Karen, I have only seen 2 home birthed babies that had suck problems unrelated to tongue tie (I have seen quite a few with tongue tie). One had an oral hypersensitivity, possibly due to the midwife suctioning him vigorously because he was very mellow at birth (waterbirth) and she was nervous that he wasn't more vigorous. Now that she has attended more water births, she found that many such babies are mellow and she discontinuted suctioning them uless there is an additional indication. The other just needed a tiny bit of jaw support until he got going well. There is quite a homebirth underground in NYC, as most of the hospitals are not family centered, so this is based on a decent sample size. Catherine Watson Genna, IBCLC NYC [log in to unmask]