I remember the 24 hour NPO. Also baby's first feeds were Water to assess suck, swallow. I think that we were much more relaxed about when the baby fed then and of course all ended up well in the end. Sometimes we just can't find the happy medium. I still tell mothers not to worry if the baby doesn't feed for 24 hours. Some are very mucousy, some do sleep 24 hours and then wake up. I encourage mothers to feed early, but not to worry, it no medical indications, baby will feed later. Usually I'm on target. The pedis and nurses where I work are getting a little better at relaxing about this. I think they are seeing that babies do eat eventually. Sometimes poking and prodding causes these babes to tune us out. Leave them alone and it will happen. Tincture of time. Darlene Breed, RN, IBCLC