A 36-year-old G0 who has been epileptic for many years is contemplating pregnancy. She wants to go off her phenytoin because she is concerned about the adverse effects that this medication may have on her unborn fetus. She has not had a seizure in the past 5 years. Which of the following is the most appropriate statement to make to the patient? a. Babies born to epileptic mothers have an increased risk of structural anomalies even in the absence of anticonvulsant medications. b. She should see her neurologist to change from phenytoin to valproic acid because valproic acid is not associated with fetal anomalies. c. She should discontinue her phenytoin because it is associated with a 1% to 2% risk of spina bifida. d. Vitamin C supplementation reduces the risk of congenital anomalies in fetuses of epileptic women taking anticonvulsants. e. The most frequently reported congenital anomalies in fetuses of epileptic women are limb defects. https://facebook/groups/medclick/
Posted on: Wed, 28 May 2014 05:48:32 +0000
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