Preconception counselling in women with epilepsy.

IF 2.4 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2024-11-17 DOI:10.1136/pn-2023-003902

Emily J Pegg, Rebecca Bromley, Farhat Mirza, Ellen Campbell

引用次数: 0

Abstract

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.

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癫痫妇女的孕前咨询。

怀孕和产后是癫痫妇女及其婴儿的潜在高危期。所有患癫痫的妇女都应该有机会接受孕前咨询，目的是降低风险、优化可能发育中的胎儿的预后，以及让她们能够做出明智的决策。本文为孕前咨询讨论提供了一个基于证据的框架，包括对诊断和当前抗癫痫药物的审查、与抗癫痫药物和母体癫痫发作有关的胎儿风险、母体发病率、 SUDEP 风险、叶酸补充剂、避孕、母乳喂养和安全建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.