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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Does Seizures Affect The Baby During Pregnancy?

hi i am a soldier current in afghanistan,my fiance is 8 months and 14 days prenant,she has recently been having seizures through out the past week and they have gotten worse and worse,i just want answers on how this will affect her and the baby. i was told by our doctor that i should be prepared to lose one of them,cause surgery this close to her going into labor is pretty risky.
posted on Thu, 13 Mar 2014
Twitter Sun, 24 Apr 2016 Answered on
Twitter Mon, 25 Apr 2016 Last reviewed on
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General & Family Physician,  's  Response
Hello dear
Understand your concern.
Fetal abnormality depend upon the seizure frequency and Level of the anti seizure drugs.
You should consult the best obstetricians and start the treatment of seizure.
90% delivery may be uncomplicated if done under the supervision of obstetricians, anesthetics and paediatricians.
First aim is to stop the seizure with first aid therapy and intravenous diazepam and then maintenance by phenytoin .
Better to keep on mono therapy, As most of the the anti epileptic drugs are folate antagonist, they can cause congenital defects in the fetus.

At he time of labor there may be chance of fetus and mother distress, so labor should be closely supervised.
Vitamin K and folate should be given.

Hope this may help you
Best regards
Dr. sagar

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How Does Seizures Affect The Baby During Pregnancy?

Hello dear Understand your concern. Fetal abnormality depend upon the seizure frequency and Level of the anti seizure drugs. You should consult the best obstetricians and start the treatment of seizure. 90% delivery may be uncomplicated if done under the supervision of obstetricians, anesthetics and paediatricians. First aim is to stop the seizure with first aid therapy and intravenous diazepam and then maintenance by phenytoin . Better to keep on mono therapy, As most of the the anti epileptic drugs are folate antagonist, they can cause congenital defects in the fetus. At he time of labor there may be chance of fetus and mother distress, so labor should be closely supervised. Vitamin K and folate should be given. Hope this may help you Best regards Dr. sagar