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Pregnancy and Epilepsy. Most pregnancies in mothers with epilepsy produce normal children Fetal anomalies (up to 10% of pregnancies) are multifactorial Drug effects Consequences of the mother’s underlying diseases Consequence of maternal seizures during pregnancy
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Pregnancy and Epilepsy Most pregnancies in mothers with epilepsy produce normal children Fetal anomalies (up to 10% of pregnancies) are multifactorial • Drug effects • Consequences of the mother’s underlying diseases • Consequence of maternal seizures during pregnancy All antiepileptic drugs carry teratogenic risks Polytherapy increases risk Reference: Practice Parameter: Management issues for women with epilepsy (summary statement): Report of the Quality of Standards Subcommittee of the American Academy of Neurology. Neurology 1998; 51: 944-948.