I too would love to see if there's any literature out there. My education and personal experience tells me not to expect my newborns to be aftively sucking in the first 24 hours as we would in the second 24 hours. I deal with sleepy babies who are quickly supplemented and anxious parents who are ready for baby to eat. If I can find a family who will trust me enough and a doctor who won't interfere, I allow baby to remain skin to skin and baby is usually alert and rooting, orienting to breast within 30 minutes, but I don't know of the research to back me up on this, at least that I am aware of. -- Ani Simonoff RN, BSN, CPN, IBCLC Lactation Consultant [log in to unmask] c: 818) 919-5587 *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome