Kirsten Fisch
Co-Founder at - Momentum Health NetworkKirsten Fisch, MSN, RNC-MNN, IBCLC, LCCE Kirsten is a women's health nurse who specializes in high-risk pregnancy and postpartum care. She is certified in Maternal Newborn Nursing, a board-certified lactation consultant (IBCLC), and a Lamaze-certified childbirth Educator. She works with women from conception through postpartum. Passionate about empowering women during their reproductive journeys, Kirsten combines evidence-based care with compassionate support to promote health and well-being for mothers and babies.
Breastfeeding can be an emotional and physical rollercoaster, especially in the early days when you and your baby are learning together. One of the most common concerns for new parents is whether their baby is getting enough milk. This worry often leads some to consider “topping off” with formula—a practice where a baby receives supplemental formula in addition to breastfeeding.
But is it the right choice for you and your baby? Let’s explore the pros and cons.
Pros of Topping Off with Formula
1. Ensures Baby Gets Enough Nutrition
Newborns have tiny stomachs, and while colostrum (the first milk) is packed with nutrients, it’s produced in small amounts. If a baby struggles to latch effectively or isn’t getting enough milk, formula supplementation can prevent dehydration and excessive weight loss.
2. Helps Babies with Blood Sugar or Jaundice Issues
Some newborns, especially those with low birth weight or medical concerns, may need extra nutrition to stabilize their blood sugar or reduce the risk of jaundice. In these cases, healthcare providers may recommend temporary formula supplementation.
3. Allows for Rest & Recovery
Breastfeeding around the clock is exhausting. Introducing a small amount of formula can allow a partner or caregiver to take over a feeding, giving the birthing parent some much-needed rest.
4. Can Reduce Stress and Anxiety
Many parents experience stress over whether their baby is getting enough milk. If topping off with formula eases your anxiety and allows you to enjoy feeding your baby more, it may be worth considering.
Cons of Topping Off with Formula
1. May Impact Milk Supply
Breast milk production is a supply-and-demand process. If your baby takes formula, they may nurse less often, signaling to your body to produce less milk. This can lead to a lower milk supply over time.
2. Possible Nipple Confusion or Preference
Some babies may prefer the faster flow of a bottle and become frustrated with breastfeeding. This is sometimes called “nipple confusion,” though not all babies struggle with switching between breast and bottle.
3. Changes in Gut Health
Breast milk contains beneficial bacteria and prebiotics that help shape a baby’s gut microbiome. Introducing formula early may alter this balance, though the long-term effects are still debated.
4. Emotional & Logistical Challenges
For parents who want to breastfeed exclusively, supplementing with formula can sometimes lead to feelings of guilt or disappointment. Additionally, adding formula means extra bottles to prepare, clean, and track.
Making the Right Choice for You & Your Baby
If you’re considering topping off with formula, it’s essential to assess why. Are you feeling pressured, or is there a medical need? Consulting with a lactation consultant or pediatrician can help you determine whether supplementation is necessary and how to do it in a way that supports your breastfeeding goals.
For parents who want to continue breastfeeding but need to supplement, options like paced bottle feeding, using a syringe or spoon, or supplementing at the breast with a supplemental nursing system (SNS) can help protect milk supply and encourage continued nursing.
Ultimately, the best feeding choice is the one that ensures both you and your baby are thriving—physically, emotionally, and mentally. Whether breastfeeding, formula feeding, or a combination of both, fed is best!
Have you experienced the decision to supplement with formula? Share your thoughts in the comments below!
Kirsten Fisch, MSN, RNC-MNN, IBCLC, LCCE Kirsten is a women's health nurse who specializes in high-risk pregnancy and postpartum care. She is certified in Maternal Newborn Nursing, a board-certified lactation consultant (IBCLC), and a Lamaze-certified childbirth Educator. She works with women from conception through postpartum. Passionate about empowering women during their reproductive journeys, Kirsten combines evidence-based care with compassionate support to promote health and well-being for mothers and babies.
