Shahla Melikova1, Hijran Bagirova2, Sharif Magalov3. 1. Department of Neurology, Azerbaijan Medical University, Mardanov Qardashlari, 100, AZ 1078, Baku, Azerbaijan. melikova.shahla@mail.ru. 2. Department of Obstetrics and Gynecology II, Azerbaijan Medical University, Mirgasimov, 1004, Baku, Azerbaijan. 3. Department of Neurology, Azerbaijan Medical University, Mardanov Qardashlari, 100, AZ 1078, Baku, Azerbaijan.
Abstract
PURPOSE: Epilepsy is a common neurological disorder that may complicate reproductive health. Our aim in this study was to provide prospective ascertainment of obstetric and neonatal outcomes in women with epilepsy and investigate whether the risk of pregnancy, delivery, and neonatal complications differed between women with epilepsy and women without epilepsy. METHODS: Pregnant women with epilepsy and women without epilepsy (control group) were prospectively evaluated during the years 2013-2018. They were regularly followed by a neurologist and obstetrician until the end of pregnancy. RESULTS: Delivery and perinatal outcomes were compared between 112 women diagnosed with epilepsy and 277 women without epilepsy. Epilepsy was a significant risk factor for preterm delivery, cesarean section, fetal hypoxia, and Apgar score ≤ 7 at 5 min in offspring (odds ratio (OR) = 2.83, 95% confidence interval (CI) 1.03-7.76; OR = 5.61, 95% CI 3.44-9.14; OR = 1.81, 95% CI 1.08-3.04; OR = 8.12, 95% CI 4.04-16.35, respectively). Seizures during pregnancy had influence on the preference of cesarean section as a mode of delivery (ОR = 3.39; 95% CI 1.40-8.17). The rate of perinatal hypoxia was significantly higher in children born by cesarean section (ОR = 2.84; 95% CI 1.04-7.76). There was no significant difference between women with epilepsy and controls in malformation rate. CONCLUSIONS: Women with epilepsy had an increased risk of pregnancy and delivery complications. Cesarean section was associated with an increased risk of complications in offspring.
PURPOSE:Epilepsy is a common neurological disorder that may complicate reproductive health. Our aim in this study was to provide prospective ascertainment of obstetric and neonatal outcomes in women with epilepsy and investigate whether the risk of pregnancy, delivery, and neonatal complications differed between women with epilepsy and women without epilepsy. METHODS: Pregnant women with epilepsy and women without epilepsy (control group) were prospectively evaluated during the years 2013-2018. They were regularly followed by a neurologist and obstetrician until the end of pregnancy. RESULTS: Delivery and perinatal outcomes were compared between 112 women diagnosed with epilepsy and 277 women without epilepsy. Epilepsy was a significant risk factor for preterm delivery, cesarean section, fetal hypoxia, and Apgar score ≤ 7 at 5 min in offspring (odds ratio (OR) = 2.83, 95% confidence interval (CI) 1.03-7.76; OR = 5.61, 95% CI 3.44-9.14; OR = 1.81, 95% CI 1.08-3.04; OR = 8.12, 95% CI 4.04-16.35, respectively). Seizures during pregnancy had influence on the preference of cesarean section as a mode of delivery (ОR = 3.39; 95% CI 1.40-8.17). The rate of perinatal hypoxia was significantly higher in children born by cesarean section (ОR = 2.84; 95% CI 1.04-7.76). There was no significant difference between women with epilepsy and controls in malformation rate. CONCLUSIONS:Women with epilepsy had an increased risk of pregnancy and delivery complications. Cesarean section was associated with an increased risk of complications in offspring.
Entities:
Keywords:
Cesarean section; Neonatal outcome; Offspring; Pregnancy; Seizures; Women with epilepsy
Authors: Dina Battino; Torbjörn Tomson; Erminio Bonizzoni; John Craig; Dick Lindhout; Anne Sabers; Emilio Perucca; Frank Vajda Journal: Epilepsia Date: 2013-07-12 Impact factor: 5.864
Authors: Danielle M Panelli; Stephanie A Leonard; Peiyi Kan; Kimford J Meador; Thomas F McElrath; Kelly F Darmawan; Suzan L Carmichael; Deirdre J Lyell; Yasser Y El-Sayed; Maurice L Druzin; Tiffany C Herrero Journal: Obstet Gynecol Date: 2021-11-01 Impact factor: 7.661