Epileptics should be consulted at the appropriate specialist clinic before conception. Patients and their husbands should be aware that children born to mothers taking antiepileptic drugs are 2 to 3 times more likely to have malformations than the normal population. Antiepileptic drugs are only one aspect that contributes to this risk. The health status of the mother is also an important factor. Details should be obtained about whether there is a gene in the family that predisposes to malformations. More than 90% of women taking antiepileptic drugs have completely normal children. Continue antiepileptic drug therapy: Except for a few patients whose seizures have stopped for many years before the planned pregnancy and whose ancillary tests are no longer abnormal, antiepileptic drugs can be tapered and discontinued before conception, most patients should continue antiepileptic drug therapy during conception and pregnancy because seizures during pregnancy, especially tonic seizures, have the potential to cause maternal trauma and lead to miscarriage or other damage to the fetus. Simplification of therapeutic drugs: It is best to use single-drug low-dose therapy because no antiepileptic drug is completely safe for the fetus, so the principle of drug selection remains based on the patient’s seizure type and the drug that is most effective in controlling seizures. Monotherapy can significantly reduce the incidence of fetal malformations. Supplementation with adequate amounts of microbiotics, inorganic salts, trace elements and folic acid, ensuring adequate nutrition and sleep, avoiding other medications as much as possible, and prohibiting alcohol consumption.