Epilepsy in Pregnancy

Epilepsy affects around 1 in 100 people in the UK. If you have epilepsy and are pregnant—or planning to conceive—you may have concerns about how it could impact both your health and your baby’s wellbeing. At Grosvenor Gardens Healthcare, our private obstetricians work collaboratively with neurology and maternal medicine specialists to ensure you receive personalised, evidence-based care at every stage.

Why Specialist Care Matters

• Medication Management: Certain anti-epileptic drugs (AEDs) carry higher risks during pregnancy and may require dose adjustments or changes in medication.
• Risk of Seizures: Uncontrolled seizures pose risks such as injury, preterm labour, or potential harm to the baby if they occur during pregnancy.
• Monitoring & Support: Regular monitoring can help maintain stable seizure control, safeguarding both maternal and foetal health.

Understanding Epilepsy in Pregnancy

Potential Risks & Considerations

• Seizure Frequency: Some women find their seizures remain stable, while others experience changes in frequency due to hormonal fluctuations.
• Medication Side Effects: Certain AEDs may be associated with a slightly increased risk of congenital abnormalities, but controlling seizures is also crucial. A balanced approach is necessary.
• Vitamin Supplementation: High-dose folic acid is often recommended—usually 5mg daily—before conception and throughout pregnancy to reduce the risk of neural tube defects, especially if you’re taking certain AEDs.

Pre-Pregnancy Counselling

If possible, pre-conception advice is invaluable. A specialist can review your medication regimen, discuss potential risks, and ensure you’re on the most suitable AED with the lowest effective dose to optimise seizure control and minimise risks to the baby.

How Grosvenor Gardens Healthcare Supports You

1. Personalised Consultation & Plan
• We’ll conduct a detailed review of your epilepsy history, current medications, and any previous pregnancy outcomes.
• Collaborating closely with neurology teams and maternal medicine experts, we design a tailored care plan that balances your seizure management with a healthy pregnancy.
2. Medication Monitoring
• Regular Check-Ins: We schedule more frequent antenatal appointments to monitor medication levels, identify any side effects, and adjust dosages if needed.
• Blood Tests: In some cases, measuring AED blood levels helps maintain consistent seizure control.
3. Foetal Growth & Health Assessments
• Ultrasound Scans: Detailed scans track the baby’s growth and development. We may advise additional scans if needed to watch for any congenital anomalies.
• Pre-Birth Planning: As you approach the later stages of pregnancy, we’ll guide you on labour and delivery options, discussing potential seizure triggers (like lack of sleep or stress) and how best to manage them.
4. Postnatal & Breastfeeding Support
• We remain committed to your postpartum care, ensuring adequate seizure management during and after birth.
• If you choose to breastfeed, we’ll discuss whether your AED is compatible, providing guidance and reassurance.

Practical Tips for Managing Epilepsy in Pregnancy

• Take Medications as Prescribed: Stopping AEDs suddenly can increase seizure risk significantly. Always consult your obstetrician or neurologist before making any medication changes.
• Maintain Consistent Sleep Patterns: Fatigue is a well-known seizure trigger, so establishing a regular bedtime can help reduce risks.
• Stay Hydrated & Well-Nourished: Balanced meals and adequate fluids support overall health and may help stabilise seizure thresholds.
• Monitor Stress Levels: Activities like gentle exercise, yoga, or mindfulness can help manage anxiety—another known trigger for some people.
• Keep Emergency Contacts Handy: Share your seizure management plan with close friends or family, and ensure they know what to do if you have a seizure.

Common Questions (FAQs)

1. Can I switch medication if mine is high-risk?
   Possibly. Your obstetrician or neurologist will weigh up the benefits of seizure control against potential risks to the baby. Any switch must be done carefully to avoid destabilising your epilepsy.
2. Is a vaginal birth safe?
   Many women with epilepsy have uncomplicated vaginal deliveries. We’ll discuss individual risk factors—such as seizure control and medication doses—when recommending the most suitable birth plan.
3. Do I need extra scans?
   In some cases, yes. Depending on your medication and medical history, additional ultrasound scans might be advised to closely monitor the baby’s development.
4. What if I have a seizure during labour?
   Hospitals and birth centres are equipped to handle emergencies. Your obstetrician can ensure staff know your condition, medications, and recommended emergency protocols.

Book Your Private Consultation

Whether you’re already pregnant or planning to conceive, if you have epilepsy, you can count on Grosvenor Gardens Healthcare for specialist guidance and compassionate care. Our team focuses on minimising risks, optimising medication, and supporting a safe pregnancy journey.

Contact us today to schedule your appointment. Let our private obstetricians help you navigate epilepsy in pregnancy with confidence and peace of mind.

Other Services we offer: 

Private Gynaecologists

Private GP

Private Paediatrician

Private Obstetrician & Maternity Hospital

Private Colposcopy