Epilepsy

Question 1

Problems

Answer 1

Seizure control can deteriorate in pregnancy, especially in labour
Risk of congenital abnormalities, largely due to drug therapy

Question 2

Management

Answer 2

Preconceptual assessment and control of seizures with as few drugs as possible at the lowest dose
Folic acid 5mg continued throughout pregnancy
Avoid sodium valproate
Carbamazipine and lamotrigine safest
10mg Vit K from 36weeks