Epelipsy

Question 1

What pain relieve to avoid

Answer 1

Pethidine high dose linked to sizers

Question 2

What pain relief can take in epilepsy?

Answer 2

Diamorphine , epidural

Question 3

Congenital anomalies in epilepsy

Answer 3

dependent on the type, number and dose of AEDs.

Question 4

Effects of pregnancy on epilepsy

Answer 4

1-two-thirds will not have seizure deterioration in pregnancy.
67 out of 100 remain free
2- increase risk during labour
3- the 1st 3 days of postnatal

Question 5

Effect of epilepsy on pregnancy maternal
and fetal

Answer 5

Miscarriage
HTN
PTL
APH
PPH
IOL
Increase risk of CS

Fetal risks
FGR

Question 6

What is risk of mortality in epilepsy?

Answer 6

10 times main cause SUDEP
Sudden unexpected death ion pt with epilepsy.

Question 7

Risk of baby developing epilepsy

Answer 7

If one parent risk is 4-5%
If both parents 15-20

Question 8

What Medicine given I. Labour to prevent seizures

Answer 8

Colzepam
If sizure more than 5 minutes give IV lorazepam 4mg
Vitamin k IM to baby