This is a complicated decision. Pregnancy without antiepileptic medication might lessen some of the possible risks to the baby. If a woman has been seizure-free for many years, it may be possible for her and the physician to slowly discontinue medication before she attempts to become pregnant. Remember, you should never stop your seizure medication without the advice and supervision of your doctor. However, the danger of seizures to both the mother and the child is a serious one.
Seizures can result in falls, or cause oxygen deficiency for the baby.
They can increase the risk of miscarriage or stillbirths. For most women with epilepsy, staying on medications poses less risk to their own health and the health of their babies than discontinuing medication and the subsequent risk of having uncontrolled seizures. In most cases, a single medication at the lowest possible dose that provides seizure control is the best option. Women with epilepsy are more likely to have morning sickness and vaginal bleeding during pregnancy. There is an increased risk for premature labor and delivery.