Pregnancy, epilepsy, and women's issues.
نویسنده
چکیده
PURPOSE OF REVIEW Optimal treatment of women with epilepsy includes consideration of the complex interactions of sex steroid hormones with epilepsy and antiepileptic drugs, and of the potential risks of any antiepileptic drug prescribed during a pregnancy. RECENT FINDINGS Clinical studies in women with epilepsy have provided a better foundation of knowledge about the complex relationships between cycling sex steroid hormones, seizure frequency, antiepileptic drugs, contraception, and neuroendocrine abnormalities. Pregnancy registries and observational studies have provided key data that allow for a better estimation of risks to the developing fetus. SUMMARY Understanding these key factors should enable informed treatment recommendations that can reduce adverse health effects in women with epilepsy and improve both seizure control and maternal and fetal outcomes.
منابع مشابه
Women living with epilepsy, experiences of pregnancy and reproductive health: A review of the literature
PURPOSE This study aimed to investigate the experiences of pregnancy in women living with epilepsy through a review and synthesis of existing literature. METHODS A comprehensive search of the literature was conducted in medical and social science databases to identify qualitative research, and questionnaires that included open-ended questions, which reported on the impact of epilepsy on the l...
متن کاملEctopic pregnancy as contraceptive failure in patient with epilepsy.
Epilepsy is a common neurologic condition which includes many women's health issues. Menstrual disorders, reproductive endocrinological disturbances, ovulatory dysfunction and infertility appear to be relatively frequent in women with epilepsy. Clinical decision making which contraceptive regimen is optimal for an individual woman with epilepsy is one of the most challenging tasks when taking c...
متن کاملEvaluation of pharmacists’ knowledge of women’s issues in epilepsy: A cross-sectional study in Palestinian pharmacy practice
PURPOSE Pharmacists are key players in providing healthcare for patients with chronic diseases including women with epilepsy. The purpose of this study was to assess pharmacist's knowledge of women's issues in epilepsy in the Palestinian pharmacy practice. METHOD The study was conducted in a cross-sectional observational design using a 12-item test on women's health in epilepsy. Demographic d...
متن کاملSupport systems of women with epilepsy in pregnancy: A retrospective needs assessment
PURPOSE To explore support systems for women with epilepsy (WWE) during pregnancy. METHODS Audio-recorded, transcribed, semi-structured telephone interviews with WWE in pregnancy and following childbirth were coded using descriptive thematic analysis. RESULTS Twelve women with epilepsy aged 21-37 years who received care during pregnancy in our epilepsy clinic from 2010 to 2013 were intervie...
متن کاملEpilepsy during pregnancy: focus on management strategies
In the US, more than one million women with epilepsy are of childbearing age and have over 20,000 babies each year. Patients with epilepsy who become pregnant are at risk of complications, including changes in seizure frequency, maternal morbidity and mortality, and congenital anomalies due to antiepileptic drug exposure. Appropriate management of epilepsy during pregnancy may involve frequent ...
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ورودعنوان ژورنال:
- Continuum
دوره 19 3 Epilepsy شماره
صفحات -
تاریخ انتشار 2013