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Showing posts from November, 2010

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