Epilepsy during pregnant
What happens if I have epilepsy and become pregnant?
Epilepsy is probably the most common health problems affecting women of childbearing age. Fortunately, a large majority of these women deliver healthy babies. In the event you have epilepsy and discover you are pregnant, you should contact your doctor as soon as possible.
Are there other the risks of epilepsy to an expectant mother?
In spite many women may experience no changes or may even have a discount in the frequency of seizures, a significantly range of women may have an increase in seizure frequency during pregnancy. This is possibly due to factors such as not enough sleep and not taking epilepsy medications as prescribed, as well as factors with reference to the pregnancy itself (such as hormonal changes and changes to the way in which body handles medications used for seizures).
What’s the risk to the baby?
Firstly, the developing baby is at some risk from direct trauma to the mother’s abdomen sustained within a major seizure. Additionally there is the risk of a brief lack of oxygen to the fetus brought on by a major maternal seizure. A minor seizure, without falling or another type of convulsive element, is believed that will be unlikely to cause harm to the developing baby.
Another area of concern is anti-epileptic drugs (AEDs) could cause birth defects beginning from mild (e.g., cleft lip, slight shortening of the fingers), to severe (e.g., major heart defects, neural tube defects such as spina bifida). Those abnormalities, as well as others, occur in about 2% to 3% of babies born to healthy, medication-free non-epileptic women. This risk increases to about 4% to 8% in epileptic women taking AEDs. Thus the treat is small but tangible.
Is it wise to stop epilepsy medication when you are pregnant?
Stopping medication gradually under medical supervision can easily be considered a risk-free choice for some women. For most women who have epilepsy, they must go on to take their seizure medication up to enough time of as well as throughout labor. The possibility of uncontrolled seizures is higher when compared to risk of taking any AED. Fortunately, more if famous about the way AEDs should be considered during pregnancy helping lessen the risk linked to its use. Speak with your doctor about any concerns you have and don’t stop taking your medication before getting the advice of health care provider.
There has to be anything else I can do to prevent fetal malformation from medication?
Daily folic acid supplementation previous to becoming pregnant as well as throughout pregnancy may save money risk of birth defects. Folate is encouraged to all women throughout their childbearing years, whether or not they’re pregnant or plan to have a baby.
Do some AEDs harm the newborn less or more in comparison to others?
Certain AEDs, such as valproate, and taking several AED, go to carry a higher risk of causing harming the infant during pregnancy. Speak to your doctor regarding the risks and benefits of using valproate and other anti-epileptic medications while pregnant. You shouldn’t stop or switch medications without talking to your health care provider first.
What tests can I have when pregnant, to discover if my baby has been harmed by AEDs?
Maternal blood testing at around 16 weeks can help establish that the developing fetus is healthy and without major defects. This is made by screening the mother’s blood for 3 special markers. This test is named triple marker screening or TMS for short. The test is not perfect; whereas an unfavorable screen does not guarantee a normal baby, it is correct the vast majority of the time. Distinct screen result for fetal deformity can be leading to amniocentesis (by analyzing and examining fluid from the birth sac), and fetal ultrasound examination, for detection of defects.
Can I breastfeed and yet be on AEDs?
Generally, breastfeeding is safe and recommended for females on AEDs. For many AEDs, only a little amount passes into breast milk. However, there are some AEDs that can still cause drowsiness or irritability in a breastfed baby. See your doctor to debate the very best approach for your baby.
What is the point is?
For several women, it is better to carry on with AED treatment before and through a planned pregnancy. While the baby can be harmed by medication, this risk has to be set resistant to the damage to the developing baby from an uncontrolled seizure or (worse still) a set of seizures not covered by medication. It is really a significant question of which risk is the smaller one. Continuing with an AED usually wins out.
Therefore, although there are certain risks to an epileptic mother and her developing baby, those risks are relatively small and are not insurmountable. The bottom line is that given good care, a more healthy infant is produced in more than 90% of pregnancies occurring in women with epilepsy. The option should you conceive is clearly better one which really needs to be discussed in full with one’s partner and personal physician.