Jan, there could well be something else going on with this baby. However, it has been my observation that babies born with a combination of epidural/forceps or vacuum tend to have a disorganised suck initially and the dyad needs extra assistance.
I wonder if it's possible that an instrumental birth results in misalignment of the cranial bones (more so than would occur naturally) and this in turn interferes with the facial nerves?
Jean Ridler RN RM IBCLC
Cape Town, South Africa
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