Özet:

Pregnancies in individuals with epilepsy disease are assessed in high-risk pregnancies. So the most ideal for epilepsy patients is a planned pregnancy. In patients with epilepsy, a neurologist and a female-born specialist should come together to a common decision and should be informed that women with epilepsy may face pregnancy complications more frequently. In terms of congenital malformation, pregnancies under monotherapy are less likely than pregnancies under polytherapy. In many studies in recent years, topiramate, valproate and phenobarbital have been regarded as hazardous drugs during pregnancy, while oxcarbazepine, levetirasetam and lamotriine have been regarded as low hazardous drugs. In the direction of congenital malformations and fetal anomalies, epileptic mothers candidates should be scanned and diagnosed tests and routine checks. Also, epileptic mothers candidates should carry out antenatal care. When babies are born, vitamin K should be given. Breastfeeding is more important for epileptic mothers and newborn babies. Therefore, epilepsy mothers who are giving birth should be encouraged and supported by breastfeeding advice. Pregnant mothers should consult a neurologist 3-4 months after the birth. Abstract pregnancies of women with epilepsy are considered high risk pregnancies. Therefore, a planned pregnancy is the most ideal way for epilepsy patients. A neurologist and an obstetrician should reach a joint decision about an epilepsy patient, and epilepsy patients should be informed that they may face complications more frequently. With regard to congenital malformations, pregnant women who receive monotherapy are less risky than those receiving polytherapy. Recently, topiramate, valproate and phenobarbital have been considered as risky drugs during pregnancy, while oxcarbazepine, levetiracetam and lamotrigine are considered low-risk drugs. Screening and diagnostic tests, and routine controls of epileptic mothers should be done to detect congenital malformation and fetal anomaly. Additionally, epileptic mothers should have antenatal care. When babies are born, vitamin K should be administered. For epileptic mothers and newborns, breastfeeding is of greater importance. Therefore, mothers with epilepsy who give birth should be encouraged and supported by breastfeeding counseling. Mothers who give birth should see a neurologist 3-4 months after birth.

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