The Joys and Challenges of Breastfeeding Twins: Nurturing Two Little Ones Simultaneously

Jun 15, 2023 | Breastfeeding

Young mother holding newborn babies and breastfeeding twins

by Jenny Busbey, BSN, RN, IBCLC


Breastfeeding is a beautiful and natural way for mothers to nourish and bond with their babies. While it can be an incredible experience, breastfeeding twins presents a unique set of joys and challenges. The journey of breastfeeding two little ones simultaneously requires patience and a committed support system. In this article, we will explore the benefits of breastfeeding twins, practical tips to make the process smoother, and how to overcome common obstacles along the way.

Breastfeeding twins offers numerous benefits, both for the babies and the mother. Firstly, breast milk provides tailored nutrition that adapts to the needs of each individual baby. It contains essential nutrients, antibodies, and enzymes that boost their immune systems and support their overall development. Breast milk also lowers the risk of various illnesses, including respiratory and gastrointestinal infections, and contributes to better long-term health outcomes.

For the parent, breastfeeding stimulates the release of oxytocin, a hormone that promotes bonding and helps reduce postpartum bleeding. It also aids in shrinking the uterus and assists with weight loss after childbirth. Additionally, breastfeeding twins can be a time-efficient option compared to bottle feeding, as it eliminates the need for preparation and sterilization of bottles, saving both time and money.

Practical Tips for Breastfeeding Twins:

Establish a routine

Creating a breastfeeding schedule that works for both babies can be immensely helpful. Try to feed them simultaneously whenever possible, as it can save time and allow you to rest in between feedings. This can take some time, practice, and persistence. The more you practice with positioning and holds, the more comfortable it will get. As babies mature and get stronger they will need less support with latching and staying latched while feeding.

Get comfortable

Find a comfortable and supportive nursing position. Experiment with different holds, such as the double-cradle, football, or combination hold, to determine what works best for you and your babies. Having a support person is very beneficial in the first few weeks to months while you practice positions and holds to help you with latching the second baby while the first baby is nursing.

Seek assistance

Reach out to an IBCLC, lactation consultant, specializing in multiples. They can provide valuable guidance, tips, and support tailored to your specific needs. Having the professional support of a lactation consultant can make all the difference in the beginning and help you to achieve breastfeeding twins.

Utilize breastfeeding aids

Consider using breastfeeding pillows or twin nursing pillows to support your babies and provide additional comfort during feedings. These aids can help position the babies properly, reducing strain on your back, arms, and neck. Twin pillows are larger than the average nursing pillow and can help support both babies so you can breastfeed both babies tandemly.

Pumping and storing milk

Expressing breast milk using a pump can be beneficial, allowing others to assist with feedings and providing flexibility in your routine. Invest in a quality breast pump or rent a hospital-grade pump and review proper storage techniques to ensure the milk remains safe for consumption. Be sure to work closely with your lactation consultant when reviewing breast pumps and creating a schedule for pumping, if needed for your little ones. Hospital-grade rental pumps, such as the Medela Symphony, are recommended in the first few months to help establish a milk supply and are very important if you are separated from either one or both babies. 

Overcoming Challenges

Nipple soreness

A proper latch is crucial to prevent nipple soreness. Seek assistance from an IBCLC to ensure both babies latch correctly, avoiding pain and discomfort.

Low milk supply

Breastfeeding twins often requires a higher milk supply. To boost production, ensure you are drinking plenty of water, eating a nutritious diet (at least 500 calories extra per day), and considering herbal supplements, as advised by your lactation consultant.


Breastfeeding twins can be demanding, and fatigue is common. Remember to prioritize self-care, rest whenever possible, and accept help from family members, friends, or a partner to lighten the load. Your job as a new mom is to feed your babies and get proper rest, all of the other responsibilities of the household should be carried by your support people in the first weeks after delivery.

Breastfeeding twins is a fulfilling and nurturing experience that brings immeasurable joy to both mother and babies. It may present challenges, but with patience, support, and the right tools, breastfeeding twins can be a rewarding journey. Remember to stay connected with professionals and support networks who can guide and encourage you along the way. Embrace this special time with your twins, cherishing the beautiful bond that breastfeeding fosters while providing them with the many benefits of breast milk.

Sarah Early - MSN, APRN-FNP-C, IBCLC

Sarah Early, MSN, APRN, FNP-C, IBCLC, is a clinically trained Integrative and Functional Health Family Nurse Practitioner who specializes in women's health and is the owner of Peony Women's Integrative Health and Lactation Room. She graduated with a Master's in Nursing and Family Nurse Practitioner with high distinction and is a member of the Sigma Theta Tau International Honor Society of Nursing. Sarah has been a practicing International Board Certified Lactation Consultant (IBCLC) since 2011 and opened Lactation Room in 2014. Lactation Room specializes in supporting parent/baby dyads who are struggling with infant oral dysfunction, feeding difficulties, and tongue-and-lip ties. They earned the prestigious IBCLE Care Award from the International Board of Lactation Consultant Examiners® (IBLCE®) and International Lactation Consultant Association® (ILCA®) have recognized Lactation Room for excellence in lactation care. She is a member of ILCA, USLCA, MBC, AANP, IATP, and MBC.