Re the 4 mo old refusing breast unless asleep: sounds just like a nursing strike. What happened at 2 1/2 mos I wonder? Maybe mom could go back and try to find out? did she start bottles? Go to work? I agree the pumping to keep up her supply, co-sleep and feed at nite like reverse cycle nursing. The "force feeding" does not sound like it will work. This baby wants to be in control. Maybe the baby would take some solids? I know he is young but maybe the breastmilk mixed with mashed banana or used to make mashed (creamed) potato? Letting the baby play with it and take what he will. Very challenging case. Keep us posted. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, USA Get Your Private, Free Email at http://www.hotmail.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html