how to tandem feed twins

Mastering Simultaneous Breastfeeding for Multiple Babies

Breastfeeding twins can seem like an overwhelming challenge for many mothers. But with the right preparation and techniques, it is possible to successfully tandem feed both babies at the same time. This comprehensive guide will walk you through everything you need to know about tandem breastfeeding twins, from getting set up to troubleshooting common issues.

Key Takeaways:

  • Tandem feeding lets you breastfeed twins simultaneously to save time and bond with both babies.
  • Good positioning, pillows, and a nursing station are key to getting comfortable for tandem feeding.
  • It takes practice, so be patient with yourself as you and the babies learn. Expect a ramp-up period of 4-6 weeks.
  • Feed babies on demand, alternating sides to ensure both get equal time on each breast.
  • Watch for proper latch and equal swallowing to ensure babies are transferring milk well.
  • Manage challenges like spit-ups, sore nipples, and babies finishing at different times. Prioritize safety.

Why Tandem Feed?

Tandem feeding means breastfeeding two babies at the same time, one latched on each breast. This allows you to feed both babies simultaneously, saving precious time and letting you bond with each one.

The benefits of tandem feeding twins include:

  • Saves time – Feeding two babies one after the other can take hours. Tandem feeding cuts the total feeding time significantly.
  • Equal nutrition – Each baby can get equal time feeding directly from each breast when you alternate sides at each session.
  • Bonding – With babies snuggled on each side, you can look into both their eyes, touch both, and deepen your connection.
  • Easier night feeds – For late night feeding, tandem feeding means you only have to get set up and situated once instead of twice.
  • Convenience – You can feed babies together anytime, anywhere without needing to bring bottles and formula.
  • Supply – Nursing two babies stimulates milk production better than just nursing one.

While tandem feeding has many advantages, it does take determination and practice. But with time, patience, and the right techniques, you can make it work successfully.

Getting Set Up for Tandem Feeding

When starting off tandem feeding twins, invest some time upfront in getting comfortable and propping babies in ideal positions. This will make sessions much easier. Here are some tips for getting set up:

Create a Nursing Station

Pick a spot in your home where you will regularly feed the babies together. This will be your designated nursing station. Choose a comfortable chair or sofa and have the following items nearby:

  • Nursing pillow – Arrange two nursing pillows in a U shape to tuck each baby into. Or use a twin nursing pillow that supports both.
  • Burp cloths, bibs – Have several on hand in case of spills or spit-ups.
  • Water, snacks – Stay hydrated and keep some snacks nearby to eat one-handed while nursing.
  • Books, remote – Entertainment to keep yourself occupied during long feeding sessions.
  • Diapers, wipes – For quick diaper changes between switch sides.

Get Comfortable

Sit reclined at a 45-60 degree angle in your chair with back support. Use plenty of pillows to prop your arms and fill in gaps between you and babies as needed. Keep your shoulders relaxed and elbows bent 90 degrees to support the weight of each baby.

Position the Babies

Place each baby tummy-to-mommy (chest down) at a 45 degree angle on the nursing pillows. Their heads should tilt back slightly to open the airway. Make sure their bodies turn inward facing each breast, not straight forward.

Tuck the pillows snugly under their bodies, right up to their shoulders. This keeps them stabilized and aligned as they nurse hands-free. Only their head and neck should turn.

Latch Them On

With babies in position, use one hand to support the head/neck and the other to hold your breast. Tickle the baby’s lips to encourage a wide open mouth, then bring baby quickly onto the breast.

Aim the nipple up toward the roof of their mouth as you draw them in close. Visually check that each baby has a wide, symmetrical latch and that their chins touch the breast. Listen for steady suck-swallow rhythms.

Tips for Successful Tandem Sessions

Once you have the basics down, here are some key tips to help tandem feeding sessions go smoothly:

Get Baby’s Attention First

Before bringing baby to latch, wake them up with gentle touches if needed and make eye contact. This helps get babies alert and interested in feeding.

Alternate Sides

Start each baby on opposite breasts at each session. Switch sides halfway through so both get equal time on the left and right.

Mind the Clock

Aim for 10-15 minutes per side, but let babies cue you when they are done. Burp and switch sides if they unlatch or slow sucking before 10 minutes.

Burp Between Sides

Burp each baby after one side before switching to ensure they don’t get gassy from gulping too much milk.

Start with Dominant Side

If you have a breast that lets down faster, start babies on that side so they both get the high-fat hindmilk right away.

Break the Seal

If babies fall asleep but have good latches, don’t unlatch them. Gently break the suction seal with a finger, let your breast slip out, then switch sides.

Prioritize Safety

If a baby pops off mid-feed, tend to them immediately. Place on a flat surface while you relatch the other baby securely before returning to the first.

What to Expect in the Early Weeks

When you first start tandem feeding, it will take time and consistency before you and the babies get the hang of it. Expect it to be a little messy and chaotic at first. But stay patient and keep trying.

Allow 4-6 Weeks to Adjust

Both you and the babies will need practice to coordinate and find optimal positioning. It takes 4-6 weeks on average to really get into a smooth rhythm.

Feed On Demand

Let the babies cue you when they are hungry by rooting, mouthing, or crying. Allow them to nurse as long and as often as they need in the early months.

Recruit Help

Have your partner assist during the first few tandem sessions. An extra set of hands helps enormously with positioning, burping, and soothing fussy babies.

Expect Resistance

Some babies dislike sharing the breast. One may fuss or unlatch repeatedly at first. Offer a pacifier, rock them, then try again.

Sore Nipples are Normal

As babies explore latching, your nipples may become tender or cracked. Use nipple balms and modify positions to heal.

Watch for Equal Swallows

Listen and see that babies are transferring milk equally from each side. If swallows are uneven, offer the weaker side first next session.

Troubleshooting Common Challenges

While rewarding, tandem feeding also comes with its fair share of challenges. Here are some common issues and how to deal with them:

Spit-Ups and Leaks

Babies may spit-up often or leak excess milk when learning to tandem feed. Use burp cloths to contain messes. Change clothes and pillow covers as needed.

Distracted Babies

Babies may turn away or unlatch to look at each other. Gently guide their focus back to feeding or try using a nursing cover.

Different Timing

One baby may finish faster or grow disinterested and unlatch sooner. Burp them, then hold them on your lap while the other baby finishes.

Strong Letdown

Fast milk flow can choke or startle babies. Allow milk to spray into a towel first before latching. Recline more to slow flow.

Sleepy Babies

Tickle feet, unwrap blankets, or wipe with a cold cloth if babies start dozing off so they rouse to keep eating.

Sliding Down

If a baby slides off the pillow, stop and reposition. Check for proper head, neck, and body alignment before relatching.

Sore Breasts

Switch nursing positions and angles to shift pressure points. Express some milk first to soften the areola for an easier latch. Limit feeds to 10-15 mins.

Favoring a Side

If one breast produces more, start babies on the weaker side first so it gets more practice to even out supply. Offer the strong side when babies are sleepier.

Supplies, Tips & Tricks

These additional supplies and strategical tips will further help you tackle the learning curve and make tandem feeding as easy as possible:

  • Nursing bras – Have several front-open nursing bras ready for easy access. Look for wide straps and padded underwire options to support heavy milk supply.
  • Hands-free pumping bra – Lets you double pump in between nursing sessions to build up milk stash or relieve engorgement.
  • Breast pads – Use ultra-absorbent washable nursing pads to soak up leaks. Change frequently to avoid infection-causing dampness.
  • Lactation supplements – Stock up on lactation cookies, teas, shakes, and vitamins with fenugreek or brewer’s yeast to enrich milk supply.
  • Breast pump – Pump after tandem sessions or in between to boost supply. Let your partner bottle-feed pumped milk for an occasional break.
  • White noise machine – Drowns out distracting sounds for more focused feeding. Especially useful for evening feeds before bedtime.
  • Carrier or sling – Lets you tandem feed on-the-go. Try a twin carrier with front and back pouch.
  • Teething toys – Keep some on hand to occupy babies who may bite from teething discomfort. Chilling the toys can soothe sore gums too.

Fostering a Nursing Bond

Along with nourishment, tandem feeding is a precious chance to connect with each child individually. Keep these tips in mind to make the most of bonding while tandem feeding:

  • Maintain eye contact, smile, and talk to each baby as they nurse. The loving gaze and sound of your voice nurtures them emotionally.
  • Sing or hum soothing melodies to help babies associate feeding time with calmness and comfort.
  • Gently stroke their hair, cheeks, or hands to combine physical touch with feeding. Babies thrive on skin-to-skin contact.
  • Rock gently side to side or sway as you tandem feed to mimic the motion babies felt in the womb. The movement lulls them.
  • Breastfeed in low lighting or a quiet room without distractions so babies can focus solely on you. Feeding in calm settings is more relaxing for little ones.
  • Switch which breast you start each baby on so they get one-on-one time on left and right. Vary positions too for fresh perspectives.
  • Continue tandem feeding and pumping breast milk as long as you can up to a year old to extend this special bonding time. Every feeding session strengthens your connection.

Weaning from Tandem Feeding

When the time comes to wean babies off breast milk, you can slowly phase out tandem feeding sessions:

  • 6 months: Start introducing solid foods and sippy cups, nursing before solid meals.
  • 9 months: Begin offering whole cow’s milk in cups with meals to get babies used to the taste.
  • 12 months: Drop the midday tandem feeding session and replace it with solids and whole milk in cups.
  • 15 months: Phase out the morning tandem feeding, having babies drink whole milk from cups instead.
  • 18 months: Drop the before-bedtime tandem feeding, substituting it with nighttime cups of whole milk and bedtime cuddling/stories.

Go at the pace your babies set. Watch for signs of readiness like chewing skills, decreased nursing time, or disinterest in breastfeeding. Make the transition gentle with lots of snuggles. tandem feeding lays the foundation for a lifetime of nourishment and caregiving.


While tandem breastfeeding twins is a juggling act, the many health benefits and special bonding time are well worth the effort. With the right preparation, positions, and techniques, you can find your groove and make tandem feeding an enriching part of your twin parenting journey. Trust the process, ask for help when needed, and remember to celebrate each small victory along the way. Stay patient and keep at it – soon you will be a tandem pro!


Is it possible to exclusively tandem breastfeed twins?

Yes! With diligent feeding, pumping, and proper latching, many mothers successfully tandem feed without supplementing with formula. Aim to nurse 8-12 times a day and stay hydrated.

Will my supply be adequate for two babies?

As long as both babies latch and nurse effectively, nursing two sends signals to your body to produce more milk. Supply regulates to demand within 6 weeks in most mothers.

How do I know if babies are getting enough milk tandem feeding?

Watch that both babies latch deeply and swallow steadily. Track wet diapers – aim for 6-8 heavy wet ones daily. Ensure babies gain weight appropriately at checkups.

Can I mix tandem and individual feeding?

Yes, be flexible based on babies’ cues each session. Tandem feed to save time when you can, but also unlatch and feed one baby solo if needed. Mixed feeding helps prevent lopsided supply.

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