Intended for healthcare professionals

Editor's Choice

Good communication is key to good care

BMJ 2018; 361 doi: (Published 19 April 2018) Cite this as: BMJ 2018;361:k1704
  1. Sophie Cook, UK research editor
  1. The BMJ
  1. scook{at}

For women with medical conditions the routine physical and emotional challenges of pregnancy are amplified by fluctuating symptoms and difficult treatment decisions that must balance risks and benefits to both mother and unborn child. Choosing the best option is rarely straightforward when drugs are needed. A discussion to consider the treatment options well before conception is helpful.

Valproate is a good example. An effective treatment for epilepsy, it is also licensed for bipolar disorder and, in some countries, migraine. …

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