Infant Feeding Focused course

Combination Feeding Education

Combine breast and bottle feeding with confidence, protect your milk supply and keep every feed calm and close

  • 1 hour 50 minself-paced
  • 7modules
  • 4interactive tools
  • Certificatewhen you pass

What you will be able to do

  • explain how breast milk supply works and why the timing of bottles matters.
  • choose a combination feeding pattern that fits your reasons and family life.
  • build a gradual, week-by-week feeding plan that changes one feed at a time.
  • prepare formula, sterilise equipment and store expressed breast milk following New Zealand guidance.
  • give a paced, responsive bottle feed and read your baby's hunger and fullness cues.
  • use a feed log and nappy checks to track how feeding is going.
  • recognise fullness, blocked ducts and possible mastitis, and know when to get help.
  • adapt your plan for returning to work, breastfeeding more or moving towards formula.

About this course

Combination feeding means your baby has breastfeeds and also some bottles of expressed breast milk or formula. Done well, it can let a partner share feeds, help you go back to work, or give you more rest, while you keep breastfeeding for as long as you want.

This course explains how breast milk supply works and how to add bottles gradually so your supply is protected. You will plan your own week-by-week routine, learn the New Zealand steps for preparing formula, sterilising equipment and storing expressed milk, and practise paced, responsive bottle feeding. A daily feed log helps you keep track of feeds, nappies and how your breasts feel.

It is for parents and partners who are breastfeeding and thinking about bottles, or who are already combination feeding. It is general education that follows New Zealand infant feeding guidance from the Ministry of Health and Health NZ, and points you to your midwife (Lead Maternity Carer), your Well Child Tamariki Ora nurse (often a Plunket nurse), PlunketLine and lactation support whenever your baby or your own health needs a closer look.

Course modules

7 modules
  1. 1Combination feeding explained

    What combination feeding is, why families choose it, and how to set a goal that works for you and your baby.

    • What combination feeding means
    • Why families choose it, and your feeding goal

    Combination Feeding Planner

  2. 2How breast milk supply works

    Understand supply and demand, why the early weeks matter, and the habits that help you keep breastfeeding alongside bottles.

    • Supply and demand in plain words
    • Protecting your supply when you add bottles

    Milk Supply Protection Checklist

  3. 3Choosing your pattern and making a plan

    Pick a combination feeding pattern that suits your family and turn it into a gradual, week-by-week plan.

    • Four common patterns
    • Building your week-by-week plan

    Combination Feeding PlannerPaced Bottle Feeding Card

  4. 4Formula and expressed milk, safely

    Follow New Zealand guidance for choosing and preparing formula, sterilising equipment and storing expressed breast milk.

    • Choosing and preparing formula
    • Sterilising and storing expressed milk

    Combination Feed Log

  5. 5Paced, responsive bottle feeding

    Learn how to give a bottle in a way that follows your baby's cues, avoids overfeeding and fits well alongside breastfeeding.

    • How to give a paced bottle feed
    • Reading cues and avoiding overfeeding

    Paced Bottle Feeding Card

  6. 6Keeping track, comfort and wellbeing

    Use a feed log, know the nappy signs, look after your breasts, and understand vitamin D for combination-fed babies.

    • Using the feed log and reading nappies
    • Breast comfort: fullness, blocked ducts and mastitis
    • Night feeds, safe sleep and sharing the load

    Combination Feed LogMilk Supply Protection Checklist

  7. 7Adapting your plan over time

    Adjust your feeding as life changes: returning to work, breastfeeding more again, or moving towards formula, and know where to get support.

    • Returning to work and other big changes
    • Breastfeeding more again, or moving to formula

    Combination Feeding PlannerCombination Feed Log

Tools included

Saved to your account, downloadable as PDF
  • PlannerCombination Feeding PlannerPlan which feeds will be breastfeeds, expressed milk or formula, week by week, so any change happens gradually and protects your milk supply.
  • TrackerCombination Feed LogRecord breastfeeds, bottles, nappies and how your breasts feel each day, so you can spot patterns and show your Plunket nurse a clear picture.
  • CheckerMilk Supply Protection ChecklistTick the habits already in place to see how well your current routine protects your breast milk supply, and where one small change could help.
  • CardsPaced Bottle Feeding CardA printable step-by-step card set for anyone giving your baby a bottle, so every bottle feed is calm, responsive and gentle on breastfeeding.

Who this course is for

  • Breastfeeding parents who want to add some bottle feeds
  • Parents who are already combination feeding and want to do it more confidently
  • Partners, grandparents, wider whānau and childcarers who will give bottle feeds
  • Parents planning to return to work while continuing to breastfeed
  • Parents moving gradually from breastfeeding to formula who want to stay comfortable

Check with a health professional first if

  • If your baby was born early or small, has jaundice, is not gaining weight as expected, or has a medical condition, follow the feeding plan from your midwife (LMC), Plunket nurse or hospital team and check with them before changing feeds.
  • If you have been told to give top-ups, ask your midwife or Plunket nurse how much, how and for how long before using this course to plan changes.
  • If your baby has, or may have, a cow's milk allergy, reflux or another feeding problem, talk to your GP or Plunket nurse before choosing a formula. Only use specialist formula if a health professional advises it.
  • If you take any medicines, or are starting contraception, tell your GP or pharmacist you are breastfeeding.
  • If you have had breast surgery, or you are worried about your milk supply, ask your midwife, Plunket nurse or lactation consultant for support before reducing breastfeeds.

Your certificate

Answer at least 7 of the 10 final questions correctly and your certificate is ready to download straight away, with your name, the course and a verification ID anyone can check.

A certificate of completion shows you finished a general education course. It is not a professional qualification.

Certificate of completion

Your name

Combination Feeding Education, 7 modules, completed 6 October 2026

Dr Aqsa Mukhtiar, PhD in Nutrition
Course author
ID MNC-4K7Q-2Z9P
Verify at mynutricare.co.uk

Your course author

Dr Aqsa MukhtiarPhD in Nutrition

  • Course author
  • Nutrition content reviewer
  • 6 years of experience

Dr Aqsa Mukhtiar holds a PhD in Nutrition and has six years of experience in nutrition, healthy eating, weight management and maternal nutrition. She writes MyNutriCare courses and reviews their nutrition content.

About Dr Aqsa Mukhtiar

Questions about this course

Will giving a bottle stop my baby breastfeeding?

Not usually. Many babies happily do both. Waiting until breastfeeding is established, changing one feed at a time and giving bottles in a paced way all help your baby stay keen on the breast. The course shows you how.

Does this course tell me how much formula to give?

No. Combination-fed babies need different amounts depending on how much breast milk they have, so the course teaches you to follow your baby's cues and check nappies and weight with your midwife or Plunket nurse. If top-ups are advised, your midwife, Plunket nurse or GP should give you a plan.

Can my partner or my baby's grandparent or wider whānau take the course?

Yes. The paced bottle feeding module and printable card are written for anyone who gives your baby a bottle, and the planner helps everyone follow the same routine.

Does the course recommend a formula brand or bottle?

No. Every infant formula sold in New Zealand must meet the same food standards, so a standard infant formula suitable from birth works for most babies whatever the brand. The course does not promote any brand of formula, bottle or teat.

What do I get with this course?

7 modules with 15 short lessons (about 1 hour 50 minutes in total) and 4 interactive tools, including the Combination Feeding Planner, Combination Feed Log and Milk Supply Protection Checklist, for a one-off NZ$29.99 (GST included). Your tool results save to My Progress. A 10-question final check ends the course; score 7 or more for your certificate of completion. Written by Dr Aqsa Mukhtiar, PhD in Nutrition.