Use of Phenytoin in Pregnancy for Epileptic Seizure Prevention: A Case Report


  • Kelly E. Fitzgerald SNM, MSN

    Corresponding author
    1. Kelly Fitzgerald, SNM, MSN, graduated from the Nurse-Midwifery/Women's Health Nurse Practitioner Program at the University of Pennsylvania in December 2003.
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Kelly E. Fitzgerald, SNM, MSN, Apt. 7B, 326 South 19th Street, Philadelphia, PA 19103. E-mail:


Epilepsy is the most common neurological disorder in women of reproductive age. Phenytoin is one of the most frequently prescribed antiepileptic drugs. Although the vast majority of women with epilepsy have normal pregnancy outcomes, certain fetal anomalies and pregnancy complications are associated with epilepsy and phenytoin use. Appropriate midwifery care of women with epilepsy includes consultation and co-management with an obstetrician and a neurologist. The clinical course of a woman with epilepsy taking phenytoin is presented.