This Week In The Bmj

Management of pregnant women with epilepsy remains poor

BMJ 2000; 321 doi: http://dx.doi.org/10.1136/bmj.321.7262.0/g (Published 16 September 2000) Cite this as: BMJ 2000;321:g

To assess the outcomes of pregnancy in women with epilepsy and effectiveness of preconceptional counselling and control of epilepsy Fairgrieve et al interviewed 300 women with epilepsy who had had a pregnancy in 1997-8 in the Northern region (p 674). They found that most were looked after by their general practitioner, had continuing seizures, and complied incompletely with their medication. Less than half had received counselling or planned their pregnancies. Malformations were commoner than in the background population. The authors conclude that guidelines for the care of women with epilepsy are not being followed and that they should be targeted at general practitioners, not neurologists.