Pregnancy and Epilepsy

1.Epilepsy does not carry an
increased risk of miscarriage or
obstetric complications per se.
2. A single fit during pregnancy is
unlikely to impose any risk to the fetus
nor is pregnancy associated
with an increased risk of seizures.
3. Most anti-epileptic drugs are asssociated
with incresed adverse outcome
4.Main culprit is Sodium Valproate.

Pregnancy Facts

Child-bearing years span
almost four decades, giving
the GP ample opportunity to
educate and prepare women
for pregnancy.
■ 70-90% of women with
bipolar disease and 60% of
those with major depression
will relapse if psychotropic
medication is ceased in
pregnancy.
■ It is recommended that the
HbA1c be maintained at ≤6 in
women with diabetes before
and during pregnancy.
■ Maternal perinatal depression
is a risk factor for premature
birth, reduced foetal growth ,PET, poor neonatal bonding
and longer-term neurodevelopmental
problems.
■ Although there is no
established safe level of
alcohol, 10-15% of women
continue to drink throughout