Hello every one,
I have an interesting case here in the NICU. I am posting with permission 
from the mother. She has a baby born at 37 weeks, normal pregnancy and 
delivery however, shortly after delivery baby started having seizures. He 
is currently two months old (never been home) and been having a major work 
up from our neurologist. The baby still has seizures sometimes many a day 
and sometimes many on hour. The mother is pumping and has a very good 
supply > 1200 cc every day. Baby is currently being tube fed as he apirates 
thin liquids,doesn't have a good suck and is often very sleepy from all the 
medications. The question the mother asked me is  since the ketogenic diet 
works well in children to reduce seizures (even infants) can she follow the 
diet and change her milk to high fat almost no carbohydrate. I discussed 
using hind milk for more fat but the milk still contains carbohydrates too 
(of course). I told her that I think her body will try to maintain the 
correct balance of all nutrients in her breast milk no matter what her diet 
is. I think it will be her health that would suffer from a ketogenic diet 
and dehydration might lead to decreased milk supply also. I told her I 
would ask all of you wise ones since I can't seem to find any research 
about the ketgenic diet with the mother breast feeding. The baby will go 
home with a g-tube for feedings or possibly thickened breast milk to 
prevent aspiration. Thank you for your help.

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