In a message dated 97-07-27 00:06:38 EDT, Bonnie Jones writes: << I have seen babies refuse the breast after circumcision and encourage parents to delay circumcision until the baby is breastfeeding well. A physician is questioning this observation. I can't find anything in writing to support this. Am I right or wrong? Where are the references or research?>> Bonnie, I only have one reference, and you've probably gotten it from someone else by now, but here goes. This is from Facts About Breastfeeding 1995, published by LLLI (No. 545g): *Maternal choices can impact breastfeeding success.* The observed deterioration in male infants' ability to breastfeed after circumcision may potentially contribute to breastfeeding failure: some neonates required formula supplementation because of maternal frustration with attempts at breastfeeding or because the neonate was judged unable to breastfeed postoperatively. Early formula supplementation is associated with decreased breastfeeding duration. Howard, C. et al. Acetaminophen analgesia in neonatal circumcision: the effect on pain. Pediatrics 1994; 93(4): 641-46. I haven't read the study, so I can't tell you whether they concluded that acetaminophen helped or not. Best wishes, Rita LLL of Menlo Park/Palo Alto, California