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MRCOG PART 2 SBAs and EMQs

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Epilepsy in pregnancy

Epilepsy in pregnancy Posted by PAUL A.

Question

Which group of women with epilepsy can be managed as ‘low-risk’ during pregnancy?

 

A.  Women not taking anti-epileptic drugs

B.  Women who have been seizure-free for at least 5 years

C.  Women who have been seizure-free for at least 10 years

D.  Women with partial seizures and seizure-free for at least 5 years

E.  None of the above 

Posted by AMRO R.

C

Posted by PAUL A.

C is an incorrect answer - see new RCOG Guidelines or BusySpR Notes on epilepsy in pregnancy

Posted by PAUL A.

Correct answer = E

Explanation

  • Women who have remained seizure-free for at least 10 years (with the last 5 years off AEDs) and those with a childhood epilepsy syndrome who have reached adulthood and are treatment-free are considered no longer to have epilepsy.
  • A neurologist should make the decision regarding the resolution of epilepsy on an individual basis. These women can be managed as low-risk