During pregnancy, epilepsy may get aggravated (due to fluid retention) or rarely be abated or may appear for the first time (gestational epilepsy). No ill-effect is exerted by the disease on pregnancy except in a severe case when she gets injury. Breast feeding is to be withheld if the woman gets frequent fits lest as she may cause injury to her baby. An epileptic woman in pregnancy is treated first by tab. Phenobarbitone 30-60 mg. b.d. or t.i.d. if this fails to control fits, dilantin sodium – parke davis 100 mg. capsule b.d. or t.d. is added as anticonvulsant. Instead, some cases may need mysokline (primidone) – ACCI 250 mg. four times a day. Epileptic fit is controlled by inj. Diazepam 20 mg. i.v. Oedema and excess weight gain are controlled by rest, salt restricted diet and frusemide. Anaemia is prevented by giving iron and folic acid. Epileptic mother gives birth to babies with higher incidence of congenital malformation.
Thursday, July 9, 2009
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