Dear Marjorie, Would you be willing to share your bib of articles onlabor events that affect suck and latch-on? I have been intrigued by this topic. Here's what I have on the topic: Crowell et al. "Relationship between obstetrical analgesia and time of effective breastfeeding," Journal of NurseMidwifery. Vol. 39: No. 3, May/June 1994, pp. 150-156 Kearney, et al. "Cesarean delivery and breastfeeding outcomes," Birth, 17:2, June 1990, pp 97-103. Lee and Rubin. "Breastfeeding and anaesthesia," Anaesthesia, 1993, Vol. 48, pp. 616-625. Lie, B and J. Juul. "Effect of epidural vs. general anesthesia on breastfeeding," Acta Obstet Gynecol Scand 67, pp. 207-209. Matthews, MK. "The relationship between maternal labor anesthesia and delay in the initiation of breastfeeding in healthy neonates in the early neonatal period," Midwifery, 5: pp. 3-10, 1989. Nissen et al. "Effects of maternal pethidine on infants' developing breast feeding behaviour," Acta Paediatr, 1995, 84: 140-5. Rajon, L. "The Impact of obstetric procedures and analgesia/anesthesia during labour and delivery on breastfeeding," Midwifery, 10 (2), pp. 87-103, June 1994. Ravin, D. "Narcotic analgesixs and breastfeeding, " Journal of Human Lacation, 1: 47-50, March 1995. Septoski et al. "The effects of maternal epidural and anaesthesia on neonatal behavior during the first month," Developmental Medicine and Child Neurology, 1992, 34: 1072-1080. Not much but hopefully there is something new. Pat Predmore, RN, BSN, ICCE