With or without antiepileptic medications, epilepsy raises risk for certain adverse pregnancy outcomes; nonetheless, healthy pregnancies are well within reach.
Women with epilepsy often wonder how their disease might affect pregnancy outcomes. To summarize the existing literature on associations between epilepsy and reproductive outcomes, researchers conducted a systematic review and meta-analysis of observational studies of pregnant women with epilepsy published within the last 25 years.
In 39 articles that included >2.8 million pregnancies, women with epilepsy had significantly increased risk for miscarriage, hemorrhage, hypertensive disorders, labor induction, caesarean section, delivery at <37 weeks' gestation, and fetal growth restriction compared with women without the disorder. However, rates of gestational diabetes, early preterm birth, fetal or perinatal death, and neonatal intensive care …
Reviewing Author
DisclosuresConsultant/Advisory BoardPlanned Parenthood Federation of America
Grant/Research SupportSociety of Family Planning; California Department of Public Health Tobacco Control Program
Editorial BoardsContraception; Journal of General Internal Medicine
Leadership Positions in Professional SocietiesCouncil Member, Society of General Internal Medicine
DisclosuresConsultant/Advisory BoardPlanned Parenthood Federation of America
Grant/Research SupportSociety of Family Planning; California Department of Public Health Tobacco Control Program
Editorial BoardsContraception; Journal of General Internal Medicine
Leadership Positions in Professional SocietiesCouncil Member, Society of General Internal Medicine