Treatment for epilepsy during pregnancy: myths and reality

Unfortunately, in society, for several centuries, there have been several myths concerning epilepsy. Among them – the impossibility of curing this disease, its inheritance, a serious progressive decline in intelligence, specific characteristic features.

epilepsy: myths and reality Such fears for a long time did not allow sick women to decide on the birth of a child. The prevailing opinion about the increase in seizures during pregnancy also does not stand up to criticism on closer inspection. According to the latest generalized data, exacerbation of epilepsy during pregnancy is observed in approximately 10% of cases, in 5% there is a decrease in the frequency of seizures, and in 85% there is no significant change in the frequency of seizures.

Fortunately, epilepsy is a fairly rare disease. Nevertheless, women of childbearing age also suffer from this disease. Can they create a full-fledged family, give birth and raise children, and if so, what difficulties are possible along this path and how can they be overcame?

Epilepsy (falling sickness) is a chronic disease of the brain, characterized mainly by repeated seizures. A sharp, excessively synchronous violation of the electrical activity of the brain is manifested by changes in consciousness and/or motor, sensitive, and behavioral symptoms with a possible transition to a generalized classic attack, during which the patient falls, the muscles of the extremities and the trunk convulsively contract, while the person often bites the tongue, foam appears from the mouth. At the end of the seizure, involuntary urination may occur.

Seizures are a risk factor for the threat of termination of pregnancy, can lead to oxygen deficiency (hypoxia) of the fetus. Generalized (large convulsive seizures) have a more pronounced damaging effect on the fetus since during a seizure, there is a high probability of injuries, including the abdomen, which can lead to placental abruption and is accompanied by gross violations of uteroplacental blood circulation. At the same time, it is believed that non-convulsive seizures have virtually no effect on the growth and development of the fetus.

Taking an antiepileptic medication, such as Klonopin or it analogs from the pharmacies, a woman with epilepsy feels completely adapted to the society, except that she has to regularly take meds and observe certain regime moments (avoid getting not enough sleep and drinking alcoholic beverages that are the most powerful factors provoking seizures). Modern pills are well tolerated by patients and are devoid of such side effects as drowsiness, asthenia, etc. Improvement of the quality of life of a woman naturally leads to the fact that she feels a full member of society, wants to be a mother and bring up children.
Treatment for epilepsy during pregnancy

All remedies are potentially teratogenic, that is, they can cause malformations of the fetus, but generalized (large, seizure-induced) epileptic seizures are more dangerous for their consequences during pregnancy than any drugs. In no case should you stop taking tablets during pregnancy because of the risk of developing generalized seizures or even epileptic status, in which seizures follow one after another and the patient is unconscious. Epileptic status is a condition that threatens life. In addition, the abolition of drugs is inappropriate because when a woman learns of pregnancy, as a rule, at least 4 weeks have already passed, during which the drug was used and exerted its influence.

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