Review Article
Volume 3 Issue 9 - 2020
Epilepsy and Grossesse: Context and Care
Lemahafaka Jemissair Glorien1*, Razafimahefa Julien3, Fenomanana Maminirina Sonia2 and Tehindrazanarivelo Alain Djacoba3
1Neurology Department, Antanambao University Hospital, Tulear, Madagascar
2Obstetric Gynecology Department, Antanambao Hospital, Tulear, Madagascar
3Neurology Department, CHU Befelatanana, Antananarivo, Madagascar
*Corresponding Author: Lemahafaka Jemissair Glorien, Neurology Department, Antanambao University Hospital, Tulear, Madagascar.
Received: July 28, 2020; Published: August 27, 2020




Abstract

Epilepsy is not the contraindication of pregnancy, but pregnancy in women with epilepsy is still classified as at risk even if the majority is uneventful. Epilepsy could alter the course of pregnancy and pregnancy could destabilize epilepsy. Pregnancy-associated epilepsy may interfere with the increase in the frequency of their seizures such as a decrease in plasma concentration of antiepileptic drugs. Added to this are the teratogenic effects of antiepileptic drugs. Pregnancy programming is essential in the epileptic patient, it optimizes antiepileptic treatment and improves management during pregnancy. Management consists of first stabilizing epilepsy before conception. The absence of seizures during the nine months prior to pregnancy is associated with a high probability that the pregnancy will proceed without any seizures. In the case of unplanned pregnancy, itis essential to work closely with neurologists, obstetricians, anaesthetists and paediatricians.

Keywords: Epilepsy; Pregnancy; Management

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Citation: Lemahafaka Jemissair Glorien., et al. “Epilepsy and Grossesse: Context and Care”. EC Clinical and Medical Case Reports 3.9 (2020): 26-30.

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