True statements regarding epilepsy in pregnancy is:
Ans. is b, i.e. Monotherapy is preferred to polydrug therapy --Dutta Obs 7/e, p 291As discussed earlier, seizure frequency remains unchanged in majority during pregnancy."Frequency of convulsions is unchanged in majority (50%) and is increased in some." --Dutta 7/e, p 291"The risk of developing epilepsy to the offspring of an epileptic mother is 10%." --Dutta 7/e, p 291So, option c is incorrect."There is no contraindication for breastfeeding." --Dutta 7/e, p 291so option d is incorrect.We have read time and again that monotherapy is preferred in pregnant epileptic patient.
Seizure frequency decreases in majority
Monotherapy is preferred to polydrug therapy
No increase in incidence of epilepsy in offspring
Breastfeeding is contraindicated
Medical & Surgical Illness Complication Pregnancy