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Breastfeeding more than one child

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Breastfeeding more than one child can feel rewarding, but it can also bring some challenges. Whether you are breastfeeding twins, triplets, a baby born early, or children of different ages, it is normal to have questions or find some days harder than others. We can offer support and advice to help you continue breastfeeding in a way that works for you and your children.

More about breastfeeding more than one child

Breastfeeding more than one child can include feeding twins, triplets, a premature baby, or both a baby and a toddler, which is known as tandem feeding. Breastfeeding a baby while continuing to breastfeed an older child is called tandem feeding.

It may take time for you and your children to find a feeding routine that works for your family. Each child may feed differently, and you may face some challenges. Speak to a health professional if feeding is difficult or you are worried about how much milk your baby or babies are getting.

Breastfeeding supports your child’s health, growth and development. It can also give comfort and help you build a close relationship with each child. Any amount of breast milk you give is valuable. You can continue breastfeeding after your child’s first birthday for as long as you and your child wish.

Questions and answers

Can I make enough breast milk for twins or triplets?
Your body can make enough breast milk for more than one baby. Breastfeeding often or removing milk from your breasts by hand or with a breast pump can help your body make the amount your babies need. You can breastfeed 2 babies at the same time, feed each baby separately, or use both approaches. Remember, even twins and triplets feed differently, as each baby has their own personality and needs. Speak to a health professional if you need help finding a comfortable position or are worried about either baby’s feeding, wet nappies or weight.
Will I have enough time to feed my baby and spend time with my toddler?
Breastfeeding is more time-consuming in the early days as you and your baby get into the rhythm of feeding, but it usually becomes more efficient and less time-consuming over time. You can make breastfeeding your baby a special time for your older children by reading to them, talking with them, and playing games together, whilst continuing to meet the needs of your baby.
How long should I breastfeed my baby for?
Breastfeeding continues to provide health benefits as your children grow. The World Health Organization recommends only breast milk for the first 6 months. After this, you can continue breastfeeding alongside solid foods for 2 years or longer. Globally, children stop breastfeeding at an average age of around 3 years and 6 months. How long you continue breastfeeding is a decision for you and your children. You can continue for as long as it works for your family.
Is it difficult to breastfeed twins or triplets?
Breastfeeding twins or triplets may be different from breastfeeding one baby. Your body can make enough breast milk for more than one baby. Twins and triplets are often born early or smaller, so they may need extra help while they learn to breastfeed. Expressing breast milk by hand or with a breast pump can help you build and maintain your milk supply. You can get early support from your local health visiting team to help you reach your feeding goals.
Is it OK to tandem feed?
Yes, you can continue breastfeeding your older child after your new baby is born. Your older child may stop breastfeeding when your milk changes during pregnancy but may want to start again after the baby is born. You can continue breastfeeding both children if this works for you and your family.
Can I breastfeed my premature baby?
Yes, a premature baby, or a baby born early, may need time and support to learn to breastfeed. In the early days, you may need to remove milk from your breasts by hand or with a breast pump. This is called expressing and can help build and maintain your milk supply. How often you need to express will depend on how early your baby was born. From around 37 weeks, babies are usually better able to suck, swallow and breathe during a feed. Some babies may move towards the breast or start breastfeeding before this, while others need more time.
How do I know each baby is getting enough milk?
Each baby may feed differently. Signs that each baby is getting enough milk include swallowing during breastfeeding, seeming settled after breastfeeding, having enough wet and dirty nappies, and gaining weight as expected. Speak to a health professional if one baby feeds much less than the other, has fewer wet nappies, or you are worried about their weight or growth.

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