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Epilepsy in Pregnancy

Women with epilepsy experience different risks during pregnancy than women without epilepsy. In fact, your seizures may change during pregnancy:

  • In one third of pregnant women, seizures tend to get worse
  • In one third of pregnant women, seizures tend to improve
  • In one third of pregnant women, seizures remain the same

Since it is impossible to predict which of these groups you fall into, it is vital to be closely monitored during pregnancy.

Additionally, women on anticonvulsant medication need to be extra careful during pregnancy. Some medications are more likely to affect the fetus than others – be sure to discuss treatment strategies with your doctor before planning for pregnancy. Anticonvulsant medication levels can also change as a result of hormonal fluctuations during pregnancy and require close monitoring.

If you experience frequent or severe seizures that result in sudden loss of consciousness, you may need to make arrangements for special help in the home or find additional child care outside the home.

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For more information about epilepsy and pregnancy or to consult with a doctor, request an appointment at the Epilepsy Center.

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Maryland Patients

Thank you for considering the Epilepsy Center at Johns Hopkins.
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Adult Neurology: 410-955-9441
Pediatric Neurology: 410-955-4259
Adult Neurosurgery: 410-955-6406
Pediatric Neurosurgery: 410-955-7337


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