Cathy, I agree with feeding this baby in what ever way gets the food in and emphasizing to the parents the need to feed the baby. Just for more info, what does this baby weigh? I recently had an late weekend afternoon call from a visiting nurse with a bili and weight on a 1 week old breastfeeder who as 87% of BW. I called mom and the feeding story sounded too good for that weight. No stool and family hx of Hurshsprungs with work-up done on baby. Anyway I being nervous sent this baby to the hospital that night for serum electrolytes, observed feeding and weight check. Nothing like being cautious -Rob Rob Cordes, DO, FAAP, FACOP Wilkes Barre PA mailto:[log in to unmask]