☆ Can I get pregnant, if I have epilepsy? It is certainly possible to get pregnant with epilepsy, but it is best to plan the pregnancy under the guidance of a doctor. Pregnancy may increase the risk of seizures, various complications and malformations in the offspring, so it is necessary for women with epilepsy to have a preconception consultation. Through the guidance of a doctor, the majority of women with epilepsy can have a normal pregnancy and delivery process. A detailed ultrasound should be performed at 16-20 weeks of gestation to detect possible malformations and to avoid the use of valproic acid drugs as much as possible. ☆ What should I do if I am taking anti-epileptic drugs and I get pregnant unexpectedly? Patients taking enzyme-induced AEDS (e.g., carisoprodol, oxcarbazepine, phenobarbital, topiramate) should take 1.5 mg of levonorgestrel for emergency contraception, followed by 750ug 12 hours later. patients taking non-enzyme-induced AEDS (benzodiazepines, gabapentin, lamotrigine, keplar, sodium valproate) can take emergency contraception as normal . ☆ Why do seizures increase after pregnancy? 15-30% of women with epilepsy experience an increase in seizures during pregnancy. The reasons for this are presumed to be related to changes in hormone levels, severe reactions to pregnancy, and poor compliance with medication. ☆ Is there any effect on the fetus if seizures occur during pregnancy? The main effects of seizures on the fetus are increased perinatal fetal comorbidities and neonatal malformations. ☆ Should I choose to have a normal or cesarean delivery if I have epilepsy? Most women with epilepsy can deliver normally, but if frequent generalized tonic-clonic seizures or prolonged partial-onset seizures occur later in pregnancy, early termination of pregnancy by cesarean section should be considered. If seizures occur during labor, measures should be taken to terminate them as soon as possible, and if seizures persist, labor should be ended as soon as possible. ☆ Can I breastfeed if I am taking antiepileptic drugs? For most women taking AEDS, breastfeeding is relatively safe, but if you are taking antiepileptic drugs that are prohibited during breastfeeding, such as carbamazepine or aminoglutethimide, it is recommended that you do not breastfeed; keep the dose of AEDS within the regular dose and do not increase the dose arbitrarily.