Epilepsy in pregnancy presents unique challenges to the clinician. Less than 1% of pregnant women experience seizure attack during pregnancy. Prompt management of these women in a timely fashion is essential to prevent fatal maternal and foetal complications. Pre-pregnancy counselling and dose adjustment of anti-epileptic drugs to maintain 9–12 month seizure-free period prior to pregnancy ensure minimal risk of seizure recurrence during pregnancy. This chapter mainly focuses on acute management of pregnant women presenting with seizure and status epilepticus during pregnancy.
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