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Volume 6 Journal of Child and Adolescent Behavior Psychiatry Neuro 2018
November 12-13, 2018
November 12-13, 2018 Dubai, UAE
30th International Conference on
&
Joint Meeting on
Psychiatry and Mental Health
25 th Cognitive Neuroscience Congress
Reproductive behavior in women with epilepsy
G Odintsova, A Chugunova, N Ivanova
Almazov National Medical Research Center, Russia
The significance of epilepsy reproductive questins is provided by medical social aspects of the disease.
Purpose was to research reproductive behaviour (RB) and fertility rate(FR) in women with epilepsy (WWE).
128 WWE aged 20 - 45y.o. were included in the prospective observation research of antiepileptic drugs (AEDs) reproductive
side effects. 3 groups were allocated: 1gr. - AEDs monotherapy, 2 gr. - polytherapy, 3 gr. - without AEDs. FR was accounted. RB
was investigated by interview.
Results: 1gr. - 58 (45%), 2gr. - 53 (42%), 3 gr. - 16 patients (13%). Average age of the surveyed women made 25 years with
prevalence patients in optimal reproductive age (20-30y.o.)- 62%. 47% women were marriage. 31% had children without
differences in groups. Only 18% children were born before mother's disease. Fertility rate- is the average number of children
that would be born to a woman over her lifetime. Fertility rate for simple generations replacements should be 2, 15. Fertility
rate was 0, 3 in cohort. Women planning pregnancies were 45%. Majority patients planned to have one child. New RB tendency
was presented by early repeated pregnancies. New generation AEDs (lacosamide, perampanel) allowed achieving remission
in first and second polytherapy but weren't resolved in monotherapy. It was real problem for women in reproductive age. RB
“without children” remained actual problem for epilepsy.
Conclusion: Reproductive behaviour was changing at the present time. Fertility rate among women with epilepsy was lower
optimal due to medical and social reasons. Antiepileptic therapy during pregnancy remained a legal problem.
Biography
Galina Odintsova has completed her PhD from Institute of human brain of RAS in 2012. She is the senior researcher of Almazov National Medical Research Center.
She has published more than 100 papers in journals and has been speaker of 30 russian and foreing congresses.
G Odintsova et al., J Child Adolesc Behav 2018, Volume 6
DOI: 10.4172/2375-4494-C2-008