You should inform your doctor as soon as possible if you are pregnant, and of course it is best to seek medical preparation before you become pregnant. At least three months after pregnancy, nutritionally adequate amounts of folic acid (0.4 to 0.5 mg or more per day) should be added. Pregnancy does not usually worsen epilepsy, but most of the worsening is due to inappropriate withdrawal or reduction of medication, so it is more important to avoid seizure triggers and conditions during pregnancy. Pregnant women should prevent seizure bruises, and if a large seizure is prolonged, they should be taken to a doctor as soon as possible to avoid endangering themselves and the fetus. See your doctor during pregnancy and adjust your medication if necessary by testing the concentration of drugs in your blood. Be sure to have prenatal checkups, including ultrasound, serum alpha-fetoprotein, or amniotic fluid z-check. Take vitamin K supplements as appropriate during the last month of pregnancy to avoid neonatal hemorrhage in the baby.