Why are we assuming the sleepiness is due to phenobarbital?  It might be due
to poor nursing.  See "Immediate Postpartum Breastfeeding Decision Tree" in
June 1996 JHL for an approach to dealing with breastfeeding problems.  How
about a phenobarb level on the baby?  How about changing the mother to some
other medication such as valproic acid which is pretty good for petit mal?

Jack Newman, MD, FRCPC

Jack Newman, MD, FRCPC