It’s season 4 and to kick us off you have me and Rachel chewing the fat on all things breastfeeding and lactation. In this episode, we delve in to look at what is going on with in-hospital formula milk supplementation for breastfed infants. We ask why the supplementation rates are so high, and discuss it’s impact on breastfeeding, and lactation physiology. We talk about teat/bottle confusion, the best ways to give extra feeds and the acceptable medical reasons for this. We discuss why avoidance of top up feeds can be so hard in the early postnatal days for both the midwifery staff and new mothers, and we talk about the "top-up-trap", or as Rachel has termed it ”the top-up crap-trap”, and why it is so common for new parents to fall into once back at home. Rachel gives us an amazing impression of baby sleeping, please don't miss this it really is a treat for the ears, and following us along the way are the cicadas and noisy guinea fowl all joining us in the background from 'down at farm Rachel'!  The waiting is over folks, we're back and we're ready to fill ya luggols with all those golden nuggets you've been missing!RESOURCES & LINKS:WHO/UNICEF ABM GuidelineBiro 2011 Ali 2018Parry et al 2013Tender 2009Bookhart 2021Chantry 2013Support the show Produced and edited by Katie James Music Joseph McDade Like this podcast? Then head over to leave us a review here Want more from Katie and Rachel? Katie's website with links to courses and moreRachel's website with links to courses, blogs...