Thanks to everyone for the comments and support for IBLCE exam. It all made the exam taking much easier. For years I have been telling moms whose babies are reluctant to l/o and suck that any labor and delivery medication may inhibit sucking for 10 days to 2 weeks. (Don't remember where I learned this) At LLLI conference Dr.Lennert Righard said that epidurals can decrease suck for up to 4 weeks! He did not give a specific reference to this though. I will try to get some of the articles on his bibliography and check them out to see if it is in print somewhere. Sarah Barnett Bronx NY