Denise, I think that Lisa's answer provided some good additional information for you. I thought of one other thing you might try. Sometimes a baby's suck changes when milk is introduced, consequently a dry suck assesment may feel different than when the milk comes. How about trying to introduce some ebm with a syringe when doing another suck assesment? Can't hurt, huh? Yaffa \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ Yaffa Stark, MA, IBCLC Los Angeles, Calif., USA "We must identify and reduce barriers which keep women from beginning or continuing to breastfeed their infants." C. Everett Koop, M.D., ScD. Former Surgeon General ////////////////////////////////////////////////////////////