Epilepsy with female face

There are a number of specific problems relating to the simultaneous treatment of epilepsy and issues related to women's childbearing functions. How to choose the contraceptive how to prepare for pregnancy and is it possible after the birth of a child, feed it with breasts?

Content

Question # 1. How do drugs affect the treatment of epilepsy on the effectiveness of contraceptives?

Indeed, when oneArm with an antiepileptic drug (especially phenytoin, phenobarbital and carbamazepine) and hormonal contraceptive (contraceptive) means the effect of the latter decreases. In such cases, it is necessary to provide for the use of a duplicate, non-flame contraceptive.

Especially for this it is necessary to pay attention if, with the simultaneous use of a hormonal contraceptive and anti-epileptic drug, there are bleeding between menstruation, which may indicate the insufficient safety effect of drugs. With such problems, you should always contact the gynecologist and solve with him the question of the need to replace the method of contraception.

Hormonal contraceptives themselves do not have a negative impact on epilepsy. At the same time, there are reports of the presence of an anticipant effect in hormonal contraceptives for the menstrual form of epilepsy, t.E. When attacks occur only in a certain phase of the menstrual cycle.

Question # 2. How to prepare for pregnancy?

Before the planned pregnancy, it is necessary to inform a woman with epilepsy about the possible risk of repeated attacks during pregnancy, as well as the probable complications for it, which include bleeding, toxicosis and premature genera.

A woman also needs to be aware of the possibility of malformations of congenital defects and other disorders from the fetus depending on the genealogy, such as the severity of epilepsy in parents, the concentration of anti-epileptic drugs in the blood of the mother. It should also be informed about the risk of epilepsy in children.

Before the planned pregnancy, it is necessary to carry out careful correction of the type of drug, dose and reception mode. The possible risk of teratogenic (causing malformations of the fetus) Action of anti-epileptic drugs should be justified by the severity of the disease of the future mother. Mother's diet before conception must necessarily contain an adequate amount of folic acid (vitamin B_C) contained in fresh vegetables (spinach, tomatoes, beans, etc.), as well as in the liver and kidneys of animals.

Question number 3. The use of which anti-epileptic means is most preferably during pregnancy?

Experience shows that when using the future mother of several anti-epileptic drugs, especially in high doses, the number of defects in children increases. The effect of preparations of the first queue of choice (except for valproic acid) on the fetus is about the same. Valproic acid causes malformations of the spine and blood circulation organs several times more often than other drugs.

Therefore, women planning to have children are needed before pregnancy replace valproic acid preparations for other. If the pregnancy is still coming during treatment with valproic acid, it will take a thorough examination to eliminate the anomalies of the fetus development. For this purpose, the fetal ultrasound and the survey of arrogant water.

In case of detection of malformations in the fetal, the issue of interruption of pregnancy is solved. Taking into account the possible risk of developing the anomalies of the fetus, which is due to the admission of valproic acid drugs, it is necessary to assign them to women capable of childbearing, only simultaneously with contraceptives. When appointing antiepileptic drugs during pregnancy, carbamazepine pregnancy preferably.

Question number 4. What actions should be taken after the child's birth?

After the birth of a child, a woman needs special care, since the level of anti-ebileptic drugs in her blood can increase, which will be accompanied by clinical manifestations in the form of inhibition, lethargy or drowsiness. Family members are obliged in such cases to help a woman in child care, especially at night. Delivation of sleep or chronic lack of sleep may cause a deterioration in its condition, especially with generalized attacks.

In addition, you should not like to forget that the attack can happen from the mother at the time when the child is in her hands. The newborn child also requires increased attention not only by parents, but also by the pediatrician due to the possibility of the appearance of sedative effects of drugs.

Question number 5. Is it possible to breastfeeding a child?

The decision on breast or artificial feeding of a child should be made on the basis of the following factors:

If the child sucks the chest badly, and he has drowsiness strongly expressed, it may indicate (especially when using barbiturates) on a high concentration of drugs in its blood. In this case, it is necessary to limit breastfeeding and move partially or completely on the artificial feeding of the child.