Maternal seizure disorder and risk of adverse pregnancy outcomes

Jessica A. McPherson, Lorie M. Harper, Anthony O. Odibo, Kimberly A. Roehl, Alison G. Cahill

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Objective: We sought to estimate the association between maternal seizure disorder and adverse pregnancy outcomes. Study Design: We performed a retrospective cohort study of singleton, nonanomalous pregnancies. Women with self-reported seizure disorder were compared to women without medical problems. The primary outcome was intrauterine growth restriction (IUGR) <10th percentile. Secondary outcomes included IUGR <5th percentile, stillbirth, preeclampsia, and preterm delivery. A sensitivity analysis was performed using women who reported using antiepileptics to estimate the impact of disease severity on pregnancy outcomes. Results: Of 47,118 women, 440 reported a seizure disorder. Women with seizure disorder were not at increased risk of IUGR <10th percentile (adjusted odds ratio, 1.11; 95% confidence interval, 0.82-1.50), IUGR <5th percentile, stillbirth, preeclampsia, or preterm delivery. The results were similar in the sensitivity analysis of women taking antiseizure medications. Conclusion: Our results suggest women with a seizure disorder are not at increased risk of IUGR, stillbirth, preeclampsia, or preterm delivery.

Original languageEnglish
Pages (from-to)378.e1-378.e5
JournalAmerican journal of obstetrics and gynecology
Volume208
Issue number5
DOIs
StatePublished - May 2013

Keywords

  • adverse pregnancy outcomes
  • seizure disorder

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    McPherson, J. A., Harper, L. M., Odibo, A. O., Roehl, K. A., & Cahill, A. G. (2013). Maternal seizure disorder and risk of adverse pregnancy outcomes. American journal of obstetrics and gynecology, 208(5), 378.e1-378.e5. https://doi.org/10.1016/j.ajog.2013.01.048