Just to update everyone on the details. When the baby was initially feeding poorly I showed mom how to break his suck completely to remove him then awakened him by undressing him and some rocking motions in my arms. I needed to check his red reflexes anyway to finish the exam I had mostly done in the OR. I told mom and dad about undresses, baby sit-ups and skin to skin contact to wake him. (The things I learned in Western PA) I gave him back to mom and encouraged a lot of skin to skin contact. I explained to the parents about potential slow starts after C-sections and copious but necessary suctioning. I calmly helped mom latch him on and hopefully gave an impression of "I'm not worried so should you shouldn't be." From there I left the IBCLC go to work. -Rob Rob Cordes, DO, FAAP, FACOP Wilkes Barre, PA mailto: [log in to unmask]