>>We've reviewed Marmet's Suck Training, significant portions of Riordan and Auerbach, and the Neonatal Motor Assessment Scale. Any words of wisdom?<< You might consider doing a suck assessment with flow--- fingerfeed the baby, and use a periodontal syringe or SNS to give milk at the same time and compare sounds, appearance, feel. I have also had one of these babies who "looked" great from afar and even made convincing swallowing sounds, but every time I tried to "peak" at the latch by the lips, the nipple slid right out. This baby was a great actor, but never was drawing the breast back, but rather was kicking it to the front of the mouth only. When I did a suck assessment like this, the baby's tongue pressed my finger upward against the palate and I started to feel a dull ache within seconds. Hard to discern these things sometimes without feeling them! -Lisa Marasco, LLLL, IBCLC Santa Maria, CA