The care of pregnant women with epilepsy- a survey of obstetricians in Scotland

摘要: There is concern regarding the teratogenic risks of antiepileptic drugs (AEDs) and effect seizures during pregnancy. Pre-pregnancy assessment collaboration with patient's neurologist may improve outcome. This study examined by postal questionnaire how senior obstetricians in Scotland cared for their patients epilepsy March 1994. One hundred nine 127 (86%) practising representative those working both teaching district general hospitals responded. Only 16% hospital had an accessible clinic/service 19% a neurologist. 21% all respondents considered that pregnancy counselling was being provided neurologist/epilepsy specialist, only 43% were usually able to organize combined specialist care interested physician/neurologist. Most (79%) happy concept collaborative care. Many uncertain as importance recording severity, genetic aspects, making changes AEDs, monitoring drug levels, use vitamin K breast feeding. Sixty-four per cent did not change management labour. Twenty dissatisfied present epilepsy. Over 90% guidelines be important. survey demonstrates need existing services more Scotland, particularly hospitals.