Title
Management Issues For Women With Epilepsy-Focus On Pregnancy: Vitamin K, Folic Acid, Blood Levels, And Breastfeeding
Authoring Organization
Publication Month/Year
April 27, 2008
Last Updated Month/Year
January 16, 2023
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
To reassess the evidence for management issues related to the care of women with epilepsy (WWE) during pregnancy, including preconceptional folic acid use, prenatal vitamin K use, risk of hemorrhagic disease of the newborn, clinical implications of placental and breast milk transfer of antiepileptic drugs (AEDs), risks of breastfeeding, and change in AED levels during pregnancy.
Inclusion Criteria
Female, Adult, Infant
Health Care Settings
Ambulatory, Hospital, Outpatient
Intended Users
Dietician nutritionist, nurse, nurse practitioner, physician, physician assistant
Scope
Management
Diseases/Conditions (MeSH)
D011247 - Pregnancy, D004827 - Epilepsy
Keywords
Breastfeeding, vitamins and breastfeeding, epilepsy, women with epilepsy, hemorrhagic disease
Source Citation
Practice Parameter update: Management issues for women with epilepsy—Focus on pregnancy (an evidence-based review): Vitamin K, folic acid, blood levels, and breastfeeding. Report of the Quality Standards Subcommittee and Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and American Epilepsy Society. C. L. Harden, P. B. Pennell, B. S. Koppel, C. A. Hovinga, B. Gidal, K. J. Meador, J. Hopp, T. Y. Ting, W. A. Hauser, D. Thurman, P. W. Kaplan, J. N. Robinson, J. A. French, S. Wiebe, A. N. Wilner, B. Vazquez, L. Holmes, A. Krumholz, R. Finnell, P. O. Shafer, C. Le Guen. Neurology Jul 2009, 73 (2) 142-149; DOI: 10.1212/WNL.0b013e3181a6b325