Management of epilepsy during pregnancy: an update
Author(s) -
Sima Patel,
Page B. Pennell
Publication year - 2015
Publication title -
therapeutic advances in neurological disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.684
H-Index - 50
eISSN - 1756-2864
pISSN - 1756-2856
DOI - 10.1177/1756285615623934
Subject(s) - medicine , epilepsy , pregnancy , intensive care medicine , in utero , pediatrics , fetus , obstetrics , psychiatry , genetics , biology
The clinical management of women with epilepsy on antiepileptic drugs (AEDs) during pregnancy presents unique challenges. The goal of treatment is optimal seizure control with minimal in utero fetal exposure to AEDs in an effort to reduce the risk of structural and neurodevelopmental teratogenic effects. This paper reviews the following key issues pertaining to women with epilepsy during pregnancy: AED pharmacokinetics; clinical management of AEDs; seizure frequency; major congenital malformation; neurodevelopmental outcomes; perinatal complications; and breast feeding.
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