Feeding twins babies is a daunting task!  I didn’t even know where to begin when I had mine since they were my first children.  I also had no help or family around to ask so I felt that much more clueless (my girls were born in the US and there are no midwife visits there!).  I trawled the internet furiously looking for tips on how and how much to feed and ended up with too much information.  I have tried to summarise the information in a neat table format so that it is easier to look up.

What to feed?
0-4months 4-6  months 6-8 months 8-10months 10-12 months
Breastmilk or Breastmilk or Breastmilk or Breastmilk or Breastmilk or
Formula Formula Formula Formula Formula
No Solids Some Solids if appropriate Fortified cereal puree Pureed fruit & vegetables as per 8-10 months but
Pureed Fruit Cheese & Yoghurt, scrambled egg Introduce small cut pieces of meat, fish etc.
Pureed vegetables Pureed fish or meat Cubed vegetables & fruit
Finger food (o shaped cereal etc.) Pasta
Small pasta pieces Introduce casseroles and combined food
(pasta bolognese etc.)
How to feed twins?

Most twin mums are encouraged to breastfeed their twin babies and want to breastfeed them.  It is widely acknowledged that breastfeeding is good for the immune system, very nourishing and also for bonding.  However one also has to bear in mind that not all mums are able to produce enough milk, especially enough for twins  (or any milk in the case of surrogacy or medical conditions) and sometimes babies are not strong enough to breastfeed.  Formula is a perfectly a acceptable substitute and no mother should fee guilty or be bullied about not breastfeeding or not being able to breastfeed or for using both breast milk and formula.  It is better to ensure you have a growing baby than to worry about your ability to breastfeed.

In my case, since my girls were born at 32 weeks and quite low in weight one of them never developed enough strength to breastfeed.   I did not have the courage to force her and persevere by not giving her the option (which is what my lactation consultant had said I could do).  I was far to scared she would lose weight.  In the end I decided to express all the milk she needed and breastfeed one of my twins.  I fed them consecutively in order to hold both of them in my arms.  At night I always bottle fed expressed milk (which I pumped throughout the day, every 3h).  It simply found it easier to bottle feed them both at night and it worked well for the weekend when the task was shared with my husband.  After 3 months, my breastfeeding twin decided she no longer wanted the breast so I moved to feeding them both by bottle of breastmilk.  I did this in tandem while they were in their bouncers or swings (if I was out and about I just did it in the buggy).  There is certainly a ‘convenience’ element to tandem bottle feeding but it is definitely less of a bonding session so that is something to bear in mind!

Breastfeeding twins in tandem can be tricky at first but after a few sessions of practice and help of another person it is very possible to tandem feed twins with a twin breastfeeding pillow such as this one Piglet Nursing Pillow. Designed by a twin mum for breastfeeding twins in tandem. Ideal for singleton mothers who require high support after a C section.

Breastfeeding Twins
Readiness Signs:

0-4 months

4-6 months 6-8 months 8-10 months 10-12 months
  • N/A
  • Holding head unaided
  • Significant weight gain (double birth weight and at least 12-3 lbs or 5-6kg)
  • starting solids before 6 months mostly advised in cases of severe reflux
  • same as 4-6 months +
  • can sit in a high chair and hold head
  • can close mouth around spoon
  • can move food from front to back of mouth
  • Same as 6-8 months Plus
  • Picks up objects with index and thumb
  • Puts everything in mouth
  • Chewing movement
  • Same as 8-10 months Plus
  • No longer pushes food out with tongue
  • Tries to use take spoon from you
  • Swallows food more easily
  • Has more teeth
How much to feed?
0-4 months 4-6 months 6-8 months  8-12 months
  • newborns: 60-90ml (2-3 oz) of formula or breastmilk every 3-4 hours
  • 1-4 months: 120-140ml (4-5 oz) every 4 hours or 75ml (2.5 oz) per pound (453g) of body weight per 24h
  • as per 1-4 months
  • increase by 30ml (1 oz) per month up to a max of 960ml (32 oz) in 24h (divide into 4-5 feedings)
  • from 12lbs of weight (5.4kg) you can drop night feeding
  • if ready you may add 1-2 tablespoons of cereal twice per day
  • introduce a sippy cup (avoid juices)
  • 180-240ml (6-8 oz) of formula or breastmilk per feed  (4/5 feedings)
  • start solids gradually (1 tablespoon of cereal twice a day, before milk and increase to 2 spoons)
  • gradually add new foods, one at a time (fruit, vegetable etc.) – 4 times a day before milk
  • same amount of milk as 8-10months Plus
  • try offer a protein, vegetable, dairy and crab at every meal (3-4 per day)

Please note that Honey is not safe to be given to babies under 12 months of age due to the risk of botulism

Introducing solids
Baby Journey – Introducing Solids