I just had a baby with this problem-sleepy at first. Tried a little finger feeding-esp. to assess tongue action. Baby would keep tongue behind lower gum & suck really hard!! I tried a little cup feeding & baby started bringing out tongue but still no latch. Then we tried the feeding tube attached to breast- baby was licking milk off but still no latch. Finally, at about 44 hrs of age, without any assistance from nursing staff, baby latched on & nursed well for 25 minutes. A couple of hours later, baby nursed well again! This was a very motivated mother who's mom is a pediatric nurse & breastfed all her children. So she also had very good support from family. I was very proud of our nursing staff because none suggested that she should bottle feed. They were all very supportive, informed mom of choices & allowed her to make the decision. I was very encouraged, this is the first time, that I can remember, that the staff was so supportive & encouraging and actually refrained from giving baby a bottle. Keep up your good work! Laura Hart, RN, BSN, IBCLC Staff nurse & lactation consultant at hospital delivering approx 150/month.