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Chapter 12 - Seizure Management in Pregnancy

Published online by Cambridge University Press:  19 December 2024

By
Ginette Moores
Edited by
Esther Bui  and
P. Emanuela Voinescu
Esther Bui
Affiliation:
Toronto Western Hospital
P. Emanuela Voinescu
Affiliation:
Brigham & Women's Hospital, Boston, MA
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Summary

Most women with epilepsy can have a normal pregnancy without change in seizure control. There is increased risk for some adverse pregnancy outcomes for which women with epilepsy should be followed closely by medical and obstetrical teams. Increased drug clearance is observed for several anti-seizure medications (ASM) during pregnancy. Therapeutic drug monitoring is recommended to guide dose adjustments of ASM to maintain seizure control. This chapter discusses how seizure management may be optimized.

Type
Chapter
Information
Women with Epilepsy
A Practical Management Handbook
 , pp. 215 - 230
Publisher: Cambridge University Press
Print publication year: 2025

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References

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