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癫痫女性。生育及妊娠对癫痫的影响。

Women with epilepsy. Reproduction and effects of pregnancy on epilepsy.

作者信息

Devinsky O, Yerby M S

机构信息

Department of Neurology, New York University Medical Center, Hospital for Joint Diseases, New York.

出版信息

Neurol Clin. 1994 Aug;12(3):479-95.

PMID:7990786
Abstract

Conventional wisdom and prevailing medical practice strongly support the belief that medication should be avoided during pregnancy. For the nearly one million women of childbearing age with epilepsy in the United States this is often difficult, if not impossible, and for many of these women becoming pregnant raises many conflicting issues. Women with epilepsy may face a possible increase in the frequency and severity of seizures, and in generalized tonic-clonic seizures there is a small but increased risk of miscarriage.

摘要

传统观念和主流医学实践坚定地支持这样一种观点,即孕期应避免用药。对于美国近100万育龄癫痫女性来说,这即便不是完全不可能,也往往很难做到,而且对其中许多女性而言,怀孕引发了诸多相互冲突的问题。癫痫女性可能面临癫痫发作频率和严重程度增加的风险,而且全身性强直阵挛发作时流产风险虽小但有所增加。

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