Author/Editor     Čebular, Boštjan
Title     Vodenje nosečnice z epilepsijo - pogled nevrologa
Translated title     Management of pregnant women with epilepsy - a neurologist's view
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 44, št. Suppl 3
Publication year     2005
Volume     str. 3-7
Language     slo
Abstract     Nowadays, most women with epilepsy can conceive and bear healthy children, but their pregnancies present an increased risk of complications. Pregnancy can exacerbate seizure frequency in some women with epilepsy, and both maternal epilepsy and in utero exposure to antiepileptic drugs can increase the risk of adverse outcomes in children born to women with epilepsy. These outcomes include fetal loss and perinatal death, congenital malformations, neonatal hemorrhage, low birth weight, developmental delay, and childhood epilepsy. This article brings some practical recommendations for reducing these risks and optimizing the management of pregnant women with epilepsy.
Summary     Večina žensk z epilepsijo normalno zanosi, donosi in rodi zdrave otroke. Vseeno pa njihova nosečnost predstavlja določeno tveganje za zaplete. Sama nosečnost lahko pri nekaterih nosečnicah poveča število epileptičnih napadov, epilepsija in protiepileptična zdravila, ki jim je izpostavljen plod v maternici, pa lahko vplivajo na izhod same nosečnosti. Tako je možna zgodnja izguba ploda ali perinatalna smrt, prirojene napake, neonatalne krvavitve, nizka porodna teža, zaostalost v razvoju otroka ali pojav epilepsije v otroštvu. Prispevek prinaša nekaj praktičnih navodil in nasvetov za zmanjšanje navedenega tveganja in priporočila za vodenje nosečnosti pri ženskah z epilepsijo.
Descriptors     EPILEPSY
ANTICONVULSANTS
PREGNANCY OUTCOME
LABOR
BREAST FEEDING
PREGNANCY