I read with interest the post about the baby refusing breast that had been vacuum delivery. I have noticed in my practice that these babies often have difficulty feeding in the hospital and for even a few weeks after. I have wondered if there is some swelling around the sixth cranial nerve that interferes with the suck or if it is the trauma of the delivery. These babies often have much difficulty in organization and tend to be the babies that have difficulty maintaining a nutritive sucking pattern. Of course, then mom's milk supply either is not well established or decreases which adds to the decreased sucking incentives. I would like to know if anyone else has noted this problem around vacuum extractions and if there has ever been any research done. I also would like to know any information on Maple Syrup Urine disease. I don't seem to find much in my books and I know it is rare. Can they be even partially breastfed? TIA Denise Stuart