What is Combo Feeding?

Feeding a newborn is a deeply personal journey, and every family’s experience will be unique. While exclusive breastfeeding is often encouraged, it’s not the only path to nourishing your baby. Combo feeding, which combines breastfeeding and formula feeding, is a practical option for many families. This article offers guidance and support for parents considering this approach. Breastfeeding is not all or nothing.

What is Combo Feeding? Combo feeding, also known as mixed feeding, involves supplementing breastfeeding with formula. This can take many forms, such as:

• Breastfeeding during the day and offering formula at night.
• Alternating breast and bottle feedings throughout the day.
• Providing formula as a supplement when milk supply is low or during growth spurts.
• Using formula as a backup when a parent is away or unable to breastfeed.

Why Parents May Choose to Combo Feed There are many reasons why parents might decide to incorporate formula into their baby's feeding routine. Some of the most common reasons include:

• Low Milk Supply – Some parents struggle with producing enough milk to meet their baby’s needs, making formula supplementation a helpful option.
• Medical Reasons – Certain medical conditions for mom and/or baby, medications, or recovery from childbirth.
• Returning to Work – Many working parents find that combo feeding allows them to continue breastfeeding while decreasing stress that their baby is fed during the hours they are apart.
• Lack of Support – a lack of support is cited as one of the most common reasons that exclusive breastfeeding does not work out for a family. 
• Flexibility for Mom’s Well-being – Breastfeeding can be physically and emotionally demanding, and combo feeding can relieve some of that pressure.
• Ensuring Baby’s Nutrition and Growth – If a baby isn’t gaining weight adequately, supplementing with formula can help provide the necessary calories and nutrients.

Common Myths About Combo Feeding Despite its benefits, combo feeding is sometimes misunderstood. Let’s debunk some common myths:

• “You have to choose either breastfeeding or formula.” Many babies thrive on both breast milk and formula.
• “Using formula means you failed at breastfeeding.” Feeding is about nourishing your baby, and ensuring safe and healthy growth patterns. It is not about meeting external expectations.
• “Once you start formula, breastfeeding will end.” Many families successfully maintain breastfeeding while supplementing with formula.

How to Start Combo Feeding Successfully If you’re considering combo feeding, here are some tips to ensure a smooth transition

1. Maintain Breastfeeding Supply – Continue nursing or pumping regularly to sustain milk production. 
2. Follow Your Baby’s Cues – Pay attention to hunger and fullness signals to ensure they’re getting enough nourishment while not overfeeding.
3. Ensure you are Using Paced Bottle Technique- A feeding technique designed to simulate milk flow at the breast as best as a bottle can. (Click HERE to go to my paced bottle feeding article to learn how.) 
4. Seek Support if Needed – A lactation consultant can help tailor a feeding plan that works for you. You can book a virtual session with me HERE. 

Every family’s situation is different, and what works best for one may not work for another. Any amount of breastmilk will provide benefits to your baby. Combo feeding is a completely valid approach to infant feeding. Whatever feeding method you choose, trust your instincts and know that you are doing what’s best for you and your child. If you’re considering combo feeding, remember that support is available. Reach out to your lactation consultant or book a virtual session with me HERE for more individualized guidance.