• Can You Breastfeed and Use Formula?

    by Agustina Fernandez December 19, 2023 8 min read

    Can You Breastfeed and Use Formula?

    Every mom has a unique feeding journey. If you're wondering whether you can mix the best of both worlds—breastfeeding and formula feeding—this article is for you.

    In a world where flexibility is key, understanding how to blend these two approaches can be a game-changer for both you and your baby. That's why, in this article, we aim to address the common questions, doubts, and concerns that may have crossed your mind.

    Whether you're seeking practical advice, reassurance, or simply a better understanding of this unique approach, our goal is to empower you with knowledge and support so you can make informed decisions that suit your family's needs.

    Understanding Mixed Feeding

    While exclusively breastfeeding offers many benefits, we understand that it's not always possible for every mother. Supplemental formula feeding is an alternative for those who cannot or choose not to breastfeed.

    Mixed feeding, also called combination feeding, refers to the harmonious integration of both breast milk and formula feeds. This involves offering your little one sustenance from both sources, where the contents of the bottle can either be breast milk, formula milk, or a mixture of both!

    Reasons Why Parents Might Choose to Mix Feed

    The decision to breast and formula feed your little one is a journey that a variety of factors can influence, each driven by the unique circumstances and preferences of parents. Here are some common reasons why parents opt for combo feeding: Reasons why parents might choose to mix feed | Organic's Best

    1) Time Constraints: Many mothers find themselves facing the challenge of returning to work or resuming their daily responsibilities, which may limit the time available for breastfeeding exclusively. Combining breastfeeding with formula can provide a practical solution by allowing flexibility in feeding schedules.

    2) Necessity for Separation: There may be instances where you need to leave your baby in the care of others for extended periods, such as when you return to the workforce or have other commitments. Partial breastfeeding can ensure that your baby is well-fed even when you're not present.

    3) Involvement of Partners: Some parents wish to actively involve their partners in the feeding process. Incorporating formula feedings into your schedule allows both parents to participate in feeding duties and fosters a sense of bonding between the baby and the non-breastfeeding parent.

    4) Transitioning from Bottle to Breast: In some cases, mothers might initially opt for bottle feeding with formula for various reasons but later desire to start or resume breastfeeding. Combo feeding can facilitate this transition, enabling the baby to enjoy the benefits of both breast milk and formula.

    The Benefits of Mixed Feeding

    Choosing to combo feed offers potential benefits for both baby and mother. Here are some of the main advantages: The Benefits of Mixed Feeding | Organic's Best

    1. Nutritional Flexibility: Feeding your baby breast milk and formula allows you to provide your baby with the nutritional benefits of human milk while ensuring they receive enough sustenance through infant formula, even when breastfeeding isn't feasible due to time constraints or other factors.

    2. Enhanced Family Involvement: Combo feeding enables partners and other caregivers to actively participate in feeding, fostering bonding between the baby and family members. This shared responsibility of bottle feeding can provide much-needed support for mothers.

    3. Reduced Stress: Knowing that you have options when it comes to how you feed your baby can alleviate the pressure and anxiety that can sometimes accompany breastfeeding exclusively.

    How to Introduce Formula to a Breastfed Babies

    At this point, you may be wondering what this new routine of feeding your baby can look like. If so, the next section is for you.

    Step-by-Step Guide to Introducing Formula While Breastfeeding

    Introducing formula to breastfed babies requires a thoughtful approach to ensure a smooth transition. Here's a step-by-step guide: Step-by-step guide to introducing formula while breastfeeding | Organic's Best

    1. Assess the Need: Determine the reason for combining breastfeeding with formula. Whether it's due to work commitments, low breast milk supply, or other factors, understanding the need will help you plan effectively.

    2. Consult with a Healthcare Professional: Before making any changes to your baby's diet, consult with your pediatrician or a lactation consultant.

    3. Choose the Right Formula: Select a formula that aligns with your baby's age and any specific dietary requirements. Common types of formula include cow's milk-based, goat's milk-based, and special formulas, each catering to different dietary considerations.

    4. Start Gradually: A gradual transition allows both you and your baby to adjust to the change without causing undue stress.

    5. Maintain Skin-to-Skin Contact: Continue to engage in skin-to-skin contact during feeding sessions, even when using formula. This helps maintain the emotional connection between you and your baby.

    6. Feed Responsively: Monitor your baby's reaction to their formula feed. Watch for any signs of allergies or discomfort, and discuss any concerns with your baby's doctor. Adjust the formula type or feeding schedule as needed.

    7. Pace the Feeding: If using a bottle, choose a slow-flow bottle nipple to mimic the slower flow of breast milk. This pacing ensures your baby doesn't become frustrated or overwhelmed during feedings.


    Common Concerns About Mixed Feeding

    Here, we address some of the most common queries:

    What are the pros and cons of breastfeeding and offering infant formula at the same time?

    Pros of combination feeding include providing your baby with all the necessary nutrients by combining breast milk and formula, ensuring consistency in feeding, offering flexibility for various situations, and allowing other caregivers to participate in feeding.

    However, there are potential drawbacks, such as the possibility of nipple confusion for some babies when switching between breast and bottle, the time-consuming task of preparing and cleaning formula bottles, and the emotional concerns many women have about feeling guilty or judged for not exclusively breastfeeding.

    Can switching between breast milk and formula upset your baby’s stomach?

    Switching between breast milk and formula doesn't typically upset a baby's stomach. Most babies adapt well to combo feeding.

    However, some babies may have sensitivities to certain formulas. It's essential to monitor your baby's reaction and consult with a healthcare professional if you have concerns. 

    Can you give a breastfed baby formula for one night?

    Yes, you can give an exclusively breastfed baby formula for one night if necessary. However, it's generally advisable to take a gradual approach if you're considering supplementing with formula. This allows your baby's digestive system to adjust more smoothly and prevents potential issues.

    If it's a one-time need, giving formula for a night should not have a significant impact on your breastfeeding routine, but consulting with a healthcare professional or lactation consultant for personalized guidance is always a good idea. 

    How to start breastfeeding after bottle feeding?

    If you're looking to transition back to breastfeeding after bottle feeding, there are some helpful steps you can follow. First, offer the breast when your baby is calm and not excessively hungry to reduce frustration.

    Consider using breast compressions to encourage milk flow and make the breastfeeding experience more satisfying for your baby. Skin-to-skin contact is also a valuable tool in stimulating breastfeeding, as it fosters a sense of closeness and comfort.

    Why is mixed feeding not recommended?

    Combo feeding is a recommended option for many families and can be a practical solution to various situations. However, it's essential to seek guidance from healthcare professionals, as exclusive breastfeeding is recommended for at least the first six months of a baby's life due to its numerous health benefits.

    How do you combine breast milk and formula?

    Measure the formula according to the instructions on the container, and prepare breast milk if using previously pumped breast milk. Then, mix the expressed milk and formula in the desired ratio, typically following the formula's recommended guidelines. Be sure to check the temperature to ensure it's safe for your baby.

    Tips for Successful Mixed Feeding

    Tips for Successful Mixed Feeding | Organic's Best

    Maintaining your milk supply while combo feeding is crucial for ensuring that your baby continues to receive the benefits of breast milk. Here are some practical tips to help you achieve this:

    • Breastfeed First: Always prioritize breastfeeding before choosing to bottle feed or pump breast milk. This helps signal your body to continue producing milk in response to your baby's needs, thus helping you maintain a steady breast milk supply.

    • Morning Routine: Incorporate breastfeeding into your morning routine. Many mothers find that they have a fuller milk supply in the morning, making it an ideal time to express milk.

    • Breast Comfort: Regular breastfeeding sessions prevent your breasts from becoming overly full, reducing the risk of breast engorgement.

    • Baby's Suction: Keep in mind that your baby's suction is more effective at stimulating milk production than a pump, so whenever possible, allow your baby to nurse directly to maintain your milk supply.

    Learn More: Do Lactation Cookies Work to Boost Milk Supply?

    Tips on Balancing Formula Feeding with Breastfeeding

    Balancing formula feeding and breastfeeding can be a juggling act, but with the right strategies, it can be done successfully. Here are some tips to help you navigate this delicate balance:

    • Create a Feeding Schedule: Establish a feeding routine that works for you and your baby. This can help provide structure to your combo feeding approach and ensure that both breastfeeding and formula feeding are adequately spaced throughout the day.

    • Communicate with Your Support System: Share your mixed feeding plan with your partner, family members, or caregivers. Clear communication ensures everyone is on the same page and can assist with feedings when needed.

    • Stay Hydrated and Nourished: Maintain a healthy diet and stay hydrated to support your milk supply. Breastfeeding can be physically demanding, so self-care is crucial.

    • Be Flexible: Be prepared for fluctuations in your baby's feeding preferences. Some days, your baby may favor breastfeeding, while other times, they may prefer a bottle of formula. Flexibility is key to a successful combo feeding journey.

    When to Seek Help

    Identifying situations when professional advice may be needed is crucial for ensuring the well-being of both you and your baby during mixed feeding.

    If breastfeeding mothers encounter difficulties with pumping breast milk, latching, and persistent nipple pain, it's wise to seek the expertise of healthcare professionals or lactation consultants.

    Additionally, if you notice you have a low milk supply suddenly, or your baby experiences adverse reactions after formula feeding, such as allergies or intolerances, or you notice that they are not gaining weight, it is best to consult with pediatricians to identify and address underlying problems.

    Learn More: Signs Formula Doesn’t Agree With Baby

    Finally, if mixed feeding causes emotional stress or feelings of guilt, seeking support from mental health professionals or support groups can provide valuable guidance and a sense of community.



    To answer the question, ''Can you breastfeed and use formula?'', yes, absolutely! Mixed feeding offers a flexible and balanced approach to infant nutrition, combining the benefits of breastfeeding and formula feeding. Throughout this guide, we've explored the advantages, addressed common concerns, and provided tips for success in mixed feeding.

    Whether you choose to breastfeed, formula feed, or combine both methods, it's essential to remember that every feeding journey is unique. Your baby's health and well-being are at the heart of your choices, and finding what works best for your family with the guidance of healthcare professionals is paramount!



    Please be aware that this information is based on general trends in babies, and it is not medical advice. Your doctor should be your first source of information and advice when considering any changes to your child’s formula and when choosing your child’s formula. Always consult your pediatrician before making any decisions about your child’s diet or if you notice any changes in your child.

    Breastfeeding is the best nutrition for your baby because breast milk provides your child with all the essential nutrients they need for growth and development. Please consult your pediatrician if your child requires supplemental feeding.

    Agustina Fernandez
    Agustina Fernandez

    Dr. Agustina Fernandez earned her medical degree from the prestigious Universidad Nacional de Córdoba, Argentina. With a deep-rooted passion for pediatrics, Dr. Fernandez is currently on the path to specializing in children's healthcare. Recently, she has delved into the vital field of infant nutrition. Her research interests include breastfeeding, infant formula, and baby food in little ones’ formative years. Dr. Fernandez's commitment to this area of study underscores her dedication to ensuring the health and well-being of children from their earliest days.

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