Post by mdselim on Feb 20, 2024 7:59:59 GMT
Pregnancy planning and care by expert people is the biggest prerequisite for fulfilling the desire of women with epilepsy to have healthy children. All antiepileptic drugs have the potential to cause malformations in the fetus, but this potential is not as great as it used to be. In general, the risk is small and these women can give birth to healthy babies. About pregnancy and epilepsy, we talked with the neurologist dr. Tatjana Çepreganova Çangovska at the Acibadem Sistina Clinical Hospital. Can epilepsy be predicted in pregnancy? Epilepsy during pregnancy cannot be predicted. In about 50% of pregnant women, the frequency of occurrence of attacks does not change. In about 30% the attacks become more frequent, while in 20% they decrease.
The frequency of attacks is related to Hong Kong Telegram Number Data the increase in the serum level of estrogen, sodium retention, and with it the increase in the amount of water in the body, but also fear, psychological pressure, insomnia, are factors that can cause the appearance of an increase in attacks. Therefore, at least once a month, the serum level of the drug in the blood should be checked, in order to determine the dose of the drug as needed, to guide the control of major attacks, which, if they occur during the advanced period of pregnancy, can cause a lack of oxygen in the fetus, thus causing consequences in the fetus. What are the potential risks to the fetus? It is a known fact that children who have parents with epilepsy, the risk is high that they too will be affected by epilepsy compared to other people in general. The risk is greater if the mother has epilepsy and less if the father is affected by this disease.
The occurrence of attacks in the mother during pregnancy also affects the development of this disease. These women have 3-5 times more chance of early or late spontaneous abortion. The most severe malformations are cleft upper lip and heart defects, while minor malformations are finger malformations. The risk of developing deformities in the fetus is greater in larger doses of the drug, and during the multiple use of anti-epileptic drugs that help control seizures. All deformations in the fetus are caused during the first three months of pregnancy, when the organs are formed in the fetus. Many women often do not know that they are pregnant during the first two months and continue to drink the maximum prescribed dose of the drug. For this reason, it is important for women with epilepsy to plan pregnancy and have it checked regularly.
The frequency of attacks is related to Hong Kong Telegram Number Data the increase in the serum level of estrogen, sodium retention, and with it the increase in the amount of water in the body, but also fear, psychological pressure, insomnia, are factors that can cause the appearance of an increase in attacks. Therefore, at least once a month, the serum level of the drug in the blood should be checked, in order to determine the dose of the drug as needed, to guide the control of major attacks, which, if they occur during the advanced period of pregnancy, can cause a lack of oxygen in the fetus, thus causing consequences in the fetus. What are the potential risks to the fetus? It is a known fact that children who have parents with epilepsy, the risk is high that they too will be affected by epilepsy compared to other people in general. The risk is greater if the mother has epilepsy and less if the father is affected by this disease.
The occurrence of attacks in the mother during pregnancy also affects the development of this disease. These women have 3-5 times more chance of early or late spontaneous abortion. The most severe malformations are cleft upper lip and heart defects, while minor malformations are finger malformations. The risk of developing deformities in the fetus is greater in larger doses of the drug, and during the multiple use of anti-epileptic drugs that help control seizures. All deformations in the fetus are caused during the first three months of pregnancy, when the organs are formed in the fetus. Many women often do not know that they are pregnant during the first two months and continue to drink the maximum prescribed dose of the drug. For this reason, it is important for women with epilepsy to plan pregnancy and have it checked regularly.