How to Combo Feed Your Newborn Baby with Breastmilk & Formula

Did you know that 85% of mothers in the United States use a combination of breastfeeding and formula feeding by the time their baby is three months old? (Source: CDC)

Combo feeding, also called mixed feeding or supplementing, is a practical solution that supports both your baby’s nutritional needs and your family’s unique lifestyle. This approach offers the best of both worlds—allowing parents to experience the emotional connection of breastfeeding while benefiting from the flexibility and convenience of formula feeding. 

Whether you’re navigating challenges like milk supply, returning to work, or sharing feeding responsibilities, combo feeding with a2 Platinum® can provide balance, freedom, and peace of mind, thanks to its gentle formulation designed for little tummies. Combo feeding provides a method that not only nourishes your baby but also helps create opportunities for bonding, rest, and easing the demands of parenting.

What is Combo Feeding?

Combo feeding, also known as mixed feeding, is the practice of nourishing your baby with both breastmilk and formula. This method offers the flexibility to combine the nutritional benefits of breastmilk with the convenience and reliability of formula, making it a versatile choice for many families. Unlike exclusive breastfeeding or formula feeding, combo feeding allows parents to tailor a feeding routine that works for both their baby’s needs and their own lifestyle.

When to Consider Combo Feeding

Combo feeding can be beneficial in a variety of situations, including:

• Returning to Work: If your schedule limits the time you can spend breastfeeding or pumping, formula can help fill in the gaps without compromising your baby’s nutrition.
• Low Milk Supply: For parents experiencing challenges with milk production, adding formula ensures your baby remains full and satisfied.
• Seeking Balance: Combo feeding allows you to meet your baby’s needs while creating a more manageable parenting routine, especially if you’re juggling other responsibilities.

Combo feeding isn’t just about meeting your baby’s nutritional needs—it’s about finding a balance that works for your family. Every journey is unique, and with a flexible approach, you can create a feeding plan that keeps your baby healthy and your life manageable.

What Combo Feeding Looks Like

Combo feeding doesn’t follow a one-size-fits-all model—it can take many forms depending on what works best for you and your baby. Some families alternate between breastfeeding and formula at different times of the day, while others may supplement breastfeeding with formula when needed. 

In certain cases, breastmilk and formula can even be combined in the same bottle, helping babies transition smoothly between the two. The beauty of combo feeding lies in its adaptability, giving parents the freedom to create a feeding plan that evolves with their baby’s growth and changing needs.

Combo Feeding Techniques

There’s no single method for combo feeding—it’s all about finding what works best for your baby and your family’s routine. By experimenting with different techniques, you can discover the right balance of breastfeeding and formula feeding that meets your baby’s needs while fitting seamlessly into your lifestyle.

Alternating Between Breast and Bottle

This method involves switching between breastfeeding and bottle feeding during separate sessions. For example, you might breastfeed in the morning and use a bottle for the next feeding. This approach works well for parents who want flexibility or are transitioning back to work.

• How It Helps: Alternating between the breast and bottle allows your baby to become familiar with both feeding methods. It also gives caregivers, such as partners or grandparents, a chance to participate in feeding, strengthening their bond with the baby.
• What to Expect: Some babies adapt quickly to bottles, while others may need time to adjust. Using a slow-flow nipple that mimics the breast’s flow can help ease the transition. Be patient and consistent as your baby learns this new routine.

Supplementing After Breastfeeding

If your baby still seems hungry after breastfeeding, you can follow up with a small amount of formula. This technique ensures your baby feels satisfied while allowing breastfeeding to remain a central part of their nutrition.

• How It Helps: Supplementing provides extra nutrition during growth spurts or when your milk supply temporarily decreases. Parents often find peace of mind knowing their baby is getting enough to eat.
• Getting Started: Begin with small amounts of formula after breastfeeding and gradually adjust the quantity based on your baby’s needs. Keep an eye out for signs of discomfort, such as gas or changes in stool, as their digestive system adapts to the formula.

Mixing Breastmilk and Formula

For babies who are new to formula, combining it with breastmilk in the same bottle can ease the transition by providing a familiar taste. This method is particularly useful for babies who resist the taste or texture of formula.

• How to Mix: Start with a higher ratio of breastmilk to formula, such as 75% breastmilk and 25% formula. Gradually increase the formula ratio over time as your baby becomes more accustomed to the new flavor and texture.
• Tips for Success: Ensure both the breastmilk and formula are at the same temperature before mixing to avoid uneven heating or separation. Mixing them gently helps create a consistent blend for your baby.

By trying these techniques, you can discover the best approach to combo feeding for your baby’s unique preferences and nutritional needs. Remember that every baby adjusts at their own pace, so be patient and flexible as you establish your feeding routine. 

Adjusting Your Combo Feeding Routine

It’s not one-size-fits-all, and adaptability is key to meeting your baby’s nutritional needs while accommodating your lifestyle. Whether you’re starting out or adjusting along the way, staying responsive to changes ensures a successful feeding experience.

Monitoring your baby’s growth is crucial. Regularly track their weight, milestones, and overall health to ensure the feeding approach supports their needs. Pediatric check-ups offer reassurance and expert guidance – ask about growth charts or feeding recommendations to address any concerns.

As your baby grows, their sleep patterns and nutritional needs may shift. Longer nighttime sleep often means fewer feeds, while growth spurts may require more frequent meals. Watch for signs like increased fussiness or appetite changes and adapt accordingly by:

1. Observing feeding cues and hunger signals.
2. Testing different schedules to find what works.
3. Gradually adjusting the balance of breastmilk, formula, or solids.

When it’s time to wean, take a gradual approach. Replace one feeding at a time with formula, milk, or a cup, allowing your baby time to adapt physically and emotionally. This method prevents discomfort and eases the transition.

The Benefits of Combo Feeding

Combo feeding combines the best of breastfeeding and formula feeding, offering parents a flexible and supportive approach to nourish their baby. Whether you’re navigating challenges with milk supply, returning to work, or seeking balance in your parenting routine, combo feeding can help meet your baby’s nutritional needs while accommodating your family’s lifestyle. Here’s a closer look at the key benefits:

• Bonding and Flexibility: Combo feeding allows you to maintain the intimate connection of breastfeeding while gaining the flexibility that formula feeding provides. Breastfeeding fosters closeness through skin-to-skin contact, while formula feeding gives you the freedom to step away when needed, knowing your baby is still being well-fed. This balance is especially helpful for parents who want to spend time with their baby while also managing other responsibilities or taking time to rest.
• Shared Responsibilities: With combo feeding, partners, grandparents, or other caregivers can actively participate in feeding your baby. This involvement not only lightens the load for moms but also creates meaningful bonding opportunities for the whole family. When partners can step in to handle night feedings or give mom a break, it fosters teamwork and strengthens family relationships while ensuring your baby is cared for.
• Reduced Pressure: Exclusive breastfeeding can sometimes feel overwhelming, especially if you’re facing low milk supply, latch issues, or exhaustion. Combo feeding eases the pressure to provide all of your baby’s nutrition through breastfeeding alone, giving you peace of mind that your baby is receiving enough to grow and thrive. It’s a practical solution that allows you to continue breastfeeding without the stress of trying to meet every feeding demand.
• Customizable Nutrition: Combo feeding offers the flexibility to tailor your baby’s nutrition to their specific needs. During growth spurts or periods of increased appetite, formula can provide additional calories and nutrients to ensure your baby is satisfied and thriving. At the same time, breastmilk continues to deliver antibodies and unique benefits for their immune system, giving them the best of both worlds.

Combo feeding isn’t a one-size-fits-all solution, and that’s what makes it so effective. By finding the right balance between breastfeeding and formula feeding, you can create a routine that works for your baby and your family. Flexibility and adaptability are key, and with a little experimentation, you’ll discover what helps your baby grow while making life more manageable for you.

Overcoming Common Challenges in Combo Feeding

While combo feeding offers flexibility and convenience, it’s not without its challenges. From navigating nipple confusion to maintaining milk supply and ensuring balanced nutrition, proactive strategies can help you address these hurdles effectively. Here are some common challenges and how to overcome them:

• Nipple Confusion: Switching between breastfeeding and bottle-feeding can sometimes confuse babies, making it harder for them to latch properly. This happens when a baby struggles to adjust to the different sucking techniques required for the breast and bottle. To minimize this risk, use slow-flow bottle nipples that mimic the natural flow of breastmilk. Practice paced bottle feeding to replicate the rhythm and pauses of breastfeeding, and introduce bottles gradually once breastfeeding is well-established. These steps can help ease your baby’s transition while maintaining their feeding comfort.
• Maintaining Breast Milk Supply: When supplementing with formula, keeping up with milk production is essential to ensure your baby continues to benefit from breastmilk. Regular breastfeeding or pumping—ideally every 2–3 hours—helps signal your body to produce milk. Begin each feeding session by breastfeeding before offering formula to encourage milk production. Staying hydrated and eating a balanced diet are also critical for supporting lactation. By gradually introducing formula and maintaining a consistent breastfeeding or pumping schedule, you can keep your milk supply steady.
• Balancing Nutrition: Ensuring your baby gets enough milk and the right nutrients from both breast milk and formula is vital for their growth and development. Consult your pediatrician to develop a feeding plan tailored to your baby’s needs, as they can help monitor weight gain, digestion, and feeding cues. Choose a formula that complements your breastmilk and provides the necessary nutrients. A thoughtful approach to balancing milk and formula will support your baby’s nutritional needs during this transition.

Combo feeding may come with a learning curve, but with the right techniques and a little patience, you can overcome these challenges and create a feeding routine that works for both you and your baby. Remember, every baby is unique, so stay flexible, trust your instincts, and don’t hesitate to reach out to your pediatrician for guidance along the way.

Getting Started with Combo Feeding

Successfully starting your combo feeding journey takes thoughtful planning, patience, and a willingness to adapt. With the right approach, you can create a feeding schedule and routine that meets both your baby’s needs and your family’s lifestyle.

Choosing the Right Formula

The first step in combo feeding is selecting the right formula for your baby. Start by consulting your pediatrician, as they can provide guidance based on your baby’s unique nutritional needs, sensitivities, and health conditions. Here are key factors to consider:

• Nutritional Content: Look for a formula that offers essential vitamins, minerals, and nutrients to support healthy growth and development.
• Type of Formula: Choose from cow’s milk-based, soy-based, or hypoallergenic options depending on your baby’s needs.
• Special Dietary Needs: If your baby has allergies, reflux, or other sensitivities, your pediatrician may recommend a specialized formula.
• Convenience: Ensure the formula you choose is readily available and simple to prepare, especially during busy times.

For parents seeking a premium option, a2 Platinum® Premium Infant Formula is an excellent choice. It’s crafted to provide essential nutrients for your baby’s growth while supporting gentle digestion, making it ideal for combo feeding routines.

Once you’ve chosen a formula, monitor your baby’s response closely. Watch for signs of discomfort, allergies, or digestive issues, and consult your pediatrician if adjustments are needed. Finding the right balance takes time, so approach this journey with care and attention.

Introducing Formula Gradually

Transitioning to combo feeding is easier when done gradually. Start formula feeding by replacing one breastfeeding session with a bottle of formula. This allows your baby’s digestive system to adjust while giving you time to observe how they respond.

• Start with one bottle of formula per day at a time when your baby is calm and happy, such as mid-morning.
• Over several days or weeks, slowly increase the number of formula feedings, replacing additional breastfeeding sessions one at a time.
• Pay attention to your baby’s behavior and digestion. If you notice discomfort, allergies, or changes in mood, consult your pediatrician.

As your baby adjusts, use this transition as an opportunity to bond in new ways, such as cuddling during bottle feeds or engaging in quiet playtime. These moments help maintain the strong connection you’ve built during breastfeeding.

Maintaining Your Milk Supply

If you want to continue breastfeeding as part of your combo feeding routine, maintaining your milk supply is essential. Regularly breastfeeding or pumping ensures your body stays in tune with the demand for milk.

• Breastfeed or pump every 2–3 hours, including during the night if possible, to mimic your baby’s natural feeding schedule.
• Stay hydrated by drinking plenty of water and eating a nutrient-rich diet with enough calories to support milk production.
• Use a high-quality breast pump designed to mimic your baby’s sucking rhythm, which helps stimulate milk flow effectively.
• Incorporate skin-to-skin contact with your baby to promote bonding and encourage milk production naturally.

Breastfeeding can come with challenges, so be kind to yourself and seek support from lactation consultants or breastfeeding groups if needed. Combining breastfeeding with formula feeding allows you to strike a balance that works for both you and your baby.

Combo feeding is a flexible and personalized feeding journey. With careful planning and a gradual approach, you can create a routine that ensures your baby gets the nutrition they need while giving you the freedom to enjoy precious bonding moments. Trust your instincts, stay patient, and embrace the support of your pediatrician and community as you embark on this rewarding journey.

Empower Yourself Through Combo Feeding

Combo feeding brings together the benefits of breastfeeding and formula feeding in a way that suits both your needs and your baby’s. It provides a sense of control and flexibility, ensuring your baby is well-nourished at every stage… and your sanity is retained.

Whether you aim to build a sustainable feeding routine, share the feeding experience with your partner, or supplement breastfeeding, combo feeding offers the perfect balance. Trust your instincts, maintain open communication with your pediatrician, and remember that your feeding choice doesn’t define your parenting – a happy, healthy baby does. When all is said and done, 'Fed is best,' and a2 Platinum® helps make that journey as smooth and nourishing as possible with its premium, gentle-on-tummies formula

Visit a2 Platinum® for more feeding tips, expert advice, and first-year insights, and to learn more about the A2 protein.