Abstract：
Pregnancy and the postpartum period are potentially high-risk periods for women with epilepsy and their babies. All women with epilepsy should have the opportunity for preconception counselling with the aim of reducing risk, optimising outcomes for the potentially developing fetus and enabling informed decision-making. This article provides an evidence-based framework for preconception counselling discussion, including the review of diagnosis and of current antiseizure medication, the risk to the fetus in relation to antiseizure medication and maternal seizures, maternal morbidity, SUDEP risk, folic acid supplements, contraception, breastfeeding and safety advice.
摘要：
妊娠和产后是癫痫妇女及其婴儿的潜在高危时期。所有患有癫痫的女性都应该有机会接受孕前咨询，以降低风险，为潜在发育中的胎儿优化结果，并做出明智的决策。本文为孕前咨询讨论提供了一个基于证据的框架，包括对诊断和当前抗癫痫药物的审查，与抗癫痫药物和产妇癫痫发作有关的胎儿风险，孕产妇发病率，SUDEP风险，叶酸补充剂，避孕,母乳喂养和安全建议。
