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Seizure disorders and pregnancy.

S E Gaffney

    Naacog'S Clinical Issues in Perinatal and Women'S Health Nursing
    |January 1, 1990
    PubMed
    Summary

    Caring for pregnant women with epilepsy requires specialized nursing knowledge. Comprehensive care throughout pregnancy and postpartum is vital for positive maternal and infant outcomes.

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    Area of Science:

    • Obstetrics and Gynecology
    • Neurology
    • Pediatrics

    Background:

    • Epilepsy affects approximately 0.5% of pregnant women.
    • Pregnancy in women with seizure disorders presents unique challenges, including potential medication level changes and increased seizure risk.
    • Neonates born to mothers with epilepsy face risks such as congenital malformations and bleeding disorders.

    Purpose of the Study:

    • To outline comprehensive nursing care strategies for pregnant women with seizure disorders.
    • To highlight key medical, pharmacologic, and nursing principles essential for optimal maternal and neonatal outcomes.
    • To detail nursing implications and interventions across all stages of pregnancy: preconceptual, prenatal, intrapartal, and postpartal.

    Main Methods:

    • Review of current medical and nursing literature on epilepsy in pregnancy.
    • Synthesis of evidence-based practices for managing anti-epileptic drugs during gestation.
    • Development of a phased nursing care plan from preconception to postpartum.

    Main Results:

    • Increased seizure frequency and reduced anti-epileptic drug efficacy are significant maternal risks.
    • Status epilepticus, though rare, poses a life-threatening risk.
    • Neonatal risks include congenital anomalies and hematologic complications.

    Conclusions:

    • A thorough understanding of epilepsy management is crucial for maternal-child nurses.
    • Proactive and comprehensive nursing interventions are essential for mitigating risks.
    • Optimizing maternal and neonatal outcomes requires integrated care throughout the entire pregnancy continuum.

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