11. Obstetrical Outcome and Complications of Pregnancy

  1. Cynthia L. Harden MD Professor of Neurology3,
  2. Sanjeev V. Thomas MD, DM Professor of Neurology4 and
  3. Torbjörn Tomson MD, PhD Professor of Neurology and Epileptology5
  1. Borthen Ingrid1 and
  2. Gilhus Nils Erik2

Published Online: 24 JAN 2013

DOI: 10.1002/9781118531037.ch11

Epilepsy in Women

Epilepsy in Women

How to Cite

Ingrid, B. and Nils Erik, G. (2013) Obstetrical Outcome and Complications of Pregnancy, in Epilepsy in Women (eds C. L. Harden, S. V. Thomas and T. Tomson), John Wiley & Sons, Oxford. doi: 10.1002/9781118531037.ch11

Editor Information

  1. 3

    Chief, Division of Epilepsy and Electroencephalography, Hofstra North Shore-LIJ School of Medicine, Cushing Neuroscience Institutes, Brain and Spine Specialists, North Shore-Long Island Jewish Health System, Great Neck, New York, USA

  2. 4

    Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala State, India

  3. 5

    Karolinska Institutet, Stockholm, Sweden

Author Information

  1. 1

    Department of Obstetrics of Neurology, Department of Clinical Medicine, University of Bergen, Haukeland University Hospital, Bergen, Norway

  2. 2

    Department of Clinical Medicine, University of Bergen, and Department of Neurology, Haukeland University Hospital, Bergen, Norway

Publication History

  1. Published Online: 24 JAN 2013
  2. Published Print: 11 MAR 2013

ISBN Information

Print ISBN: 9780470672679

Online ISBN: 9781118531037

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Keywords:

  • epilepsy;
  • pregnancy;
  • antiepileptic drugs;
  • preeclampsia;
  • hypertension

Summary

Recent studies demonstrate an overall good outcome for pregnancy and labor in women with epilepsy and with few complications. Women with epilepsy who for different reasons do not need to use antiepileptic drugs (AEDs) have no increased risk of complications in pregnancy. Nor have these women any increased risk in labor and delivery. In contrast, women with epilepsy using AEDs have slightly increased risks of preeclampsia, gestational hypertension, bleeding in pregnancy, and preterm labor. They also have an increased risk of induction for labor, cesarean delivery, and bleeding after birth. The risks do not seem to be influenced by the severity of epilepsy or the dosage of AEDs.