Embrace Watch by Empatica – One Week Review

Many of you may have heard of wearable technology to aid those who suffer from Epilepsy and Seizure disorders. While there are a few types out there, I have done some research and decided to settle on the Embrace Watch by Empatica. As some of you may know, I suffer from tonic-clonic, nocturnal, and myoclonic seizures that come without warning. My tonic-clonics can last quite a bit of time and leave me disoriented for upwards to an hour. Being a mother, student, and healthcare worker – I felt this would be my best option.

The Embrace Watch is a smart watch that monitors the nervous system, sleep cycles and quality of sleep, and activity levels. Best part is that it can sense when a seizure occurs when convulsions last over 10 seconds, mark it, and notify a caregiver(s) of your choice. If the watch so happens to miss a seizure or you have one of a non-convulsing type, you can mark when the seizure occurred in your dairy and see what was going on around that time frame. While yes, this is mainly aimed at tonic-clonic/grand mal seizures, it can serve some benefits to other types. The watch includes an LED clock as well that uses a light system to determine the time. It connects to a phone by Bluetooth and is said to transmit data by Wifi or cellular data services. This device charges with the use of a USB port connected to the watches docking station.

How exactly does the watch sense the seizures/activity/sleep? By using sensors which include electrodermal activity sensor, peripheral temperature sensor, 3-axis accelerometer, and gyroscope. This technology is still relatively “new” for the watch and consumer use, bare that in mind. It requires the use of two apps: the Alert App and the Mate App. Do note that if you are pregnant, you cannot use the alert function – it does not specify as to why exactly, but I imagine our body already has a lot going on and is still considered to be in trail mode. The Mate App is still functional for use and the Alert App will still track your data to transmit it over.

 

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One Week Review

When I was researching the watch, I noticed a lot of reviews were quite outdated or did not offer any type of follow up. So, here I am doing a one week review and fully anticipate doing a one month review. Since I already invested into the watch for better or for worse, I do another review as well once I meet my little one. Let us start off with the positives.

Pros

I was amazed with how quick shipping was. From time of payment to actual delivery was a week – which is great. Do keep in mind I do live in the United States and so happen to live within the same state; I might have cheated a little. Although, they do a wonderful job of updating you along the way of your shipping status and send you emails so you can learn more about the watch as you wait. I thought this was an awesome idea and kept you anticipating the arrival.

Once the Embrace Watch arrived, I was very pleased upon opening it. Came in a very sturdy package, the watch was beautiful and slick, you would never guess off hand it was used as a medical device (note: not officially calssified as a medical device yet though. Still in trial phases). Upon wearing the watch, I felt that it was quite comfortable – the strap is of a stretchy fabric material that can expand quite big and shrink quite small (good for my child-like wrists).  Charging the watch was quite simple – pinch open the port, place the watch in the port with hearts facing the same direction, connect the USB cable to a USB port (I used my laptop). Initial charging did take a bit – although, my computer decided to not function so I cannot give you an accurate time lapse; but I would expect this to occur. Charging afterwards did not take nearly as long – but I will get into that more later. It connected to blue tooth fine, I had decided I would run the watch off cellular data initially, and the phone I am using is an Iphone 6 with IOS 10.3.1.

Both the Alert App and Mate App was easy to fine, downloaded fine, and connected to the watch fine – very easy set-up process. My Alert App did need a Firm Ware update, so please check into that after downloading.  Also, if there are any issues, there is a wonderful and pleasant Facebook group for Embrace Watch Owners – they are extremely helpful and nice and one person I could never thank enough.

I would also like to add; their customer support has been absolutely lovely and do get back to you in a kind and effective manner. I feel that they truly do care and are trying their best. It is not automated in tone like most places.

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The Cons with Daily updates

May 7th – After the arrival

So, first things first – the watch did not record and has still not put in information for May 6th, when I started wearing the watch. I chalked this up to maybe I did not wear it enough within 24 hours. I turned to the Facebook group and everyone said it should have showed – still nothing. Well, that is just a minor setback, was not overly surprised. When I decided to charge my battery – yes it needs to be charged daily, this to me is understandable and easy to work around – it was in the teens and once the watch and Alert App indicated it was full charged, I put watch back on. To my surprise, I went to check the Alert App again it dropped to 89%…errm. It still lasted quite a while at least, I just did not understand as to why the sudden drop.

Now I went to recheck my Mate App to see today’s data (remember I have been wearing it since the day before) and nothing came up. I actually could not even get into the Mate app at times. Well, okay, perhaps it was something I was doing wrong or connection issue. I followed what the site said to do: uninstall and reinstall the app, logged in and out of the app, restarted my phone, and I have not lost any Bluetooth connectivity, but deiced to reconnect that too. Nothing worked. The Alert App did not have any pending downloads. I decided to go somewhere with Wifi, as my last hope, and see if that helped – and it sure did. All my data from May 7th showed, although as days progressed – I could not use my cellular data/LTE network AT ALL to transmit data or access the Mate App. I ended up having to turn my partner’s cellphone into a hotspot. When I cannot access Wifi, I will not have data showing or access to the Mate App. Luckily, data does store and save on the watch until I can access Wifi.

May 8th

The watch started recording rest times that did not occur. I can tell you for a fact, because I was driving during this time, I was awake from 7:00-8:00 am – it even recorded me walking to my car as activity that same morning during the rest time. I am assuming if you do not move enough, it registers as rest. So now I am questioning the actual accuracy of the watch. It is accurate most of the time – I will not take away from that, but this was quite confusing. Later that day LED clock COMPLETELY stopped working. I attempted to clean the watch according to the website – remind you I only had the watch for 3 days, had not spilt anything, got it wet, dirty, banged it, or dropped it. This was then met by the watch not charging now. I followed the directions and did so the same way as I had done the last two days – nothing. LED clock came on briefly when I tried getting it to charge, but nothing afterwards. After some finagling and frustration, the watch decided to charge – this time only up until 60% before it completely stopped again.

May 10th

Still having issues with false reading rest/sleep. I felt like I made sure to keep that wrist and arm active every now and then, it still recorded it as sleep. I can see this becoming an issue with school and reading; on the 9th it did record a period of time when I was reading as sleep. Today the LED clock started working again (huzzah)! I am curious if it was a temporary glitch in the system. Also, my charger actually worked last night too – curious if it was interrelated as well. I have been in touch with customer support this entire time – sending them my concerns and screenshots when needed. They have been  lovely about everything.

May 11th

Charger decided to not work again. Got a notification that my battery was low, I let it drain this time and it would not charge. I tried everything that I could to get it to work – nothing.

About 30 minutes later, charger decided to work (huzzah!)

Later that evening, there was an update related for the Alert App – main thing about it was now there is a “Rest Mode.” The cool thing about this is that it has a higher sensitivity for seizure detection; so you would place this mode on when you are watching TV or sleeping. “Night mode” got renamed to “Lights and Vibrations” to avoid any confusion with “Rest Mode.” Another change, the batter life is no longer displayed in percent – rather with displaying full, high, medium, low, or charge now. They do have a guide to tell you about how many hours you have left – not really a huge fan, preferred the percentage better. This is just my preference and not any fault of the watch or company

May 12th

Well today I had a 3-hour glucose test; it would be nice if the watch could detect seizures for pregnancy. I had a few myoclonic jerks due to my blood sugar being low and all I did was sleep today. Curious if anything happened in my sleep since I am not normally like this, not even with my last 3-hour glucose test, but alas the watch is not suitable for pregnancy. Ah well.

I think the update was a huge help, although while it did not really state updating anything sensitivity wise other than seizure detection, it was way more accurate with my sleep cycles and activity – super pleased by this. Also, no issues at all with the charger today! Definitely restored my faith in the watch.

(The updated version on left – right: older version)

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Final Thoughts for Week One

A little disappointed overall at first, was not expecting so many glitches/issues for the price. I do fully understand it is relatively new technology, but basic functions such as sleep/activity should not be a huge issue with the recording. Some issues resolved on their own such as the clock and charger, which is fine, but can be frustrating for some. It seems that after the new update, it became more accurate with activity and sleep levels, which is great. Definitely boosted my confidence for the watch’s future.

I was little bummed about finding out it will not alert seizures for those who are pregnant – I can see why in some respects, but sometimes this is when women have their most seizures. Luckily during this pregnancy my major ones stopped. I still proceeded to get the watch now so I could work through it for after delivery. I have seizures without fail right before and after pregnancy and things can get scary with a newborn.

I fully plan on doing a follow-up review in a month to inform those who are on the fence about the watch and following my experience. I fully believe that as time goes on, it will only get better. By the end of the week I saw it improve with just one update – I was impressed. Although to be fair, it also could of been chalked up to the watch learning my body as well. I will say this: do not knock it out of the park yet. While it may seem like a steep price for a piece that is still “new,” I do believe it will be worth the investment.

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Are you thinking about owning your own Embrace watch? Leave a comment below followed by any questions you may have and I will try my best to answer them!

If you are looking into getting your own watch or finding out more, click here

Until next time!

A Very Special Announcement

It has been some length of time since I last stopped by, I am sure this may lead to some of you wondering why. Well, between being a student and working, I have been blessed once more with a beautiful gift; I am expecting baby number three! As you may know, I have previously blogged about Epilepsy and Pregnancy (click here to take a peek); now I will be able to post my experience as I go along and answer questions in real time. I hope this helps some of you who are thinking about pregnancy, are currently pregnant, or are curious about pregnancy and Epilepsy.

 

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Wait, how long have you known? Why the wait?!

Truthfully, I found out back in November. I had the inkling that I was pregnant due to an increase in nocturnal seizures (which is typical for me and typical for some others to have an increase in seizure activity due to hormones). We were indeed actively trying due to other health circumstances that have been bestowed upon me. These health circumstance will impact my ability to carry children and sadly this will have to be my last pregnancy for the sake of my health. This time around, I was actively seeing an ob/gyn due to the circumstances and began taking folic acid at 4mg and prenatal vitamins before conceiving, as well as continuing with my B6, fish oil, and Keppra. During this time my Keppra dose also seen an increase due to being diagnosed with myoclonic seizures – which did aid in decreasing the frequency of these seizures. In due time, I had one large nocturnal seizure, noticed a huge decline in myoclonic jerks, and soon enough seen a positive pregnancy test. My partner and I could not be any more thrilled as we welcome a new child into our life.

Currently, I am 18 weeks and 1 day and due date is still set for August 1st, 2017. I wish I could say it has been smooth sailing, but we had some bumps early on. While my health issues reproductive wise do pose a threat, I was also diagnosed with a fairly large subchronic hemorrhage (abbreviated as SCH), also known as a subchronic hematoma. A SCH is an accumulation of blood between the fetal membrane, next to the placenta or between the uterus and the placenta itself. It can cause light to heavy spotting, but some women have no bleeding at all.  SCHs typically tend to affect 25% of all women in the first half of pregnancy and will typically resolve on their own. Unfortunately there is no direct cause or way to prevent this from occurring; it is one of those events that “happen” and is due to the egg slightly separating or tearing from the uterus. Sometimes you will also hear it referred to as a threatened miscarriage – as yes, there is a possibility for a miscarriage to occur.

(Photo pulled from Google as an example; for reference my SCH was the size of the gestational sac)

Thankfully enough, when my bleeding start I was at work and the ER was just downstairs. I tried my best to remain positive when I saw the blood, but as it got heavier, thoughts rushed back from my first miscarriage. I could not shake it, I could not bear going through it again. Unfortunately, and realistically, I knew there was nothing I could do but hope. So that is what I did, I kept faith and hoped. Soon enough I had an ultrasound, I was relieved to see the heartbeat. The bleeding had slowed so I assumed everything was going to be okay. Not the case. The doctor came in and explained the fetal heart rate was quite low and to expect a miscarriage within the week. My heart sank. It sank even harder because everything seemed okay. Everyone told me not to worry, everything looked fine. Moments later, here came the doctor to rain on my parade. I broke down immediately. I could not believe what I was hearing. The flicker I just saw would soon be blown out, yet again.

With a heavy heart I went home to await my early meeting with my new found life. I did exactly what I was told: rest, stay on pelvic rest, hydrate, and try to relax. Easier said than done, but I did just that. My ob/gyn did a follow up, that whole week seemed to drag. To my surprise, there was the flicker with a healthy heart beat. S/he proved the ER doctor wrong; they were holding on. Unfortunately the SCH was still there, but all that mattered was that flicker.

Due to this, I chose to delay announcing. I did not feel comfortable explaining to everyone if a negative event occurred. Around this time, I was still having nocturnal seizures (which is atypical for me) and did not feel like I was going to have a positive outcome. But here I am, with my little one snug inside, telling you my story.

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What about your Seizures?

As of lately, I had not experienced any tonic-clonic or myoclonic seizures. Although, I have experienced a couple more nocturnal and this is becoming concerning as usually all forms stop during pregnancy. To be fair, I did work more than my recommended amount due to missing days. Now I am back on my normal schedule and things have been fine.

I will not lie and say I have not had any anxiety building up as I approach the halfway mark. In my other blogs, I talk about some scary episodes where I had seizures and very well could of compromised my children’s life. This is the unfortunate reality of those who wish to parent and live with Epilepsy. Due to this anxiety, I am starting to look into seizure alert watches as well as requirements for a service dog. I do not think I will meet the requirements for a service dog realistically, but hopefully a watch will be reliant enough. My partner will also be moving in, which will be in itself a huge help and makes me feel safer. As he says “we’re in this together.” I also started to do yoga again and music helps as well with unwinding. I will do everything in my power to keep my family safe – even if it is from my own condition.

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               Doing anything different this time around?

Aside from the fact I was more proactive with folic acid and other supplements and intend to invest in a seizure alert system – I am planning on giving breastfeeding a chance. This will be a completely new experience that again, raises some anxiety. Since the birth of my first child and being strongly advised not to breastfeed while on Keppra, I have been following research carefully. With my second child, it was a more “up to you” response when I approached health professionals, so this time I dug as deep as I possibly could. One site stated that during lactation, doses up to 3500 mg daily produce low levels in breast milk and would not be expected to cause any adverse effects in breastfed infants (https://www.drugs.com/breastfeeding/levetiracetam.html). Luckily, I am under that quota at 2000 mg daily so it would be considered relatively safe by those standards. However, the infant will need to be monitored or drowsiness, weight gain, and developmental milestones as a precautionary. Although, in my case, my children were monitored for this regardless due to being on Keppra during pregnancy. If you have not had children yet, doctors may use the wording “sleepy baby” to describe babies born to mothers on Keppra. Babies tend to sleep more, are drowsy, and/or be more calm than those not born to Keppra mothers.

In another study in 2005, results yielded that levetiracetam does transfer into the mother’s milk, but does not pose any risk or harm to the infant due to very low serum levels. These serum levels were actually lower than what was found in the umbilical cord, therefore breast milk contains less than what the infant was originally receiving (https://www.ncbi.nih.gov/pmc/articles/PMC1363376) . A 2013 study that was published in the Italian Journal of Pediatrics also supports this claim if the dose is below 3000mg a day (or 3g a day as the study states; https://ijponline.biomedcentral.com/articles/10.1186/1824-7288-39-50), it will pose no harm to the infant .

You will find sites stating to not take Keppra while breastfeeding and this may become concerning. Unfortunately, the reason for this is due to lack of studies to completely verify Keppra as safe. You can equally find an number of testimonies of women who breastfed on Keppra and their child having no complications. I suggest talking to your ob/gyn/midwife as well as your neurologist. Often, we have to see a maternal-fetal specialist who you may also ask. From my personal experience, they could never give me an actual answer other than it being my choice. Although, after doing research as well as seeing other mothers who have been through it, I have decided in my circumstance that the benefits outweigh the risks.

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Do you have any information you would like to share?

Any questions you may having regarding Epilepsy and Pregnancy?

Leave a comment below!

Pregnancy with Epilepsy

Warning

Before I get into this I will place a warning for anyone who has had miscarriage. I will place a warning for anyone who does not feel comfortable about reading about loss. I will do my best to keep that section short. But there is a positive outcome. I promise.


pregnancy-and-birth-defects

My Experience.

So, if you have read some of my older blogs you will see that my first neurologist advised me to not get pregnant.  At 19 years old, with dreams of being a mother – sorry, you have Epilepsy in the form of generalized tonic-clonic seizures. Of course, some of you may know that I did not listen too well.

I am very keen on researching. I like to know what exactly I am getting myself into before I do it. I decided to look up pregnancy and Epilepsy and saw some sites recommending to take folic acid. There was and still is a lot of research promoting it. Fun fact: Folic acid can reduce the rate of neural tube defects by more than 70% (https://www.health.ny.gov/publications/1335/). These defects can be associated with antiepileptic drugs (AEDs) so many obstetrician/gynecologist  (ob/gyn) and midwives will suggest folic acid when you are trying to conceive.  The trick is to start the folic acid BEFORE getting pregnant because a lot of development happens in a short amount of time before you typically discover that you are pregnant. Some sources suggest starting folic acid a month before you start trying to conceive. I started folic acid when I started Keppra, so it was a few months prior.

But how much do you take? Again, recommended standard according to the Epilepsy Foundation is 400 mcg (0.4mg – http://www.epilepsy.com/information/women/all-women/folic-acid) to start. The dose will vary depending on your dose and type of AED – always good to visit an ob/gyn prior to conceiving, but if not starting on 400mcg (0.4mg) is a good place to start. This is where I started along with taking a prenatal vitamin, but when I finally saw an ob/gyn and had a new neurologist, they placed me on 1,000 mcg (1 mg) of folic acid. That was a big jump that I was not expecting.

It took a few months before I saw a positive test. I was not really sure if this was due to the AED or just coming off birth control. I was honestly fed up and about to stop; maybe my neurologist was right. Then one morning, I saw the strong pink lines, it was positive and I was over the moon. I could not believe this was finally happening. Then slowly fear sunk it – now what? At the time I was living in North Carolina, I quickly set an appointment up for my first visit with the local ob/gyn. After about two weeks I noticed some abnormal bleeding that soon turned bright red. My heart sunk; due to my studious nature, I already had an idea of what was to come.  I tried to ignore it and hoped it would go away. Every day it got heavier and eventually I ended up in the emergency room. I will never forget sitting in the ER with my head low, embarrassed. I sat quietly  for  hours until my eventual miscarriage occurred and the hospital ‘confirmed’ it. My heart broke. I felt like I was not a proper woman, that maybe I was not healthy enough to bare children after all. I tried everything to make sure I had a healthy pregnancy and still failed. I was filled with disappointment, anger, and just sat and thought “this is because of Epilepsy.” I was mad at myself, now wishing I had listened to my neurologist. Wishing that my Epilepsy would go away. Now I had to set up a new type of appointment with the ob/gyn; one I was dreading.

With fluctuating hormones in pregnancy it can produce or reduce seizures. My appointment was only a few days later and in the office it happened. I had a tonic-clonic seizure in front of everyone. Last thing I remember was standing in front of my partner at the time, next thing I knew I woke up in a hospital. If I was not embarrassed and disappointed enough to be there for a miscarriage, this topped the cake. They told me it was due to the ‘dropping’ of my hormones from the miscarriage. Wonderful, two things I did not want to talk about or deal with, but now I had to.

About a month later I was still spotting. I was confused. I thought maybe my body got really messed up from all the stress and went to a walk in; they confirmed I was pregnant but looked baffled when I told them my history. They immediately sent me to the ER. There was no way. I did not engage in any type of activity as everything that happened sent me into a depressive low. The ER ran blood work and the doctor came in and looked at me apologizing “actually, you have been pregnant this whole time. I am not sure who told you that you miscarried, but you did not miscarry completely.” He told me he thought I miscarried a twin. At this point I was over trying to have a child, I had no idea how to react. My partner’s face turned white and I was in utter shock. He went on to tell me my seizure was due to the rise of hormones and immediately checked to make sure everything was okay by ultrasound. Now what? I asked the doctor is the seizure would affect my child. He could not give me an explanation if the seizure would and started to avoid eye contact. He said there was not enough research to guarantee a healthy baby. Now what?

I moved back to my home state and immediately got an ob/gyn. A hospital in another state oversaw my pregnancy as they were preparing for the worst case scenario due to having Epielpsy. I had to go to weekly neonatal stress tests at an earlier rate than a typical pregnancy, had to see a genetic counselor due to my family history and to go over possible birth defects from Keppra, I was told a cesarean section (c-section) would be a better option as there is a risk I could seize during labor, and I had to go to different cities and out of state for more tests to make sure my baby would be okay. There was a plan made if the baby needed a neonatal unit, there was a plan made if I seized during delivery, there was a plan made if I needed a C-section – plenty of plans, but nothing really made me feel safe or consoled my worries for my child.

The day of birth came. It ended up being a scheduled c-section because my little one was breeched – the doctors were relieved almost by that. I was very adamant on wanting a natural birth. I was also adamant on breastfeeding but was told not to as the effects could be harmful with the medication; there was not much research done. Although, at the end of the day, I can happily say I gave birth to healthy baby girl and that is all that mattered. Although, after the c-section my body was trembling and they thought I might have a seizure so I could not hold her right away after the initial meet.

Fast forward two months, guess who had another seizure? Guess what that meant? I was pregnant; already about a month pregnant by that point. Again the same fears flooded back but there was some reassurance since the first time went alright. Doctors were well prepared after having my first child. There was no way out of a c-section this time with how close they were. Now I did not mention this the first time around as I came back halfway through my pregnancy but they increased my Keppra with both pregnancies. It was some time after the first trimester that the dose went up. They checked my Keppra levels more frequently to make sure I did not get to a toxic level as this could harm the baby and myself. I was still on folic acid from before as I requested to be so there was no change there. This pregnancy flowed a lot better because they were well prepared. Again, a second hospital out of state watched over my pregnancy. Again, I had to travel out of state for testing. I was placed into a research study on the effects of Keppra on pregnancy this time around, still no new information could be given. Everything went fine..until birth.

Now I am not sure exactly what happened but I remember being halfway during the c-section and feeling dizzy. I remember my body temperature dropping and I started shivering. My heart rate and blood pressure was doing something they were not supposed to because the nurses had a look of concern across their face and kept asking me “are you okay? keep your eyes open okay” There were student nurses in the room and they whisked them right out immediately. They hurried their way through the c-section and started pushing things through the IV I did not remember from before. They started getting concerned I might seize and did everything to get my temperature back up and body under control. All I could think was “please don’t seize, not now, keep it together.” Luckily nothing came of it. Again, another healthy baby girl. But I guess my first neurologist had a point, it can be risky to give birth with epilepsy.

Again, a month or two after the birth I had another seizure. This one scared me. I did not remember where I had my newborn last. I had no idea if I fell with her. I had no idea if she was in my room or hers. I had no idea where I even was for a few moments. I rushed in and out of rooms and saw both my children asleep peacefully in their separate beds. They were safe. I sat by my door and just cried. I knew it was not going to be easy, but I did not think it was going to be this tough. No, I was not pregnant this time. It was due to the fall of the hormones.


What to remember if you are planning to conceive

  • Seek an ob/gyn prior to becoming pregnant and trying to conceive as well as informing you neurologist. You want to set up a plan and you want to make sure you have enough folic acid to promote healthy growth of the developing fetus and some studies show this can take about a month prior to build up enough in your system. You will also want to take prenatal vitamins to make sure you are getting enough nutrition not only for yourself, but your little one too.
  • Do not stop your medication if you become pregnant. While the possibility that some sort of defect or issue can occur is scary, what can be more worrisome is not knowing how a seizure effects a fetus. You need to be as healthy as you can be and take care of yourself first and try to limit the amount of seizures/seizure activity you have
  • Pregnancy will affect the amount of medication you receive. As the pregnancy goes on, you will more than likely see an increase like I experienced. This is due to multiple factors involving pregnancy – including weight changes, hormones, and the developing fetus.
  • If your seizure have been well controlled – do not be afraid to ask your specialist if you can decrease your dose before trying to conceive. This might ease your mind and limit stress levels but even if that is not an option for you, you can still go on to have a healthy pregnancy.
  • Breastfeeding is possible – but discuss this prior. Some medications advise against it as the effects to a newborn are not well known or are known to have adverse side effects. There are options such as trying a different medication, lowering the dose, temporarily coming off the medication, donor breast milk, or doing formula if none of the option are applicable.
  • Do not be afraid to ask questions. This is new and can be a scary experience. Feel free to ask all the questions you need.

Facts Behind Epilepsy and Pregnancy

  • 15-30% of women will have an increase in seizure activity in the first and third trimester
  • Seizures that occur during your menstrual cycle will no predict if you have an increase in seizure activity during pregnancy
  • Women who have been seizure free for 9 months prior to pregnancy have a high chance of staying seizure free during pregnancy
  • Partial seizures do not carry as much of a risk as generalized seizures. Tonic-clonic generalized seizures carry more of a risk to mother and baby if a seizure was to occur
  • Most specialist feel that AEDs are a safer option than risking a seizure
  • There is a 4-6% chance that a malformation may occur that cannot be predicted
  • Family history of congenital malformation will raise the risk of a malformation occurring
  • Vitamin K may be give to women with enzyme-inducing AEDs in the last month of pregnancy
  • 90% of women with Epilepsy go on to having healthy babies

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What is your experience with pregnancy and Epilepsy? Leave a comment below!