Epilepsy in Pregnancy

This guideline summarises the evidence on maternal and fetal outcomes in women with epilepsy (WWE). It provides recommendations on the care of WWE during the prepregnancy, antepartum, intrapartum and postpartum periods. This guideline does not cover the methods of diagnosis of epilepsy, detailed categorisation of seizures or strategies for the management of epilepsy.These are addressed in detail in the national guidelines on epilepsy.

Epilepsy is one of the most common neurological conditions in pregnancy, with a prevalence of 0.5–1%. An estimated 2500 infants are born to WWE every year in the UK. About one-third of WWE are in the reproductive age group. The risk of death is increased ten-fold in pregnant WWE compared with those without the condition.