Management of the Postpartum Period and Lactation

Autumn M. Klein

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Women with epilepsy face many challenges with childbearing and child-rearing, and the postpartum period is a particularly vulnerable time due to medication changes, altered sleeping patterns, increased psychosocial stressors, and breastfeeding. Having a newborn often leads to sleep deprivation, a known seizure risk, and the stress associated with a new child, particularly if finances are limited, pose a challenge to many mothers. Breastfeeding for many mothers is a struggle, but in women with epilepsy the concerns over antiepileptic drugs (AEDs) in breast milk, the potential adverse effects of further AED exposure through breast milk, and the sleep disruption associated with breastfeeding leaves some women with epilepsy not breastfeeding. Postpartum depression is seen in nearly 15% of all women, and is increased in women with epilepsy. Newborn safety is often overlooked in educating patients but is of major concern to women with epilepsy. This chapter addressed the issues women with epilepsy face in the postpartum period.

Original languageEnglish
Title of host publicationEpilepsy in Women
PublisherJohn Wiley and Sons
Pages184-195
Number of pages12
ISBN (Print)9780470672679
DOIs
StatePublished - 24 Jan 2013
Externally publishedYes

Keywords

  • Antiepileptic drugs
  • Breastfeeding
  • Epilepsy
  • Postpartum
  • Pregnancy

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