Global Survey of Guidelines for the Management of Epilepsy in Pregnancy: A report from the International League Against Epilepsy Task Force on Women and Pregnancy
Abstract The ILAE Task Force on Women and Pregnancy conducted a survey among ILAE Chapters of their use of guidelines or recommendations for the management of women with epilepsy during pregnancy. A web‐based questionnaire including 10 questions was sent to the 118 ILAE Chapters in December 2017 wit...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-09-01
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| Series: | Epilepsia Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/epi4.12420 |
| _version_ | 1818415348935819264 |
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| author | Torbjörn Tomson Dina Battino Rebecca Bromley Silvia Kochen Kimford J. Meador Page B. Pennell Sanjeev V. Thomas |
| author_facet | Torbjörn Tomson Dina Battino Rebecca Bromley Silvia Kochen Kimford J. Meador Page B. Pennell Sanjeev V. Thomas |
| author_sort | Torbjörn Tomson |
| collection | DOAJ |
| description | Abstract The ILAE Task Force on Women and Pregnancy conducted a survey among ILAE Chapters of their use of guidelines or recommendations for the management of women with epilepsy during pregnancy. A web‐based questionnaire including 10 questions was sent to the 118 ILAE Chapters in December 2017 with repeated reminders until the end of February 2018. In total, 77 chapters (65%) responded, although not to all questions. Out of those responding, 68% reported having guidelines or recommendations, 34% of which were from 2014 or earlier. At least 20% of the guidelines did not include information on possible risk to cognitive development, information regarding specific risks with specific antiepileptic drugs, nor recommendations regarding selection of antiepileptic drugs. Among those responding to the question, 91% reported that recommendations were made regarding folate supplementation, but the recommended dose ranged from 0.4 mg/d to 4 mg/d or more; 34% did not include recommendations regarding drug level monitoring during pregnancy, and 19% did not include guidelines on breastfeeding. Our survey demonstrates that there is a need for the development of up‐to‐date, globally applicable recommendations for the management of epilepsy during pregnancy. |
| first_indexed | 2024-12-14T11:33:34Z |
| format | Article |
| id | doaj.art-1c3490734d114829b82bdb4c2e4175c0 |
| institution | Directory Open Access Journal |
| issn | 2470-9239 |
| language | English |
| last_indexed | 2024-12-14T11:33:34Z |
| publishDate | 2020-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Epilepsia Open |
| spelling | doaj.art-1c3490734d114829b82bdb4c2e4175c02022-12-21T23:03:09ZengWileyEpilepsia Open2470-92392020-09-015336637010.1002/epi4.12420Global Survey of Guidelines for the Management of Epilepsy in Pregnancy: A report from the International League Against Epilepsy Task Force on Women and PregnancyTorbjörn Tomson0Dina Battino1Rebecca Bromley2Silvia Kochen3Kimford J. Meador4Page B. Pennell5Sanjeev V. Thomas6Department of Clinical Neuroscience Karolinska Institutet Stockholm SwedenEpilepsy Center Department of Neurophysiology and Experimental Epileptology Fondazione IRCCS Istituto Neurologico CARLO BESTA Milan ItalyDivision of Evolution and Genomic Science School of Biological Sciences Faculty of Biology, Medicine and Health Manchester Academic Health Science Centre University of Manchester Manchester UKEpilepsy Center ENyS, CONICET, Hosp. El Cruce, Hosp. R. Mejía Univ Buenos Aires Buenos Aires ArgentinaDepartment of Neurology & Neurological Sciences Stanford University Palo Alto CA USADivisions of Epilepsy and Women's Health Department of Neurology Harvard Medical School Brigham and Women's Hospital Boston MA USADepartment of Neurology Sree Chitra Tirunal Institute of Medical Sciences and Technology Trivandrum Kerala State IndiaAbstract The ILAE Task Force on Women and Pregnancy conducted a survey among ILAE Chapters of their use of guidelines or recommendations for the management of women with epilepsy during pregnancy. A web‐based questionnaire including 10 questions was sent to the 118 ILAE Chapters in December 2017 with repeated reminders until the end of February 2018. In total, 77 chapters (65%) responded, although not to all questions. Out of those responding, 68% reported having guidelines or recommendations, 34% of which were from 2014 or earlier. At least 20% of the guidelines did not include information on possible risk to cognitive development, information regarding specific risks with specific antiepileptic drugs, nor recommendations regarding selection of antiepileptic drugs. Among those responding to the question, 91% reported that recommendations were made regarding folate supplementation, but the recommended dose ranged from 0.4 mg/d to 4 mg/d or more; 34% did not include recommendations regarding drug level monitoring during pregnancy, and 19% did not include guidelines on breastfeeding. Our survey demonstrates that there is a need for the development of up‐to‐date, globally applicable recommendations for the management of epilepsy during pregnancy.https://doi.org/10.1002/epi4.12420epilepsyguidelinespregnancysurvey |
| spellingShingle | Torbjörn Tomson Dina Battino Rebecca Bromley Silvia Kochen Kimford J. Meador Page B. Pennell Sanjeev V. Thomas Global Survey of Guidelines for the Management of Epilepsy in Pregnancy: A report from the International League Against Epilepsy Task Force on Women and Pregnancy Epilepsia Open epilepsy guidelines pregnancy survey |
| title | Global Survey of Guidelines for the Management of Epilepsy in Pregnancy: A report from the International League Against Epilepsy Task Force on Women and Pregnancy |
| title_full | Global Survey of Guidelines for the Management of Epilepsy in Pregnancy: A report from the International League Against Epilepsy Task Force on Women and Pregnancy |
| title_fullStr | Global Survey of Guidelines for the Management of Epilepsy in Pregnancy: A report from the International League Against Epilepsy Task Force on Women and Pregnancy |
| title_full_unstemmed | Global Survey of Guidelines for the Management of Epilepsy in Pregnancy: A report from the International League Against Epilepsy Task Force on Women and Pregnancy |
| title_short | Global Survey of Guidelines for the Management of Epilepsy in Pregnancy: A report from the International League Against Epilepsy Task Force on Women and Pregnancy |
| title_sort | global survey of guidelines for the management of epilepsy in pregnancy a report from the international league against epilepsy task force on women and pregnancy |
| topic | epilepsy guidelines pregnancy survey |
| url | https://doi.org/10.1002/epi4.12420 |
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