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- $Unique_ID{BRK00630}
- $Pretitle{}
- $Title{Risks During Pregnancy for Epileptics}
- $Subject{pregnant epilepsy risks newborn Pregnancy Childbirth Nervous System
- spontaneous abortion stillbirth toxemia preterm delivery gestational
- congenital abnormalities abortions}
- $Volume{K-1}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Risks During Pregnancy for Epileptics
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- QUESTION: I'm pregnant and have epilepsy. Though I am quite anxious, I would
- like some direct answers to my questions. What sort of risks do I face? Is
- my unborn baby in any danger?
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- ANSWER: I'll do my best to tell it as it is without causing you any
- additional worries. Epilepsy is the most common neurological problem among
- pregnant women--it occurs in .3 to .5% of all pregnancies. However, epileptic
- patients do face increased risks during pregnancy.
- First there are the risks that result just from having epilepsy. These
- include a greater likelihood of spontaneous abortion, stillbirth, toxemia, and
- preterm delivery. Epileptic women are also more likely to have labor induced
- or to need medical intervention during delivery. Frequency of an epileptic
- woman's seizures may change during pregnancy too. The news is not all bad
- here, though. Seizures can increase, come on for the first time, stay the
- same, or decrease. Increased seizures are often the result of the woman's
- failing to take her anticonvulsant medication. They may also be due to her
- changing metabolism or her weight gain--both of which can affect the level of
- medication in the body.
- Sometimes epileptic women experience fewer seizures during pregnancy.
- This is usually due to the fact that they are paying special attention to
- taking their medicine. Women who experience seizures for the first time
- during pregnancy are said to have gestational epilepsy. Usually these women
- are put on an anticonvulsant drug. As for the baby, infants born to epileptic
- mothers have a greater risk of premature birth. Even babies who are carried
- for the full nine months often weigh less than the average newborn at birth.
- Babies of epileptic mothers have a 4 to 5 percent risk of having congenital
- abnormalities. If the mother is on anticonvulsants, the baby has a 6 to 11
- percent risk. The most common abnormalities involve the facial cleft or the
- heart, and are often accompanied by mental retardation. Because of the risks
- involved, infants of epileptic mothers are generally monitored in an intensive
- care nursery for at least 24 hours.
- It is essential that you receive close medical attention during your
- pregnancy to avoid as many of the problems and complications as possible. It
- is the best way to deal with your understandable anxiety.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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