Laura...Thanks for your sharing about the sleep time issue. We also have nurses who scare the daylights out of mothers if the baby doesn't bf on the " schedule"! One of the ways I've used babe's sleepiness to Moms advantage is to teach positioning and hand expression of colostrum to Mom as babe sleeps peacefully at breast. It's amazing what drops of colostrum can do when gently placed on babe's lips/tongue. In my experience, probably half of those previously sleepy babes awaken after ten drops and attempt to latch. The babies with the most difficulty awakening seem to be, of course, the ones who were delivered with mityvac suction after pitocin. One of the primary reasons for concern among nurses at our hosp. who take care of newborns is hypoglycemia. However, I've seen it happen that after receiving 20 drops of colostrum a babe's chemstick goes up twenty points. That's saved a few babies from receiving formula Susan Wirtjes RN IBCLC {from breezy Iowa}.