Eugenics and seizure control in pregnancy with epilepsy?

  Women with epilepsy are a special category of epilepsy, and their physiological structure makes it more difficult to treat epilepsy.  Some antiepileptic drugs are able to cross the placental barrier. Therefore, it is reasonable to say that patients with epilepsy should not use antiepileptic drugs during pregnancy. However, because a significant number of patients with epilepsy have more frequent and severe seizures during pregnancy, even those who seem to have stopped having seizures for a long time may have seizures again during pregnancy, and a very small number of patients have highly concentrated seizures during pregnancy, leading to persistent status epilepticus.  In these cases, the only solution is to use medication. It is important to control the seizures while trying to achieve eugenics, and to minimize the toxic effects of antiepileptic drugs on the fetus.  How should medication be used during pregnancy with epilepsy? The general principle is, after the doctor’s examination, seizure control is better, the pre-pregnancy does not appear to affect the pregnancy seizure patients, it is best to stop using anti-epileptic drugs, must use drugs to minimize the dose, to control the dose to the lowest effective dose. The most important thing is to choose the drug that has the least toxic side effects and no obvious teratogenic effects. The use of antiepileptic herbs during pregnancy is generally safer for the pregnant woman and the fetus.  The first is to consult with the appropriate professional hospital before conception, because seizures and side effects of anti-seizure medication can be very harmful to the health of the baby. Can epilepsy be cured? Mothers taking anti-epileptic (sheep epilepsy) drugs are 2-3 times more likely to have children with malformations than the normal population.  The second is to continue antiepileptic drug treatment: except for a few patients whose seizures have stopped for many years before planning to get pregnant and whose auxiliary tests have been free of abnormalities, antiepileptic (lambda) drugs can be gradually reduced or discontinued before conception; most patients should continue to be given antiepileptic drug treatment during conception and pregnancy because seizures during pregnancy, especially generalized tonic a clonic seizures, may cause maternal damage and lead to miscarriage or Other damage to the fetus.  Third, simplify treatment medications: It is best to use single-drug, low-dose therapy to control seizures, because no antiepileptic drug is completely safe for the fetus. Can epilepsy be cured? So the principle of drug selection remains based on the patient’s seizure type. Choose the drug that is most effective in controlling seizures. Monotherapy can significantly reduce the incidence of fetal malformations.  Fourth, supplement adequate amounts of vitamins, trace elements and folic acid, ensure adequate nutrition and sleep, avoid taking other drugs as much as possible, and prohibit alcohol consumption.  The above is a brief introduction to the prevention of epilepsy during pregnancy, hoping to provide some help in reducing the recurrence of epilepsy, if the patient does not know anything else about the above, must be timely like the doctor for consultation.