Epilepsy is a common neurological syndrome of complex etiology and recurrent seizures in pediatrics, caused by paroxysmal temporary brain dysfunction, divided into primary and secondary, with clinical manifestations of recurrent muscle convulsions and impaired consciousness, seizures in the form of generalized seizures and partial seizures, EEG has 50-60% of the diagnosis of the disease, etc. Recurrent seizures have a serious impact on the intelligence and mental Recurrent seizures have a serious impact on the intellectual and mental development of the child. The risk of various malformations in infants born to women taking antiepileptic drugs is two to three times higher than in the normal population, and the effects of various antiepileptic drugs on the fetus vary. In addition, the more types and higher doses of drugs taken, the higher the risk. During pregnancy, seizures may worsen in about 1/3 of patients due to endocrine and metabolic changes, but most patients have no change or even improvement in seizures during pregnancy. Women with epilepsy during pregnancy should routinely take folic acid and multivitamins to prevent drug teratogenicity and possible bleeding tendencies during delivery. Unless both the man and woman are epileptic (the risk of having a child with epilepsy is 2-4%), the average person with epilepsy should be able to marry and have children. The question is how to take steps before and after the pregnancy to ensure the safety of the mother and child. There are two main factors that affect the inheritance of pediatric epilepsy: the seizures themselves and the antiepileptic drugs. This is something that women with epilepsy must consider when they want to get pregnant and have a child. Some mothers with epilepsy only consider that taking medication is bad for their child and blindly reduce and stop the medication, leading to frequent grand mal seizures, which in turn cause more damage to the fetus. The side effects of medication are certainly terrible, but the teratogenic effects of antiepileptic drugs can be avoided by adjusting the type and dosage of medication under the guidance of a doctor. In conclusion, women with epilepsy who are on medication should plan for pregnancy under the guidance of an epilepsy specialist. The seizures should be controlled to a minimum six months before pregnancy, the medication should be reduced from multiple doses to a single dose as much as possible, the lowest dose that can control the seizures should be maintained, regular follow-up should be done throughout the pregnancy, the blood concentration of the medication should be measured regularly, and regular prenatal checkups, including ultrasound, should be done. 90% of women with epilepsy can have normal pregnancy and delivery without affecting the health of the child as long as the above preparations are done.