I agree baby is not acting normal. I have seen this when a family with baby comes into my office. Before actually examining baby and counting resp etc on the baby I just look at him and get a feeling that somehting is not right. Once this turned out to be tracheomalasia. If the general ped says all is ok, maybe send her to an ENT specialist. Or a pedi who is also certified in neonatology. Let me add that LCs do not need to be RNs, but they need the pertinent training/education that the RN has gotten that would apply in their LC work. I.E. they need to know normal/abnormal in both the maternal and infant parameters. They need to know some of these healthcare problems (maternal and infant) and how they manifest. If a baby comes to me due to bf problems I always do a general "look over" exam when the baby is undressed to be weighed. I usually do not do vital signs but sometimes do if I feel it is needed. In fact, there is a part on my consult form that says "vital signs if indicated." I MAY look in the mouth with a penlight (rule out thrush, small cleft, etc) and I MAY even listen with a stethoscope to the chest or abdomen (by far, this is a rare occurence). Since I have vast experience with well and sick neonates I am good at this, but will admit I would welcome more education and training in examining/palpating moms breasts. I never really learned this from anyone, but I read ALOT and learn as much as I can. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.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