Ahmed Rehena, Apen Kenneth, Endean Coralie
MBBS, DRANZCOG, is a Level 5 RANZCOG Trainee, Obstetrics and Gynaecology, Tamworth Rural Referral Centre, Tamworth, NSW.
Aust Fam Physician. 2014 Mar;43(3):112-6.
Epilepsy is the most commonly encountered serious neurological problem in obstetrical practice. The disease and treating medications may have significant impact on contraceptive choice, efficacy and reproduction.
This article seeks to inform general practitioners (GPs) about current developments in the field of pregnancy care for women with epilepsy and to foster a collaborative approach in their management.
The care of a pregnant woman with epilepsy needs to start well before pregnancy occurs, while she is still under the care of a GP, especially if she is on antiepileptic medication. GPs are familiar with the concept of GP management plans and team care arrangements for chronic diseases. This model of team care should be extended to the management of women with epilepsy with regards to reproduction. It is hoped this will enhance perinatal outcomes for women and their infants by encouraging shared communication between the obstetrician, neurologist and GP.
癫痫是产科实践中最常见的严重神经系统问题。该疾病及其治疗药物可能对避孕选择、效果和生殖产生重大影响。
本文旨在向全科医生介绍癫痫女性妊娠护理领域的当前进展，并促进其管理中的协作方法。
患有癫痫的孕妇的护理需要在怀孕前就开始，当她仍在全科医生的照料下时，尤其是如果她正在服用抗癫痫药物。全科医生熟悉慢性病的全科医生管理计划和团队护理安排的概念。这种团队护理模式应扩展到癫痫女性的生殖管理。希望通过鼓励产科医生、神经科医生和全科医生之间的共同沟通，这将改善女性及其婴儿的围产期结局。
