Question
What are the risks of taking western medicine for epileptic patients during pregnancy?
Answer
Epileptic patients who are pregnant may face the risk of fetal malformation when taking western medicine for epilepsy treatment, with an incidence rate of 2.2% to 13.8%. Common issues include cleft palate, cleft lip, and heart abnormalities. To prevent fetal malformation, it is best to take traditional Chinese medicine, with symptoms controlled for over 3 years and age not exceeding 35. Patients or family members with a history of congenital malformation should avoid pregnancy. Those who have had miscarriages, stillbirths, or abnormal infants should exercise extra caution during subsequent pregnancies. The adverse effects of western medicine on the fetus are primarily through liver metabolism, where the fetus’s tissue and placenta are prone to reduced serum concentrations of antiepileptic drugs, leading to uncontrolled seizures. If the dosage is increased, it can affect both the mother and the fetus. It is advised that if medication is necessary during pregnancy, it is best to consult a professional doctor and take medication under their guidance.