Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
14
pubmed:dateCreated
2008-9-30
pubmed:abstractText
Most pregnant women with epilepsy require antiepileptic drug (AED) therapy. Present guidelines recommend optimizing treatment prior to conception, choosing the most effective AED for seizure type and syndrome, using monotherapy and lowest effective dose, and supplementing with folate. The Epilepsy Therapy Project established the international Health Outcomes in Pregnancy and Epilepsy (HOPE) forum to learn more about the impact of AEDs on the developing fetus, particularly the role of pregnancy registries in studying AED teratogenicity. The primary outcome of interest in these registries is the occurrence of major congenital malformations, with some data collected on minor malformations. Cognitive and behavioral outcomes are often beyond the timeframe for follow-up of these registries and require independent study. The HOPE consensus report describes the current state of knowledge and the limitations to interpretations of information from the various sources. Data regarding specific risks for both older and newer AEDs need to be analyzed carefully, considering study designs and confounding factors. There is a critical need for investigations to delineate the underlying mechanisms and explain the variance seen in outcomes across AEDs and within a single AED.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1526-632X
pubmed:author
pubmed:issnType
Electronic
pubmed:day
30
pubmed:volume
71
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1109-17
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:18703463-Abnormalities, Drug-Induced, pubmed-meshheading:18703463-Anticonvulsants, pubmed-meshheading:18703463-Australia, pubmed-meshheading:18703463-Child, Preschool, pubmed-meshheading:18703463-Cognition Disorders, pubmed-meshheading:18703463-Developmental Disabilities, pubmed-meshheading:18703463-Epilepsy, pubmed-meshheading:18703463-Europe, pubmed-meshheading:18703463-Female, pubmed-meshheading:18703463-Great Britain, pubmed-meshheading:18703463-Humans, pubmed-meshheading:18703463-Intellectual Disability, pubmed-meshheading:18703463-Multicenter Studies as Topic, pubmed-meshheading:18703463-Outcome Assessment (Health Care), pubmed-meshheading:18703463-Pregnancy, pubmed-meshheading:18703463-Pregnancy Complications, pubmed-meshheading:18703463-Product Surveillance, Postmarketing, pubmed-meshheading:18703463-Registries, pubmed-meshheading:18703463-United States
pubmed:year
2008
pubmed:articleTitle
Pregnancy registries in epilepsy: a consensus statement on health outcomes.
pubmed:affiliation
Department of Neurology, Emory University, Atlanta, GA 30322, USA. Kimford.meador@emory.edu
pubmed:publicationType
Journal Article, Review, Research Support, Non-U.S. Gov't, Consensus Development Conference