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. 2020 Sep;17(3):161-169.
doi: 10.4274/tjod.galenos.2020.87300. Epub 2020 Oct 2.

Obstetric outcomes in pregnant women with seizure disorder: A hospital-based, longitudinal study

Tarang Preet Kaur  1 , Latika Sahu  2 , Asmita M Rathore  2 , Sangeeta Bhasin  2
Affiliations

Obstetric outcomes in pregnant women with seizure disorder: A hospital-based, longitudinal study

Tarang Preet Kaur et al. Turk J Obstet Gynecol. 2020 Sep.

Abstract

Objective: To study the association of seizure disorder with adverse obstetric outcome in terms of maternal and perinatal complications.

Materials and methods: This longitudinal study was conducted at Maulana Azad Medical College, New Delhi over 15 months among women attending the antenatal clinic (ANC) outpatient department. Fifty pregnant women with seizure disorder with their first ANC visit before 28 weeks were recruited as the case group, excluding patients with eclampsia. The control group included 120 matched healthy pregnant women. After obtaining informed consent, subjects were recruited and followed till one week postpartum and obstetric outcomes were analyzed.

Results: Women with seizure disorder had significantly increased incidence of severe preeclampsia (cases =8%, controls =0%, p<0.001), antepartum hemorrhage (cases =4%, controls =0%, p<0.001), babies with early neonatal complications such as asphyxia (cases =4.1%, controls =0.5%, p=0.04), respiratory distress (cases =14.5%, controls =5.1%, p=0.02), necrotizing enterocolitis (cases =2.0%, controls =0%, p=0.04), early neonatal death (cases =2.0%, controls =0%, p=0.04) and Neonatal Intensive Care Unit admission (cases =20.8%, controls =8.6%, p<0.001) when compared with women without seizure disorder. No significant difference was observed in rates of induction of labor, cesarean section, abortion, congenital anomalies in babies, still births. Conclusion: Women with seizure disorder are at higher risk of hypertensive disorders, antepartum hemorrhage, and early neonatal complications.

Conclusion: Women with seizure disorder are at higher risk of hypertensive disorders, antepartum hemorrhage, and early neonatal complications. Appropriate obstetric, pediatric and neurology care is required during preconception, pregnancy, labor, delivery, and postpartum.

Keywords: Seizure disorder; anti-epileptic drugs; maternal and perinatal complications.

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Conflict of interest statement

Conflict of Interest: The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Causes of seizure disorder in cases
See this image and copyright information in PMC

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