How to Navigate Nursing Twins: Expert Tips for Tandem Feeding Success

So you have two babies! [Or you are having two babies] [[Or you are just interested in how someone would manage this feat]] And you want some tips on nursing twins.

Feeding one newborn can feel overwhelming; feeding two can seem impossible. Whether you’re nursing twins exclusively or combining breastfeeding with pumping and bottle feeding, there’s no one right way to make it work. What matters most is finding a rhythm that supports your babies’ growth and your own recovery.

Our first tip doesn’t even involve breasts. It’s about getting on a schedule. If both babies are on different schedules then a parent will find themselves CONSTANTLY feeding one baby or the other. We strongly recommend the three hour schedule.

Once you have the when down, you have to figure out the how:

Will you feed them at the same time?

Will you feed them back to back?

Which baby gets each breast?

There is no RIGHT answer.

Both babies at one time:

Most commonly, parents figure out a position that is comfortable for them to feed both babies at the same time. This means that the whole feeding can be over in an efficient amount of time and neither baby has to wait patiently to eat. You may want to look into a twin nursing pillow like the twin-z.

Synchronize your Babies’ Feeding Schedules—but Stay Flexible

Feeding twins simultaneously can save time once you’re comfortable. Aim to nurse or feed both babies on the same schedule when possible, especially overnight. However, it’s okay if one baby needs to eat sooner or later than the other. Flexibility prevents stress and helps you stay attuned to each baby’s unique cues.

Track Feeds and Diapers

Keeping a simple log of feed times, sides, and diaper changes can help you spot patterns, prevent engorgement, and ensure both babies are getting enough milk. Use an app or a small notebook by your nursing chair for quick notes.

Or Start with One Baby at a Time

Both babies at one time doesn’t work for every parent. Some women with very large breasts need to have a more hands-on nursing process. And some women just can’t seem to feel safe/comfortable feeding both at the same time. I’ve heard from other women still that they want to nurse each individually to make eye contact and give each baby undivided nursing attention. [This is only possible if there is another caregiver. I guarantee you that the baby not eating won’t sit quietly and wait while their sibling goes first!]

In the early days, focus on helping each baby learn to latch and feed effectively. Start by nursing one at a time until you feel confident with positioning and latch. Once you’re comfortable, you can transition to tandem feeds using a supportive twin nursing pillow or stacked pillows for extra height. This gradual approach builds confidence and helps prevent nipple soreness or frustration.

With one baby at a time, the babies are on the same schedule but about 20-30 minutes staggered. So that one baby is always hungry first. You find a favorite play mat or bouncy seat for the waiting baby. Sometimes you can manage the schedule so that the second baby is still sleeping while you feed the first.

Find Comfortable Positions for You and Your Babies

Experiment with different holds to discover what feels best:

• Football hold: Each baby tucked under an arm, supported by pillows at your sides. Great for early tandem feeds.
• Cradle or cross-cradle hold: Babies’ heads rest in the crook of each arm, facing you. Works well once they have stronger head control.
• Combination hold: One baby in football, one in cradle — helpful when their needs or sizes differ.

Support your back and arms with firm pillows, and keep water, snacks, and burp cloths nearby before settling in.

Which breast does each baby get?

This varies vastly. Some parents choose to assign a breast to each baby. Some switch off every feeding. And some switch off every day. It’s important to figure out if you have a “powerhouse” breast or if they both produce similar amounts to help you make this decision.

Can you pump to support feeding both babies?

Some babies won’t latch. And some parents find the concept of figuring out which baby ate how much and when and for how long is just too daunting. Pumping can also be an effective way to feed multiple babies. Pumping supply is unpredictable- some women will overproduce, and some will underproduce. A hospital grade pump is recommended to produce enough milk to feed more than one baby. The easiest way to pump is to get your baby onto the Eat. Play. Sleep schedule. So you start pumping 20-30 minutes before they wake up and when they wake from their nap you are able to offer them the fresh milk that you just pumped. It’s important when pumping that you are mimicking the times that your baby eats at.

Take Care of Your Body

Hydration and calories matter, especially if you’re breastfeeding two. Keep easy snacks nearby and drink water at every feeding. Gentle stretches or a short walk after long nursing sessions can help with circulation and posture.

If you experience cracked nipples, blocked ducts, or persistent pain, reach out to a lactation consultant. These challenges are common and fixable with support.

Be Kind to Yourself

Nursing twins can be rewarding, but it’s also demanding. Some days one baby will latch beautifully while the other refuses—and that’s okay. You’re doing your best, and that’s enough. Celebrate small wins: a peaceful feeding, a few extra minutes of rest, or the way your babies snuggle together after a session.

You Don’t Have to Do It Alone

Twin parenthood comes with double the love and double the work—but you don’t have to navigate it alone. Whether you’re figuring out tandem feeding, mixed feeding, or overnight routines, Well Supported Family offers experienced, compassionate support to help you rest, recover, and thrive.

Make the Most of Support

Ask for help when you can. Having someone bring water, burp one baby, or swap out feeding pillows can make sessions smoother and less physically draining. Lactation consultants, postpartum doulas, and twin support groups can provide guidance and reassurance during the learning curve.

Tip: Postpartum doulas and overnight newborn care specialists can help you establish routines, troubleshoot feeding challenges, and get more rest while recovering.
Learn more about Well Supported Family’s newborn care services →

If you need more tips on nursing twins and need in home support,reach out!

Well Supported Family provides postpartum care and overnight newborn support across New England, New York, Florida, Chicago, Atlanta, and beyond.  We have Postpartum Doulas and Newborn Care Specialists who would love to support you.