Vacumn extraction and poor latch-on and feeding. I have seen this on several occassions. Since I have only seen them out of hospital this is what I usually see. Baby has hemotoma on crown. Feeds poorly, often sleepy or extremely fussy. What has worked in my experience is to keep them going with finger feeding and pumping. After about 2 weeks (give or take a few days) the hemotoma has gone down and everything just clicks into place. Any studies out there showing that vacumn extraction can cause delayed responsiveness? Denise Parker, BA, IBCLC