Planning For a Baby?

By Kathy Sena

How much should I worry?
Talk to your doctor about your specific condition. Every patient is different, so working with your doctor will ensure you get the information and medical treatment that you need.

Should I change my medication?
It’s best to strategize with your epileptologist before you get pregnant. Your seizure medications will need to be reviewed, and changes in doses might be needed during pregnancy. Don't change your medications on your own—your neurologist will help you decide what changes are needed (if any). 

How can I manage seizures?
Talk to your specialist about recognizing your seizure triggers. Some women are more likely to have seizures during pregnancy, due to hormonal changes, stress, lack of sleep, changes in medication levels, and water or sodium retention. That’s why you shouldn’t stop your medications.

What should I do if I have a seizure?
Work with your epileptologist to formulate a plan in case you do have a seizure. Depending on the seizure’s severity, your baby could experience a decrease in heart rate or suffer from oxygen depletion or fetal injury, so it will be imperative to see your doctor right away.

Will my medication harm my baby?
There are risks associated with some seizure medicines. Talk to your doctor about the adverse effects your medication could have on the baby.
 

Talk to your doctor about the North American Antiepilleptic Drug (NAAED) Pregnancy Registry or call this toll free number for more information: 1-888-233-2334.

Originally printed in EpilepsyAdvocate, Spring 2018