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2018 | 12 | 3 |

Tytuł artykułu

Knowledge of neurologists and gynaecologists regarding reproductive and maternity issues in women with epilepsy

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Epilepsy is one of the most common neurological disorders, with more than 400,000 individuals in Poland (about 1% of the population) affected. Epilepsy complicates approximately 0.5% of pregnancies. Aim of the study: To determine the level of knowledge that neurologists and gynaecologists have about reproductive and maternity issues for women with epilepsy. Material and methods: This study included 141 neurologists and physicians undergoing specialist training in neurology as well as 72 gynaecologists and physicians undergoing specialist training in gynaecology. A validated questionnaire was used to survey these neurologists and gynaecologists, who worked in Silesia Province. Results: In the group of physicians advising on contraception, significantly (p = 0.003) more gynaecologists than neurologists recommended hormonal birth control. Significantly more (p = 0.031) neurologists than gynaecologists believed that monotherapy with antiepileptic medications should be aimed for before a planned pregnancy in women with epilepsy. More than a half of the surveyed physicians (56.8%) believed that pregnant women with epilepsy can have a natural delivery. Conclusions: On the basis of these results, we have concluded that gynaecologists and, to a lesser extent, neurologists should have more extensive knowledge regarding reproductive and maternity issues for women with epilepsy. We further propose that close collaboration between neurologists and gynaecologists in the care of epileptic women is necessary.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

12

Numer

3

Opis fizyczny

p.22-26,ref.

Twórcy

autor
  • Department of Neurological and Psychiatric Nursing, School of Health Sciences, Medical University of Silesia in Katowice, Katowice, Poland
autor
  • Department of Neurological and Psychiatric Nursing, School of Health Sciences, Medical University of Silesia in Katowice, Katowice, Poland
autor
  • Department of Anaesthesia and Intensive Nursing Care, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Katowice Poland
autor
  • Department of Anaesthesiology and Intensive Care, Department of Clinical Anaesthesiology, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Katowice Poland
autor
  • Department of Anaesthesiology and Intensive Care, Department of Clinical Anaesthesiology, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Katowice Poland
autor
  • Department of Medical Sciences, Faculty of Medical Sciences, Opole Medical School, Opole, Poland

Bibliografia

  • 1. Viale L, Allotey J, Cheong-See F, Arroyo-Manzano D, Mccorry D, et al. Epilepsy in pregnancy and reproductive outcomes: a systematic review and meta-analysis. Lancet 2015 Nov 7; 386(10006): 1845–1852.
  • 2. Thomas SV. Managing epilepsy in pregnancy. Neurol India 2011; 59(1): 59–65.
  • 3. Weil S, Deppe C, Noachtar S. The treatment of women with epilepsy. Dtsch Arztebl Int 2010; 107(45): 787–793.
  • 4. Sethi N, Wasterlain K, Harden CL. Pregnancy and epilepsy – when you’re managing both. J Fam Pract 2010; 59(12): 675–679.
  • 5. Jasnos I, Cieślik A, Wanot J, Sejboth J, Szurlej D, et al. The knowledge of women with epilepsy on motherhood. MSP 2017; 11(3): 21–25.
  • 6. Williams D. Antiepileptic drugs and contraception. US Pharm 2014; 39(1): 39–42.
  • 7. Sharma A, Boller F, Koubeissi M. Women with epilepsy. Funct Neurol 2016 Jul-Sep; 31(3): 125–126.
  • 8. Long L, Montouris G. Knowlegde of women’s issues and epilepsy (KOWIE-II): a survey of health care professionals. Epilepsy Behav 2005; 6(1): 90–91.
  • 9. Bhat M, Ramesha KN, Nirmala C, Sarma PS, Thomas SV. Knowledge and practice profile of obstetricians regarding epilepsy in women in Kerala state, India. Ann Indian Acad Neurol 2011; 14(3): 169–171.
  • 10. Stevens SJ, Harden CL. Hormonal therapy for epilepsy. Curr Neurol Neurosci Rep 2011; 11(4): 435–442.
  • 11. Chiba S. Comprehensive management for women with epilepsy. Brain Nerve 2011; 63(4): 301–308.
  • 12. Taubøll E, Sveberg L, Svalheim S. Interactions between hormones and epilepsy. Seizure 2015 May; 28: 3–11.
  • 13. Patel SI, Pennell PB, Management of epilepsy during pregnancy: an update. Ther Adv Neurol Disord 2016 Mar; 9(2): 118–129.
  • 14. Burakgazi E, Pollard J, Harden C. The effect of pregnancy on seizure control and antiepileptic drugs in women with epilepsy. Rev Neurol Dis 2011; 8(1–2): 16–22.
  • 15. Viguera AC, Cohen LS, Whitfield T, Reminick AM, Bromfield E, et al. Perinatal use of anticonvulsants: differences in attitudes and recommendations among neurologists and psychiatrists. Arch Womens Ment Health 2010; 13: 175–178.
  • 16. Steinhoff BJ. Pregnancy, epilepsy and anticonvulsants. Dialogues Clin Neurosci 2008; 10(1): 63–75.
  • 17. Harden CL, Pennell PB, Koppel BS, Hovinga CA, Gidal B, et al. Practice parameter update: management issues for women with epilepsy – focus on pregnancy (an evidence-based review): vitamin K, folic acid, blood levels, and breastfeeding: report of the Quality Standards Subcommittee and Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and American Epilepsy Society. Neurology 2009 Jul 14; 73(2): 142–149.
  • 18. Kampman MT. Folate status in women of childbearing age with epilepsy. Epilepsy Res 2007; 75(1): 52–56.
  • 19. Kociszewska I, Wilczyński J. Przebieg okresu adaptacyjnego noworodków matek chorych na padaczkę. Gin Pol 2002; 73(3): 194–202. (in Polish).
  • 20. Stelmasiak Z, Semczuk W, Nowicka-Tarach B, Halczuk I, Semczuk-Sikora A, et al. Analiza przypadków kobiet chorujących na padaczkę rodzących w lubelskich klinikach położniczych w latach 1992–1998. Neurol Neurochir Pol 2002; 36(LII),2: 259–266. (in Polish).
  • 21. Mawer G, Briggs M, Baker GA, Bromley R, Coyle H, et al. Pregnancy with epilepsy: obstetric and neonatal outcome of a controlled study. Seizure 2010 Mar; 19(2): 112–119.
  • 22. Allen R, Grosu L, Das I, Kyei-Mensah A. The management of epilepsy in pregnancy at the Whittington Hospital: a retrospective audit 2004–2006 and 2007–2010. Obstet Med 2013 Jun; 6(2): 72–75.

Typ dokumentu

Bibliografia

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