Abstract

Opinion

Managing epileptic women in pregnancy

Sarmad Muhammad Soomar* and Saima Rajpali

Published: 02 April, 2019 | Volume 2 - Issue 1 | Pages: 001-002

Epilepsy is commonly seen in women of reproductive age and it is affecting their reproductive and pregnancy outcomes in an adverse manner [1]. It has seen that there are increased numbers of maternal deaths of pregnant women with epilepsy than those who have no any epilepsy symptoms or episodes. In many studies the common outcome observed is spontaneous miscarriage, ante partum hemorrhage or early pre term deliveries. Malformation and congenital anomalies are quite common in new born of epileptic women and also those who are on some kind of anti-epileptic medicines like valproate sodium. Death or still birth of new born babies is another complication witnessed because of epilepsy in pregnant women [2].

Read Full Article HTML DOI: 10.29328/journal.cjog.1001015 Cite this Article Read Full Article PDF

References

  1. Galappatthy P, Liyanage CK, Lucas MN, Jayasekara DT, Abhayaratna SA, et al. Obstetric outcomes and effects on babies born to women treated for epilepsy during pregnancy in a resource limited setting: a comparative cohort study. BMC pregnancy and childbirth. 2018; 18: 230. Ref.: https://goo.gl/pcDTDM
  2. Pennell PB, French JA, Harden CL, Davis A, Bagiella E, et al. Fertility and birth outcomes in women with epilepsy seeking pregnancy. JAMA Neurol. 2018; 75: 962-969. Ref.: https://goo.gl/1ZB2Ef
  3. Patel SI, Pennell PB. Management of epilepsy during pregnancy: an update. Ther Adv Neurol Disord. 2016; 9: 118-129. Ref.: https://goo.gl/HP6n6Z
  4. Artama M, Braumann J, Raitanen J, Uotila J, Gissler M, et al. Women treated for epilepsy during pregnancy: outcomes from a nationwide population‐based cohort study. Acta Obstet Gynecol Scand. 2017; 96: 812-820. Ref.: https://goo.gl/iGniSG
  5. Royal College of Obstetricians and Gynaecologists (RCOG). Epilepsy in Pregnancy: Green-Top Guideline 68. 2016; 1-33. Ref.: https://goo.gl/L9xFRh

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