Women with epilepsy can become pregnant six months after they stop taking the medication used to treat epilepsy. Generally, after idiopathic and genetically related epilepsy is ruled out, you can get pregnant and have a baby when your condition is stable. However, if pregnancy occurs too early after stopping the medication, the quality of the eggs and the normal development of the fetus after pregnancy may be affected by the residual medication in the body, so it is best to wait six months before considering pregnancy. In addition, patients can take folic acid and vitamin K daily before pregnancy and continue taking them at least until the end of the first trimester to reduce the incidence of major congenital malformations and the risk of cognitive impairment associated with epilepsy. Patients should also be aware of timely fetal testing to check for abnormal fetal development. For pregnant women who still require medications to control their condition, blood levels need to be monitored promptly and medications adjusted according to physician guidance. Although the risk of seizures during delivery is low, adequate analgesia and appropriate care should be given during delivery to minimize the risk factors for seizures, such as insomnia, stress, pain and dehydration, which can lead to seizures during the perinatal period. Pregnant women with a history of epilepsy are advised to have their delivery in a hospital with experience or facilities for epilepsy care to ensure that the delivery is completed smoothly and safely.