Hi, My wife is currently 7 months 2 weeks pregnant. She is epileptic and had seizures 3 or 4 times before. The last she had a seizure was in Oct 2008. She had very mild seizures yesterday night and today morning that lasted about 30 seconds each. She didnt hurt herself or fall on the ground or anything like that. She is using Carbamazepine 200 mg + 200 mg currently. The local doctor suggested to increase the dosage to 600 mg per day citing the reason of increased weight. Is there anything I need to be worried about? I am very tensed. Please help me.
Hi there,Epilepsy attack during pregnancy cannot be ignored and should be an indication to meet a neurologist immediately. Epilepsy can affect the mother and baby. The mother can have repeated attacks and her epileptic medication need to be increased also rather than increasing the dosage addition of another anti-epileptic Chat Doctor.  But this would depend on her disease status. Epileptic attacks need to be controlled as they can hamper the growth of baby. Also, these attacks are common during labor and proper precaution against them need to be taken during delivery. The baby needs to be evaluated for malformations such as neural tube defects and heart problems more so as she was on antiepileptic medications as these also are known to cause defects in up to 2% of patients. Get a detailed ultrasound and fetal Echo. Also change of epileptic medication under advise of a neurologist to be done immediately. Hope this helps. Regards.