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Guidelines confirm safety of pregnancy in women who have epilepsy-with caveats
OBG Management, 09/08/09
Yates J – Tonic–clonic seizures occur during labor in 1% to 2% of women who have epilepsy, and in an additional 1% to 2% of women in the 24 hours immediately following delivery. Plasma levels of antiepileptic medication should be monitored during the third trimester and delivery to ensure that the medication is given in adequate strength to prevent seizures. In addition, the patient should be counseled about the importance of taking her medication consistently during this period.
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