provider.