medigraphic.com
ISSN 2225-4676 (Electronic)

2012, Number 1

<< Back Next >>

Rev Cubana Neurol Neurocir 2012; 2 (1)

Special situation in epileptic adolescent: pregnancy, delivery and breastfeed

García GRJ

Language: Spanish
References: 21
Page: 47-55
PDF size: 159.84 Kb.


ABSTRACT

Objectives: To improve the knowledge about the management of epileptic adolescents during the pregnancy, childbirth and the breastfeeding.
Development: The epilepsy is the most frequent neurological disorder in the adolescence and it is too the more common neurological affectation with necessity of continuous treatment with drugs along all the pregnancy. However, still are present some doubts about the effect of the pregnancy on the epilepsy, as well as the influence of the epilepsy on the pregnancy, in the possibility of affectation in the offspring, in the possible complications at the moment of the childbirth and limitations about the breastfeeding. Is very important that the professionals with responsibility with the care of epileptic adolescents, have knowledge about the possible evolution of the epilepsy during the pregnancy, the conditions that may have influence in the presentation of the seizures in this period of time, the selection of the antiepileptic drugs and their effects on the pregnancy and on the conduct around the childbirth and the breastfeeding in this especial group of patients.
Conclusions: The medical conduct foreseeing the possibility of unexpected pregnancy and the accurate information of the patients and relatives about the reproductive health are the principal for to get a correct conduct in epileptic adolescents.


REFERENCES

  1. Appleton RE, NevilleB. Teenagers with epilepsy. Arch Dis Child. 1999;81:76–9.

  2. Harden A, Brunton G, Fletcher A, Oakley A. Teenage pregnancy and social disadvantage: systematic review integrating controlled trials and qualitative studies. BMJ. 2009;339:b4254.

  3. García RJ. Embarazo en las adolescentes epilépticas. Temas de Neuropediatría. Disponible en: infomed20.sld.cu/wiki/doku.php/librosabiertos:temas_de_ne uropediatria

  4. Macleod S, Appleton RE. Neurological disorders presenting mainly in adolescence. Arch Dis Child. 2006;92:170–5.

  5. Brodtkorb E, Reimers A. Seizure control and pharmacokinetics of antiepileptic drugs in pregnant women with epilepsy. Seizure. 2008;17:160—5.

  6. Klein JD and the Committee on adolescence. Adolescent Pregnancy: Current trends and issues. Pediatrics. 2005;116:281–6.

  7. García García RJ. Sexualidad, fertilidad y anticoncepción en adolescentes epilépticos: estado del arte y propuestas de conducta. Rev Cub Neurol Neurocir. 2011;1:52–8.

  8. O’Brien MD, Gilmour–White SK. Management of epilepsy in women. Postgrad Med J. 2005;81:278–85.

  9. Tatum OW, Liporace J, Benbadis SR, Kaplan PW. Updates on the Treatment of Epilepsy in Women. Arch Intern Med. 2004;164:137–45.

  10. Meador KJ, Penovich P, Baker GA, Pennell PB, Bromfield E, Pack A, et al. Antiepileptic drug use in women of childbearing age. Epilepsy Behav. 2009; 15 (3): 339-43. Perucca E. Birth defects after prenatal exposure to antiepileptic drugs. Lancet Neurol. 2005;4:781–6.

  11. Gerhard L. Female issues in epilepsy: A critical review. Epilepsy Behav. 2009;15:78–82.

  12. Palencia R. Prevalencia e incidencia de la epilepsia en la infancia. Rev Neurol. 2000;30(supl.1):1–4.

  13. Sánchez–Álvarez JC, Galán–Barranco JM, Camino–León R, Pita–Calandre E, Ramos–Lizana J, Moreno–Alegre V, et al. Guía terapéutica en epilepsia de la Sociedad Andaluza de Epilepsia 2005: II. Terapéutica antiepiléptica crónica en el adulto y en el niño. Rev Neurol. 2005;40:619–26.

  14. Alfradique I, Moacyr Vasconcelos M. Juvenil myoclonic epilepsy. Arq Neuropsiquiatr. 2007;65(4–B):1266–71.

  15. Thomas SV. Management of Epilepsy and Pregnancy. J Postgrad Med. 2006;52:57–64.

  16. Pennell PB. Using Current Evidence in Selecting Antiepileptic Drugs for Use During Pregnancy. Epilepsy Currents. 2005;5:45–51.

  17. Penovich PE, Eck KE, Economou VV. Recommendations for the care of women with epilepsy. Cleveland Clinic Journal of Medicine 2004;71(Supl.2):49–57.

  18. Costa LG, Steardo L, Cuomo V. Structural Effects and Neurofunctional Sequelae of Developmental Exposure to Psychotherapeutic Drugs: Experimental and Clinical Aspects. Pharmacological Reviews. 2004;56:103–47.

  19. Tomson T, Hiilesmaa V. Epilepsy in pregnancy. BMJ. 2007;335:769–73.

  20. Veiby G, Daltveit A, Engelsen B, Gilhus N. Pregnancy, delivery, and outcome for the child in maternal epilepsy. Epilepsia. 2009;50:2130–9.

  21. Battino D, Tomson T. Management of Epilepsy during Pregnancy. Drugs. 2007;67:2727–46.




2020     |     www.medigraphic.com