Preconception counselling in women with epilepsy

被引:0
作者
Pegg, Emily J. [1 ,2 ]
Bromley, Rebeccca [3 ]
Mirza, Farhat [1 ]
Campbell, Ellen [4 ]
机构
[1] Salford Royal Hosp, Manchester Ctr Clin Neurosci, Salford, England
[2] Univ Manchester, Div Neurosci, Manchester, England
[3] Univ Manchester, Dept Neurosci, Manchester, England
[4] Belfast Hlth & Social Care Trust, Dept Neurol, Belfast, North Ireland
关键词
EPILEPSY; ANTICONVULSANTS; OBSTETRICS; FOLIC-ACID SUPPLEMENTATION; IN-UTERO EXPOSURE; ANTIEPILEPTIC DRUGS; IRELAND EPILEPSY; MALFORMATION RISKS; SEIZURE FREQUENCY; CHILDREN BORN; PREGNANCY; MANAGEMENT; OUTCOMES;
D O I
10.1136/pn-2023-003902
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Pregnancy and the postpartum period are potentially high-risk periods for women with epilepsy and their babies. All women with epilepsy should have the opportunity for preconception counselling with the aim of reducing risk, optimising outcomes for the potentially developing fetus and enabling informed decision-making. This article provides an evidence-based framework for preconception counselling discussion, including the review of diagnosis and of current antiseizure medication, the risk to the fetus in relation to antiseizure medication and maternal seizures, maternal morbidity, SUDEP risk, folic acid supplements, contraception, breastfeeding and safety advice.
引用
收藏
页码:478 / 484
页数:9
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