WHAT YOU NEED TO KNOW:

What do I need to know about pregnancy and epilepsy? Women with epilepsy can have a safe and healthy pregnancy. Epilepsy and epilepsy medicine may make it more difficult to become pregnant. Epilepsy and epilepsy medicine may also make it difficult to manage your pregnancy. Pregnancy may cause an increase or decrease in the amount of seizures that you have. Careful planning with your healthcare provider can decrease risks to you and your baby.

How may epilepsy affect my pregnancy?

• A seizure during pregnancy can cause injury to you or your baby. During a seizure, the level of oxygen to your baby may decrease. This may cause brain or organ damage. A seizure may also cause preterm labor, preterm birth, or miscarriage.
  
  
• Epilepsy medicine increases the risk for birth defects. If you decide to get pregnant, your healthcare provider may change your medicine or decrease the dose to reduce this risk.
  
  
• During pregnancy, your body may react differently to epilepsy medicine. The medicine may not stay in your body as long. This may increase your risk for a seizure. Your dose may be changed multiple times during pregnancy.

How will my baby be monitored during pregnancy? Regular ultrasounds will help monitor your baby. You may need other tests to check for problems with your baby's heart or nervous system. These problems can be caused by epilepsy or epilepsy medicine. These tests will help your healthcare provider create safe labor, delivery, and care plans for you and your baby.

What will happen if I have a seizure during labor? You will be given epilepsy medicine through an IV if you have a seizure during labor or delivery. The medicine may make your baby more sleepy than normal when he is born. He will be monitored closely after birth for any side effects of the medicine.

Will it be safe to breastfeed my baby? Some epileptic medicines are released from the body through breast milk. Your baby may be exposed to epilepsy medicine. The medicine may make your baby more sleepy than normal. Ask your healthcare provider if it safe to breastfeed your baby. Breast milk may prevent infections or learning problems in your baby. These benefits may outweigh the risks of breastfeeding your baby while you take epilepsy medicine.

How can I care for myself during pregnancy?

• Take your epilepsy medicine every day at the same time. Do not skip a dose. Correct use of your medicine will lower your risk for a seizure during pregnancy.
  
  
• Take folic acid and prenatal vitamins as directed. Epilepsy medicine may decrease the amount of folic acid in your body. Folic acid may decrease your baby's risks for birth defects. You may need a larger dose in the first 3 months of pregnancy.
  
  
• Keep all appointments for blood tests. Blood tests will help your healthcare provider decide what dose of epilepsy medicine you need. The right dose will prevent seizures and birth defects in your baby. Your healthcare provider may need to change the dose of your medicine frequently throughout pregnancy.
  
  
• Do not drink alcohol or use drugs. This may harm your baby and increase your risk for seizures.
  
  
• Get plenty of rest. A lack of sleep may increase your risk for a seizure. Take naps throughout the day if you feel tired. Ask for help from family or friends with other small children or chores. Talk to your healthcare provider if you have trouble sleeping.
  
  
• Manage your stress during pregnancy. Too much stress can trigger a seizure. Meditate, do prenatal yoga, or do any activity that helps you relax. Talk to your healthcare provider if you need help to manage stress.

Have someone else call 911 for any of the following:

• You have a seizure during pregnancy.
  
  
• Your seizure lasts longer than 5 minutes.
  
  
• You have trouble breathing or stop breathing.

When should I seek immediate care?

• You have a second seizure that happens within 24 hours of your first.
  
  
• You are injured during a seizure.
  
  
• After a seizure, you are confused longer than you usually are.
  
  
• You have vaginal bleeding or contractions.
  
  
• You cannot feel your baby move.

When should I contact my healthcare provider?

• You have trouble sleeping or managing stress.
  
  
• You have nausea or are vomiting and cannot take your medicine.
  
  
• Your seizures happen more often.
  
  
• You become depressed or have changes in your mood.
  
  
• You have questions or concerns about your condition or care.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.