Seizures in infancy do not resemble adult seizures, because the infant's
nervous system is not yet fully organized, especially in the motor
areas.
Any repetitive, stereotyped change in behavior, sensation or perception
can be a seizure. This mom should certainly consult her child's
pediatrician.
Certain states reduce seizure threshold, such as the transition between
sleep stages, or between sleep and waking.  It is possible this baby is
having seizures when dropping off to sleep at the end of a
breastfeeding.

Tremors are another possibility here.  If it is mainly the baby's jaw
that is trembling, this can be a sign that the baby is "fixing" those
muscles during sucking, overusing them to compensate for low tone or a
tongue-tie, for example.  If the baby's limbs are trembling, perhaps the
baby is fixing in the extremities to artificially increase stability
while sucking.  In this case, mom could give the baby very good support
by almost wrapping the baby around her midriff and holding him against
her, with his hips flexed to increase his stability.  And have the pedi
check him for  hypo or hypertonia (muscle tone problems).

The third possibility is that the trembling is REM (dream) sleep
associated.  But I would want this baby seen by the ped and even a
pediatric neurologist if these episodes continue.
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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