Ruth is right. PPTLs in our department are usually done within 1 hours after delivery. This means that as soon as the delivery is complete, mom's preparation for surgery begins. She often does not have an opportunity to nurse her baby, because the anesthesiologist and surgeon are already there for the delivery. Very likely, the epidural catheter is already in place from the labor epidural. She returns from the O.R., her baby having been fed and now in his sleepy period. However, many women prefer this option even though they are told that the surgery is less reliable at this time and requires a more extensive procedure. Bonnie Jones