Pregnancy is a great joy for women, but for those with epilepsy, they are both eager to be mothers and carry the psychological burden of whether they can have a healthy pregnancy. Can they get pregnant and have children? Can they still take medication during pregnancy? Generally speaking, people with epilepsy can have children normally, but there are just some precautions that need special attention, because pregnancy can be a trigger that affects the condition. Many patients with epilepsy have a tendency to increase the frequency of seizures after pregnancy, which is mainly due to the lower blood concentration of antiepileptic drugs and the change in seizure threshold after pregnancy. The increase in the number and severity of seizures is closely related to the degree of seizure control prior to pregnancy. Therefore, it is important for epileptic patients to follow up regularly throughout pregnancy, receive professional guidance from their physicians, and strive to keep their condition in a stable state to maximize the health of the fetus. The first thing you need to do is adjust your medication regimen before you get pregnant. Some antiepileptic drugs do have side effects on the fetus. Before conception, people with epilepsy need to adjust their medication regimen with the help of their doctor to control the number of seizures as much as possible and minimize the effects of the medication on the fetus. During pregnancy, you can have several ultrasounds and blood tests to rule out risks. In addition, it is important to take adequate amounts of folic acid. Because taking antiepileptic drugs can affect the body’s ability to absorb folic acid, doctors usually recommend that patients take higher doses of folic acid to effectively prevent birth defects caused by incomplete closure of the neural tube. Is epilepsy hereditary? Epilepsy is somewhat hereditary, but only in a minority of people. Foreign data show that if neither parent has a history of epilepsy, the probability of the child having epilepsy is 5 in 1,000; if one parent has it, the probability of the child inheriting epilepsy is 10 in 1,000. Many parents worry that seizures during pregnancy will affect the intelligence level of the baby. There is no need to worry too much, because the child’s intelligence is not necessarily related to the seizures during pregnancy. In fact, as long as the epilepsy is well controlled, the number of seizures is low, and no frequent persistent status epilepticus occurs, the likelihood of harm to the baby will be very small. If a pregnant woman presents with persistent status epilepticus with prolonged generalized muscle convulsions, it may cause intrauterine crepitations of the fetus and even lead to premature delivery, which requires prompt hospitalization. Can a person with epilepsy breastfeed? There are many benefits for the baby to receive breastfeeding after birth. So is it possible for a person with epilepsy to breastfeed their baby while they are on medication? It is perfectly possible. Not only can patients take their antiepileptic medication during pregnancy, but they can continue to use it during breastfeeding as well. The amount of medication your baby gets from breast milk is very limited and there is no need to be overly concerned. Mothers with epilepsy should not just reduce or stop their medication on their own, as this may affect their condition. Whether during pregnancy and childbirth or during breastfeeding, patients should visit the hospital frequently to talk with their doctors and be guided through the entire pregnancy and childbirth process.