Dr. Janet
Mifsud, 
Dept. of Clinical Pharmacology and Therapeutics,
University of Malta
Dr. Anthony Galea Debono,
Department of Medicine, University of Malta
Dr. Vicky
Mifsud,
St. Luke's
Hospital, Malta
Dr.
Norbert Vella,
St. Luke's
Hospital, Malta
Dr. Ray Galea,
St. Luke's Hospital, Malta
EURAP Team,
European Epilepsy Academy
The use of
antiepileptic drugs during pregnancy is associated with an increased risk of
birth-defects in the offspring. However, for most women with epilepsy it is
advisable to continue to take antiepileptic drugs during pregnancy since
uncontrolled seizures may be hazardous to the foetus as well as to the pregnant
women. In the vast majority of such cases, the outcome is uneventful. There are
now many antiepileptic drugs to choose from but it is presently unclear if some
of these drugs are more safe to use during pregnancy than others. A number of
European research groups have therefore agreed on a common protocol for a
prospective assessment of pregnancy outcome after prenatal exposure to
antiepileptic drugs and to establish a registry of antiepileptic drugs and
pregnancy.
The aim of
this registry is to obtain information on the risks associated with the use of
antiepileptic drugs during pregnancy. The primary objective is to evaluate and
determine the comparative degree of safety of the different drugs in the human
foetus, in order to identify the most safe drugs and to determine how
antiepileptic drugs should be used and dosed to minimise risks.
Half-yearly
progress reports will be prepared and released by the Central Project Commission
of EURAP. These will be presented in a way that protects against identification
of individual mothers or children.
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