I am so happy I just caught up on all my digests and my e-mail is totally empty. So please excuse these late responses. I recently attended the annual BF conf in Des Moines and learned several new things. One was that at 4-5mo. babies lose their reflexes that they have been using to BF and become cognitively driven. So the rooting reflex, the touching the lowerlip and the mouth gapes and the suck being elicited by the nipple touching the palate, all disappear and babies start using what they have "learned" to BF. Unfortunately in some babies their little brains haven't caught up, and there is some lag time. So it seems to make sense that some babies may not wake automatically to feed and sleep longer starting that whole vicious cycle of-longer between feeds, less Bf, less milk supply, and ultimately losing weight. It might be very appropriate with these babies to wake them at 2-3hr intervals for feedings until they really have learned to BF. The post about the baby being very fussy before the "milk has come in" was very interesting. When I had my son by c-section 18yrs ago. We stayed in the hospital 7 days. He was also given formula because he was fussy and my milk wasn't in. I was not an RN then or LC and I didn't know any better. Our first night at home was Bloody H--l. He cried and cried and cried. I fed him often, his diaper was dry, I had lots of milk, he latched on well. I just didn't know what was wrong. Many years later an LC told me it was the "1st night home blues". That my son was just over stimulated and was not adapting to his new surroundings very well. i.e. It smelled different, the bed was different his clothes were different, it sounded different, the lights were brighter or dimmer, he had been handled by many visitors that day and just had to much going on. So it really wasn't anything I was doing wrong it was just to much. Eventhough babies spend much less time in the hospital now, going home is different and some babies don't adapt to changes as well. So now I tell all my postpartum mom's that sometimes that first night at home can be rough. That if they have fed the baby and changed the diaper and met all their needs and they still are fussy and crying it is not that the parents are doing something wrong!!!! The babe may just not have adapted well to his new enviroment. Maybe the lights need to be left on, or there needs to be some noise (tv or radio) left on. I suggest to them that they try different things to settle the baby, and if nothing works just sit in the rocking chair and cry right along with them like I did. (This is also a primetime for PP Blues to set in.) I also tell them that babies cry for many reasons not just that they are hungry or wet. So if they are told this, they realize that there may be nothing that they are doing wrong and find it easier to cope with the fussiness. marci fodge