The question of whether an epileptic can become pregnant depends mainly on whether pregnancy will aggravate the epileptic’s condition and what effect epilepsy has on the fetus, so the best time to become pregnant must be carefully chosen. The problem of epilepsy, also known as seizure disorder, is a chronic seizure disorder that can extend over several years with recurrent seizures, thus severely damaging the patient’s body, mind, and affecting marriage, especially directly affecting marriage and childbirth and predisposing to hereditary epileptic disorders. The most important thing is that you can get a good idea of what you want to do. If the patient has epilepsy before pregnancy and the condition is not fully controlled, the seizures can become frequent after pregnancy due to water and sodium retention, electrolyte disorders, emotional stress, endocrine and respiratory changes, etc. Early pregnancy reactions such as nausea and vomiting can hinder the absorption of antiepileptic drugs and decrease the concentration of drugs in the blood plasma, prompting seizure recurrence. Similarly, the metabolism of antiepileptic drugs in the body is altered by pregnancy. The plasma increases its clearance and the blood concentration decreases. Therefore, epileptic patients should increase the amount of antiepileptic drugs by 1/3 during pregnancy to prevent seizure recurrence. However, because antiepileptic drugs have the effect of causing fetal malformations, increasing the amount of medication should be done with caution. Therefore, women with epilepsy who want to have children after marriage must be prepared in advance to cope. The specific method is: after continuous and systematic treatment with antiepileptic drugs, keeping no recurrent symptoms for 3~5 years and normal EEG, gradually reduce the dosage until the drug is stopped (the drug should be gradually reduced to complete discontinuation within 6~14 months), and then get pregnant and have children when the final examination confirms that the disease is in complete remission. It is relatively safe to do so. Epilepsy is highly likely to induce pregnancy complications. Patients with epilepsy who are not in full remission have a higher incidence of pregnancy complications than normal pregnant women; they are more likely to be induced and to use forceps during labor than normal mothers; and they have a higher neonatal mortality rate than babies born to normal mothers. Antiepileptic drugs are highly likely to cause fetal malformations. The incidence of congenital malformations in infants caused by antiepileptic drugs is 2U/. The incidence of congenital malformations in infants is ~13%, and fetuses are more likely to develop malformations when more than 3 antiepileptic drugs are used in combination. The common malformations are mainly cleft palate, harelip and congenital heart disease. The drugs most likely to cause malformations in the fetus are phenytoin sodium and trimethoprim. Carbamazepine has not been confirmed to have teratogenic effects in definite cases. Sodium valproate can occasionally cause spina bifida in the fetus. Therefore, women with epilepsy should always ask their doctor for help in choosing their medications after pregnancy and should avoid phenytoin sodium, trimethoprim and paroxetine, which have a high teratogenic risk. The rate of teratogenicity can also be reduced with a single medication. Patients with uncontrolled epilepsy should not give up their medication after pregnancy because frequent seizures during pregnancy can cause fetal hypoxia and affect fetal brain development, causing great harm to the fetus. Anti-epileptic drugs can easily cause hemorrhage in newborns. Long-term use of phenytoin sodium, phenobarbital or trimethoprim can cause a decrease in the concentration of vitamin K-dependent clotting factors in the fetal blood of pregnant women, and newborns are often at risk of bleeding 24 hours after birth. Such infants should be given vitamin K injections immediately after birth. Antiepileptic drugs can cause the metabolism of the sex hormones contained in oral contraceptives to be accelerated, thus rendering them ineffective. Therefore, it is best for women with epilepsy to use condoms, IUDs, and other contraceptives while on antiepileptic drug therapy. There is a high risk that primary epilepsy will be passed on to the next generation. The incidence of epilepsy in the general population is 0.5%; in relatives of patients with primary epilepsy, the incidence of epilepsy is 3%; and in relatives of patients with secondary epilepsy, the incidence of epilepsy is 1%. This shows that the possibility of epilepsy being inherited is real. In addition there is a genetic predisposition for the convulsive threshold of epilepsy, and children of epileptic patients have a low convulsive threshold and are prone to convulsions when stimulated. Therefore, women with primary epilepsy, especially those with both parents with epilepsy, women with epilepsy over 35 years of age or with comorbidities, and women with frequent seizures, should be extremely cautious about having children.