The purpose of this study was to analyse the function of the vocalizations of sows and piglets during suckling and to investigate the possible effects on the nursing-suckling interaction of exposure to continuous noise at a high level. Six sows with litters were studied in pens measuring 2.5 × 2.5 m. Three of the sows were exposed to a relatively silent background noise of 59 dB(A) (L eq 24 h) and three were exposed to fan noise at a level of 85 dB(A). A total of 64 sucklings during Days 2–4 after farrowing were recorded on video. For each suckling, four different parameters were recorded second by second; the visual and acoustic behaviour of the sow and the visual and acoustic behaviour of the piglets. The vocalizations of the piglets probably constituted functionally discrete classes. “High grunt/deep grunt” seemed to cause the sow to expose her udder. “Scream” and “squeak” were statistically associated with the occurrence of fights for teats among the piglets. The function of “croaking” is unclear. The gruntings of the sow progressed according to a typical pattern of an initially slow rate followed by rapid grunting, which in turn was followed by a decline in rate. This pattern was similar for all sows, regardless of the experimental situation. In the silent environment, the piglets seemed to respond to the alterations in grunt rate, which caused a synchronized pattern of behaviour. In the noise-exposed environment, the piglets failed to respond to the gruntings of the sow, which led to a disrupted pattern. Certain indications were found that suggested that the noise-exposed piglets gained less milk than the ones in the silent environment. It is suggested as a hypothesis, that the function of the final massage is to regulate the milk production of the sow according to the prevalent litter size.