Women and Childbearing
Women and Childbearing with Epilepsy: Empowering Knowledge for Your Journey
Welcome to our dedicated section for women with epilepsy who are navigating the unique challenges and considerations of childbearing. At Epilepsy Alliance Florida, we understand that epilepsy can present specific concerns when it comes to pregnancy, menstrual cycles, and hormonal changes. This page aims to provide you with comprehensive and empathetic guidance, helping you make informed decisions about your health and the wellbeing of your child.
Epilepsy affects women differently, especially during key life stages such as pregnancy and motherhood. From understanding how anti-epileptic drugs interact with birth control to managing seizure risks during pregnancy and breastfeeding, our goal is to equip you with the knowledge and confidence to face these challenges head-on.
Whether you are planning a family, currently pregnant, or navigating motherhood while managing epilepsy, this space is for you. We’ll cover crucial topics, dispel common myths, and offer practical advice to ensure you and your baby’s safety and health.
Join us as we explore the intersection of epilepsy and women’s health, providing you with the support and information you need for this important journey.
Planning for Pregnancy
For women with epilepsy, pre-pregnancy planning is essential. Coordinated healthcare should begin at least six months before conception. Pregnant women with epilepsy often have high-risk pregnancies, with 15% to 30% experiencing increased seizures during the first or third trimester. Regular consultations with a physician during pregnancy and in the postpartum period are crucial. It’s also recommended that newborns undergo a neurological evaluation to rule out potential issues.
Epilepsy Medications and Birth Control
Certain anti-epileptic drugs (AEDs) can reduce the effectiveness of birth control pills, increasing the risk of unintended pregnancy. Drugs like phenobarbital and carbamazepine are known to interfere with oral contraceptives. Women should consult their doctors for suitable contraceptive methods that don’t conflict with their epilepsy medication.
Genetic Risks of Epilepsy
The likelihood of a child inheriting epilepsy depends on family history. With non-hereditary epilepsy in the family, the risk is similar to the general population (about 1.5%). If one parent has a history of hereditary epilepsy, the risk increases to about 5%, and with both parents, it rises to around 10%. Pre-pregnancy genetic counseling can help in assessing these risks.
AEDs and Pregnancy
While the risk of birth defects in the general population is 2% to 3%, it increases to 4% to 6% for women with epilepsy on AEDs. However, stopping medication during pregnancy can be more harmful than the medication itself, leading to prolonged seizures. A balanced approach with folic acid supplementation, a healthy diet, and careful planning can ensure a safe pregnancy for most women with epilepsy.
Breastfeeding on AEDs
Breastfeeding while on AEDs is generally safe. Most medications present in breast milk do not harm the infant, but it’s important to monitor for any sedative effects on the baby. Discussing breastfeeding plans with a doctor is vital.
Epilepsy and Menstrual Cycle
Many women experience an increase in seizure activity during their menstrual cycle due to hormonal fluctuations. Estrogen tends to increase seizure risk, while progesterone has a protective effect. This condition, known as catamenial epilepsy, occurs when a significant portion of seizures is linked to the menstrual cycle.
Need Help?
Call us at 1-877-553-7453 or email us at info@eafla.org
